Evidence map›Paper›PMID 34105109›Full record

ArticleRheumatology and therapy2021

Primary Sjögren's Syndrome: A Retrospective Cohort Study of Burden of Illness in Sweden.

Anna Westerlund, Anne Mette Tranberg Kejs, Heval Beydogan, Kerry Gairy

Abstract read
In one paragraph

Article in Rheumatology and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Variants inInternational journal of molecular sciences · 2026
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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

4 authors.

Anna WesterlundGlobal Database Studies, IQVIA, Stockholm, Sweden.
Anne Mette Tranberg KejsGlobal Database Studies, IQVIA, Copenhagen, Denmark.
Heval BeydoganGlobal Database Studies, IQVIA, Stockholm, Sweden.
Kerry GairyGlaxoSmithKline, Value Evidence and Outcomes, Brentford, Middlesex, UK. kerry.x.gairy@gsk.com.ORCID http://orcid.org/0000-0001-8591-1396

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary Sjögren's syndrome (pSS) is an autoimmune disease that affects salivary and lachrymal glands and is associated with complex extraglandular manifestations. This study investigates the clinical and economic burden and disease course of pSS in Sweden.

methodsThis retrospective cohort study utilizes data from Swedish national registries and consists of patients at least 18 years of age diagnosed in secondary care with pSS, and matched members of the Swedish general population. Healthcare resource utilization (HRU) and costs were compared. The clinical burden of pSS during follow-up was explored via year-on-year prevalence of and time-to-first extraglandular manifestation. Employment status and retirement rates were used to investigate the impact of pSS on productivity.

resultsA total of 8884 patients with pSS and 88,233 general population comparators were included. Patients with pSS had significantly higher rates of HRU and higher healthcare costs than matched comparators, including twice as many outpatient visits. Costs were highest in year 1 post index before reducing in years 2 and 3 and stabilizing thereafter. Almost two-thirds of patients received their index diagnosis during an outpatient visit, and < 30% of diagnoses were from rheumatology departments. Overall, 41% of patients experienced a healthcare encounter that included a relevant extraglandular manifestation code during follow-up. Patients with pSS had significantly higher odds of early retirement than the general population at 5 years post index.

conclusionsPatients with pSS experience a high clinical and economic disease burden in Sweden.

Indexed as

Burden of illnessHealthcare cost/productivityHealthcare resource utilizationPrimary Sjögren’s syndromeTreatment pathways

Identifiers

PMID34105109
PMCPMC8217380

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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.