Sjögren's disease & overlap diseases

Stability of symptom-based subtypes in Sjogren’s disease

RMD OpenPublished Longitudinal cohort study

Authors' conclusion

NSST subtype membership remains stable over time in a large proportion of patients. When subtype transition is associated with factors at baseline, it is most strongly associated with an uncertain subtype allocation.

Study context

Population
Patients with SjD stratified by the Newcastle Sjogren's Stratification Tool (NSST) into four symptom-based subtypes
Participants
274 vs 237
Exposure
United Kingdom Primary Sjögren's Syndrome Registry (UKPSSR) cohort vs French Assessment of Systemic Signs and Evolution of Sjogren's Syndrome (ASSESS) cohort
  • UKPSSRn = 274
  • ASSESSn = 237reference
Outcome
Stability of NSST subtype membership over time (retaining subtype)
Methodological detailsindependent comparator cohort, logistic regression
  • Independent comparator cohort
  • Logistic regression

Main finding

As reported in the abstract

Retention of NSST subtype between two study visits

Subtype membership reasonably stable in both cohorts; proportion retaining subtype

60% and 57%

Observational data: associations, not effects.

Further findings

Retention of the high-symptom burden subtype over time

High-symptom burden subtype the most stable over time; proportion retaining subtype
70% and 67%

Predictors of subtype stability

Higher baseline probability score the greatest predictor of subtype stability; higher C4 levels, antidepressant use and higher CCI score also predicted increased stability

Original publication

Stability of symptom-based subtypes in Sjogren’s disease. RMD Open. Published 24 November 2024. doi:10.1136/rmdopen-2024-004914

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