Evidence map›Paper›PMID 39334038›Full record

ArticleBMC endocrine disorders2024

Are ultrasonographic scoring systems of the salivary gland in primary Sjögren's syndrome suitable for examination of Type2 diabetes mellitus patients with sicca?

Abdulvahap Kahveci, Alper Gümüştepe, İsmihan Sunar, Şebnem Ataman

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Article in BMC endocrine disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Abdulvahap KahveciRheumatology Clinic, Kastamonu Training and Research Hospital, Kastamonu, Turkey. abdulvahap_kahveci@hotmail.com.ORCID http://orcid.org/0000-0002-2611-2372
Alper GümüştepeDivision of Rheumatology, Department of Physical Medicine and Rehabilitation, School of Medicine, Ankara University, Ankara, Turkey.ORCID http://orcid.org/0000-0003-1585-2540
İsmihan SunarDivision of Rheumatology, Department of Physical Medicine and Rehabilitation, School of Medicine, Ankara University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4435-5677
Şebnem AtamanDivision of Rheumatology, Department of Physical Medicine and Rehabilitation, School of Medicine, Ankara University, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3570-3825

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to compare the salivary gland ultrasonography(SGUS) findings in patients with primary Sjögren's Syndrome (pSS) and diabetes mellitus(DM) patients with sicca symptoms and to examine the relationship between salivary gland ultrasonography (SGUS) findings with clinical and laboratory parameters.

methodsIn this study, 34 patients with pSS and 34 DM patients with sicca symptoms were included. In all patients, bilateral parotid, and submandibular gland ultrasonography (totally 272 glands) was performed by blinded rheumatologist, using the Hocevar and the Outcome Measures in Rheumatology (OMERACT) scoring system. Clinic and ultrasonographic variables were compared between groups. The association between SGUS score and disease duration was analyzed by correlation analysis.

resultsPatients with pSS presented significantly higher SGUS scores than patients with DM (the Hocevar score; 20.93(± 9.65) vs. 3.82(± 3.71); p < 0.05, the OMERACT score; 5.96(± 2.30) vs. 2.07(± 1.65); p < 0.05, respectively). In patients with pSS, the submandibular gland scores were significantly higher than the parotid gland scores (right; p < 0.05 vs. left; p < 0.01) while DM patients showed significantly higher parotid gland scores (right; p < 0.05 vs. left; p < 0.05). In pSS patients, the SGUS scores were associated with disease duration (r = 0.57; r = 0.50; p < 0.05), symptom duration (r = 50; r = 0.47; p < 0.05), and the European League Against Rheumatism Sjögren's Syndrome Patient Reported Index (ESSPRI)-dryness score (r = 0.35, r = 0.36; p < 0.05). However, in DM patients, the SGUS scores are highly correlated with the ESSPRI-dryness (r = 0.74, r = 0.72; p < 0.05) and HbA1C level (r = 0.91, r = 0.86; p < 0.05).

conclusionsThis study demonstrated that major salivary gland involvement was more severe and correlated with disease duration, and submandibular gland was dominantly affected in pSS. Contrarily, in DM patients, salivary gland involvement was milder, parotid dominant and related to level of dryness and HbA1C, rather than disease duration when compared to pSS.

Indexed as

Diabetes Mellitus, Type 2Salivary GlandsSjogren's SyndromeUltrasonographyAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisSeverity of Illness IndexDiabetes mellitusInflammationPrimary Sjögren’s syndromeSalivary glandSicca symptomsUltrasonography

Identifiers

PMID39334038
PMCPMC11430209

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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.