Sjögren's disease & overlap diseases

Ultrasonographic scores and parotid histopathology in Sjögren's disease: challenges in lymphoma identification

Clin Exp RheumatolPublished Diagnostic accuracy study

Authors' conclusion

The current SGUS scores seem not to allow identifying lymphoma in SjD patients with high clinical suspicion.

Study context

Population
Consecutive adult Sjögren's disease (SjD) patients with a clinical indication for parotid gland biopsy, September 2018 to October 202324 (42%) with lymphoma
Participants
57 patients
Comparison
OMERACT vs Hocevar et al. Salivary gland ultrasound (SGUS) scores for identifying lymphoma
Outcome
Identification of lymphoma (parotid histopathology) by SGUS scores
Methodological detailsconsecutive patients
  • Consecutive patients

Performance

As reported in the abstract

Association of SGUS score with lymphoma
Test or modelOR95% CIp
OMERACT1.100.91-1.34p=0.305
Hocevar et al.1.030.97-1.10p=0.300

OR

OMERACT1.10
Hocevar et al.1.03

95% CI

OMERACT0.91-1.34
Hocevar et al.0.97-1.10

p

OMERACTp=0.305
Hocevar et al.p=0.300

Further findings

OutcomeOMERACTHocevar et al.
LELs vs SGUS scores (33 patients without lymphoma), regression
β3.578.16
95% CI1.53-5.611.45-14.87
pp=0.001p=0.019
FS vs SGUS scores (33 patients without lymphoma), regression
β0.260.57
95% CI0.09-0.430.03-1.12
pp=0.004p=0.040

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Ultrasonographic scores and parotid histopathology in Sjögren's disease: challenges in lymphoma identification. Clin Exp Rheumatol. Published 2 October 2024. doi:10.55563/clinexprheumatol/98vjav

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