Evidence map›Paper›PMID 26231345›Full record

SynthesisRheumatology (Oxford, England)2015

Characterization of systemic disease in primary Sjögren's syndrome: EULAR-SS Task Force recommendations for articular, cutaneous, pulmonary and renal involvements.

Manuel Ramos-Casals, Pilar Brito-Zerón, Raphaèle Seror, Hendrika Bootsma, Simon J Bowman, Thomas Dörner, Jacques-Eric Gottenberg, Xavier Mariette, Elke Theander, Stefano Bombardieri and 7 more

Erratum issuedOpen access · bronzeAbstract readConsensus StatementSystematic Review
In one paragraph

Synthesis in Rheumatology (Oxford, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 141 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 6 pooled it
12.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 6 syntheses or guidelines pooled it, 292 citations in OpenAlex.

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  15. International medical case reports journal · 2026
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81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 16 institutions in 8 countries.

Manuel Ramos-CasalsSjögren Syndrome Research Group (AGAUR), Laboratory of Autoimmune Diseases Josep Font, IDIBAPS, Department of Autoimmune Diseases, ICMiD, Hospital Clínic, Barcelona, Spain, mramos@clinic.ub.es.
Pilar Brito-ZerónSjögren Syndrome Research Group (AGAUR), Laboratory of Autoimmune Diseases Josep Font, IDIBAPS, Department of Autoimmune Diseases, ICMiD, Hospital Clínic, Barcelona, Spain.
Raphaèle SerorDepartment of Rheumatology, Hôpitaux Universitaires Paris-Sud, Assistance Publique-Hopitaux de Paris, Le Kremlin Bicêtre, Université Paris-Sud 11, UMR 1184, Le Kremlin Bicêtre, Paris, France.
Hendrika BootsmaDepartment of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Simon J BowmanRheumatology Department, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
Thomas DörnerRheumatology Department, Charité, University Hospital, Berlin, Germany.
Jacques-Eric GottenbergDepartment of Rheumatology, EA 4438, Strasbourg University Hospital, Université de Strasbourg, Strasbourg, France.
Xavier MarietteDepartment of Rheumatology, Hôpitaux Universitaires Paris-Sud, Assistance Publique-Hopitaux de Paris, Le Kremlin Bicêtre, Université Paris-Sud 11, UMR 1184, Le Kremlin Bicêtre, Paris, France.
Elke TheanderDepartment of Rheumatology, Skane University Hospital Malmö, Lund University, Sweden.
Stefano BombardieriRheumatology Unit, University of Pisa, Pisa.
Salvatore De VitaClinic of Rheumatology, Department of Medical and Biological Sciences, University Hospital Santa Maria della Misericordia, Udine, Italy.
Thomas MandlDepartment of Rheumatology, Skane University Hospital Malmö, Lund University, Sweden.
Wan-Fai NgMusculoskeletal Research Group, Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
Aike KruizeDepartment of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Athanasios TzioufasDepartment of Pathophysiology, School of Medicine, University of Athens, Greece and.
Claudio Vitali
EULAR Sjögren Syndrome Task Force
Agència de Gestió d'Ajuts Universitaris i de Recerca · ESCasa di Cura San Michele · ITCharité - Universitätsmedizin Berlin · DEHôpitaux Universitaires Paris-Ouest · FRHospital Clínic de Barcelona · ESLund University · SENational and Kapodistrian University of Athens · GRNewcastle University · GBOspedale Santa Maria della Misericordia di Udine · ITSkåne University Hospital · SEUniversité de Strasbourg · FRUniversité Paris-Sud · FRUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity Medical Center Utrecht · NLUniversity of Groningen · NLUniversity of Pisa · IT

Funding

Pathogenic B Cells in Sjogren's SyndromeP50AR060804 · NIAMS · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI SCOFIELD, ROBERT HAL · 2011 to 2015
$7.9M
Medical Research Council G0800629NIAMS NIH HHS P50 AR060804
6 · The paper itself

Abstract

objectiveTo reach a European consensus on the definition and characterization of the main organ-specific extraglandular manifestations in primary SS.

methodsThe EULAR-SS Task Force Group steering committee agreed to approach SS-related systemic involvement according to the EULAR SS Disease Activity Index (ESSDAI) classification and proposed the preparation of four separate manuscripts: articular, cutaneous, pulmonary and renal ESSDAI involvement; muscular, peripheral nervous system, CNS and haematological ESSDAI involvement; organs not included in the ESSDAI classification; and lymphoproliferative disease. Currently available evidence was obtained by a systematic literature review focused on SS-related systemic features.

resultsThe following information was summarized for articular, cutaneous, pulmonary and renal involvement: a clear, consensual definition of the clinical feature, a brief epidemiological description including an estimate of the prevalence reported in the main clinical series and a brief list of the key clinical and diagnostic features that could help physicians clearly identify these features. Unfortunately we found that the body of evidence relied predominantly on information retrieved from individual cases, and the scientific information provided was heterogeneous. The analysis of types of involvement was biased due to the unbalanced reporting of severe cases over non-severe cases, although the main sources of bias were the heterogeneous definitions of organ involvement (or even the lack of definition in some studies) and the heterogeneous diagnostic approach used in studies to investigate involvment of each organ.

conclusionThe proposals included in this article are a first step to developing an optimal diagnostic approach to systemic involvement in primary SS and may pave the way for further development of evidence-based diagnostic and therapeutic guidelines.

Indexed as

Severity of Illness IndexAdultAdvisory CommitteesEuropeEvidence-Based MedicineFemaleHumansJoint DiseasesKidney DiseasesLung DiseasesMaleMiddle AgedPrevalencePrognosisSjogren's SyndromeSkin Diseasesannular erythemaarthritisbronchial diseaseextraglandular featuresglomerulonephritisinterstitial lung diseaseinterstitial nephritisprimary Sjögren’s syndrometubular renal acidosisvasculitis

Identifiers

PMID26231345
PMCPMC6281074
OpenAlexW2151168892

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.