Evidence map›Paper›PMID 27110384›Full record

ArticleRMD open2016

Epidemiology of neurological manifestations in Sjögren's syndrome: data from the French ASSESS Cohort.

Guillermo Carvajal Alegria, Dewi Guellec, Xavier Mariette, Jacques-Eric Gottenberg, Emmanuelle Dernis, Jean-Jacques Dubost, Anne-Priscille Trouvin, Eric Hachulla, Claire Larroche, Veronique Le Guern and 3 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 1 country.

Guillermo Carvajal AlegriaService de rhumatologie , CHRU Cavale Blanche, EA 2216, INSERM ERI 29, Université de Bretagne occidentale , Brest Cedex , France.
Dewi GuellecService de rhumatologie , CHRU Cavale Blanche, EA 2216, INSERM ERI 29, Université de Bretagne occidentale , Brest Cedex , France.
Xavier MarietteService de rhumatologie , Hôpitaux Universitaires Paris-Sud, Assistance Publique-Hôpitaux de Paris (AP-HP), Université Paris-Sud, INSERM U1184 , Le Kremlin-Bicêtre , France.
Jacques-Eric GottenbergService de rhumatologie , CHU Hautepierre , Strasbourg , France.
Emmanuelle DernisService de rhumatologie , Centre hospitalier Le Mans , Le Mans Cedex , France.
Jean-Jacques DubostService de rhumatologie , CHU Gabriel Montpied , Clermont-Ferrand Cedex , France.
Anne-Priscille TrouvinService de rhumatologie , CHU Bois-Guillaume , Rouen Cedex , France.
Eric HachullaService de médecine interne , CHU Claude Huriez , Lille Cedex , France.
Claire LarrocheService de médecine interne , Hôpital Avicenne APHP , Bobigny Cedex , France.
Veronique Le GuernCentre de référence des maladies auto-immunes rares, CHU Cochin APHP , Paris , France.
Divi CornecService de rhumatologie , CHRU Cavale Blanche, EA 2216, INSERM ERI 29, Université de Bretagne occidentale , Brest Cedex , France.
Valérie Devauchelle-PensecService de rhumatologie , CHRU Cavale Blanche, EA 2216, INSERM ERI 29, Université de Bretagne occidentale , Brest Cedex , France.
Alain SarauxService de rhumatologie , CHRU Cavale Blanche, EA 2216, INSERM ERI 29, Université de Bretagne occidentale , Brest Cedex , France.
Hôpital Maison Blanche · FRCentre de Référence des Maladies Autoinflammatoires et des Amyloses · FRCentre Hospitalier du Mans · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Rennes · FRCentre Hospitalier Universitaire de Rouen · FRCentre Oscar Lambret · FRHôpital Avicenne · FRImmuno-Rhumathologie moléculaireInserm · FRUniversité de Bretagne Occidentale · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNeurological manifestations seem common in primary Sjögren's syndrome (pSS) but their reported prevalences vary. We investigated the prevalence and epidemiology of neurological manifestations in a French nationwide multicentre prospective cohort of patients with pSS, the Assessment of Systemic Signs and Evolution in Sjögren's syndrome (ASSESS) cohort.

methodsThe ASSESS cohort, established in 2006, includes 395 patients fulfilling American-European Consensus Group criteria for pSS. Demographic and clinical data were compared between patient groups with and without neurological manifestations, and across patient groups with peripheral nervous system (PNS) manifestations, central nervous system (CNS) manifestations and no neurological manifestations.

resultsData at inclusion were available for 392 patients, whose mean age was 58±12 years. Mean follow-up was 33.9 months. Neurological manifestations were present in 74/392 (18.9%) patients, including 63 (16%) with PNS manifestations and 14 (3.6%) with CNS manifestations. Prevalences were 9.2% for pure sensory neuropathy, 5.3% for sensorimotor neuropathy, 1.3% for cerebral vasculitis and 1.0% for myelitis. Neurological manifestations were associated with greater pSS activity as assessed using the ESSDAI (9.4±6.8 vs 4.3±4.8; p<0.001) and proportion of patients taking immunomodulatory/immunosuppressive drugs (32.4% (24/74) versus 13.8% (44/318), p=0003). New neurological symptoms were more common in patients with than without prior neurological manifestations (RR=3.918 (95% CI 1.91 to 8.05); p<0.001).

conclusionsPrevalences of peripheral and central neurological manifestations in pSS are about 15% and 5%, respectively. Neurological manifestations are associated with greater pSS activity. New neurological manifestations are more common in patients with prior neurological involvement.

Indexed as

Autoimmune DiseasesDisease ActivitySjøgren's Syndrome

Identifiers

PMID27110384
PMCPMC4838763
OpenAlexW2337417061

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.