Evidence map›Paper›PMID 31127862›Full record

ArticleJournal of internal medicine2019

Concomitant Ro/SSA and La/SSB antibodies are biomarkers for the risk of venous thromboembolism and cerebral infarction in primary Sjögren's syndrome.

J Mofors, M Holmqvist, L Westermark, A Björk, M Kvarnström, H Forsblad-d'Elia, S Magnusson Bucher, P Eriksson, E Theander, T Mandl and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 36 citations in OpenAlex.

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  14. Chronic rheumatologic disorders and cardiovascular disease risk in women.American heart journal plus : cardiology research and practice · 2023
    Review
  15. Sjögren's syndrome.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2022
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

J MoforsFrom the, Division of Rheumatology, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
M HolmqvistDivision of Clinical Epidemiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
L WestermarkDepartment of Medical Sciences, Rheumatology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
A BjörkFrom the, Division of Rheumatology, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
M KvarnströmFrom the, Division of Rheumatology, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
H Forsblad-d'EliaDepartment of Public Health and Clinical Medicine, Rheumatology, Umeå University, Umeå, Sweden.
S Magnusson BucherDepartment of Rheumatology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
P ErikssonDivision of Rheumatology, Department of Clinical Experimental Medicine, Linköping University, Linköping, Sweden.
E TheanderDepartment of Clinical Sciences, Malmö, Rheumatology, Lund University, Malmö, Sweden.
T MandlDepartment of Clinical Sciences, Malmö, Rheumatology, Lund University, Malmö, Sweden.
M Wahren-HerleniusFrom the, Division of Rheumatology, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-0915-7245
G NordmarkDepartment of Medical Sciences, Rheumatology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-3829-7431
Karolinska University Hospital · SELund University · SEUppsala University · SEKarolinska Institutet · SELinköping University · SEÖrebro University · SEUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the risk of incident cardiovascular disease in patients with primary Sjögren's syndrome, overall and stratified by Ro/SSA and La/SSB autoantibody status.

methodsA cohort of patients with primary Sjögren's syndrome in Sweden (n = 960) and matched controls from the general population (n = 9035) were included, and data extracted from the National Patient Register to identify events of myocardial infarction, cerebral infarction and venous thromboembolism. Hazard ratios were estimated using cox proportional hazard regressions.

resultsDuring a median follow-up of 9.5 years, the overall hazard ratio (HR) was 1.6 (95% CI 1.2-2.1) for myocardial infarction, 1.2 (95% CI 0.9-1.7) for cerebral infarction and 2.1 (95% CI 1.6-2.9) for venous thromboembolism. Patients positive for both Ro/SSA and La/SSB autoantibodies had a substantially higher risk of cerebral infarction (HR 1.7, 95% CI 1.0-2.9) and venous thromboembolism (HR 3.1, 95% CI 1.9-4.8) than the general population. These risks were not significantly increased in Ro/SSA- and La/SSB-negative patients. Among autoantibody-positive patients, the highest HR of cerebral infarction was seen after ≥10 years disease duration (HR 2.8, 95% CI 1.4-5.4), while the HR for venous thromboembolism was highest 0-5 years after disease diagnosis (HR 4.7, 95% CI 2.3-9.3) and remained high throughout disease duration.

conclusionsPrimary Sjögren's syndrome is associated with a markedly increased risk of cardiovascular disease and the presence of Ro/SSA and La/SSB autoantibodies identify the subgroup of patients carrying the highest risk. These findings suggest that monitoring and prevention of cardiovascular disease in this patient group should be considered.

Indexed as

Antibodies, AntinuclearBiomarkersCase-Control StudiesCerebral InfarctionFemaleHumansMaleMiddle AgedMyocardial InfarctionRisk FactorsSjogren's SyndromeSwedenVenous ThromboembolismAntibodies, AntinuclearBiomarkersSS-A antibodiesSS-B antibodiesautoantibodiescardiovascular diseaseLa/SSBPrimary Sjögren's syndromeRo/SSA

Identifiers

PMID31127862
PMCPMC6851863
OpenAlexW2945580566

What OpenQuestion holds

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LicenceCC BY
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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.