Evidence map›Paper›PMID 42433365›Full record

ArticleFrontiers in immunology2026

Clinical significance of radiological usual interstitial pneumonia pattern in primary Sjögren syndrome-associated interstitial lung disease.

Guanning Zhong, Naihui Wan, Shuyuan Wang, Weiwei Xie, Congcong Zhang, Xiaorui Ding, Yan Li, Yingwei Zhang, Jinghong Dai

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Guanning ZhongDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Naihui WanDepartment of General Practice, The Second People's Hospital of Lianyungang, Lianyungang, China.
Shuyuan WangDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Weiwei XieDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Congcong ZhangDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Xiaorui DingDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Yan LiDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Yingwei ZhangDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Jinghong DaiDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The radiological usual interstitial pneumonia (UIP) pattern demonstrates heterogeneity across different underlying etiologies. This study aimed to characterize its clinical and prognostic impact in primary Sjögren's syndrome-associated interstitial lung disease (pSS-ILD) and compare these features with those in idiopathic pulmonary fibrosis (IPF). Methods: Consecutive patients with pSS-ILD and IPF were enrolled. Clinical characteristics were compared between pSS-ILD patients with (UIP-pSS) and without (non-UIP-pSS) radiological UIP, as well as between UIP-pSS and IPF patients. Risk factors for UIP pattern were identified by logistic regression. Survival was compared using log-rank test. Results: In total, 558 pSS-ILD patients and 199 IPF patients were included. Radiological UIP pattern was identified in 18.8% of the pSS-ILD cohort. Compared to non-UIP-pSS patients, UIP-pSS patients were older, comprised more male patients and smokers (all p<0.05), and showed a greater prevalence of pulmonary hypertension (37.1% vs 20.5%, p=0.003). They also exhibited lower lung diffusing capacity for carbon monoxide (DLco) % predicted (p=0.043), increased composite physiologic index (CPI; p=0.016), and higher Gender-Age-Physiology (GAP) index (p=0.002). Also, UIP-pSS patients had increased 1-year (16.2% vs 6.8%, p=0.002), 3-year (34.4% vs 17.7%, p=0.001), and 5-year mortality (55.7% vs 35.0%, p=0.002). When compared to IPF controls, UIP-pSS patients demonstrated higher DLco % predicted (p<0.001), lower CPI (p=0.009) and GAP index (p<0.001), and longer median survival (66.0 vs 40.0 months, p<0.001). Conclusions: The radiological UIP pattern correlated with impaired pulmonary function and increased mortality in pSS-ILD. However, compared to IPF patients, individuals with UIP-pSS exhibited better pulmonary function and prognosis.

Indexed as

Idiopathic Pulmonary FibrosisLungLung Diseases, InterstitialSjogren's SyndromeAgedFemaleHumansMaleMiddle AgedPrognosisRisk FactorsTomography, X-Ray Computedidiopathic pulmonary fibrosis (IPF)interstitial lung disease (ILD)primary Sjögren syndrome (pSS)prognosisusual interstitial pneumonia (UIP)

Identifiers

PMID42433365
PMCPMC13350474

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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.