Evidence map›Paper›PMID 42785957›Full record

ArticleRMD open2026

Risk of cognitive disorders in patients with primary Sjögren's disease: data from Korean Health Insurance Service.

Hong Ki Min, Seung Won Lee, Sunyeup Kim, Gahyun Kim, Su-Jin Moon

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Article in RMD open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hong Ki MinDivision of Rheumatology, Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0003-1147-1046
Seung Won LeeDepartment of Precision Medicine, Sungkyunkwan University School of Medicine, Suwon, Republic of Korea.
Sunyeup KimDepartment of Medical AI, Sungkyunkwan University School of Medicine, Suwon, Republic of Korea.
Gahyun KimDepartment of Precision Medicine, Sungkyunkwan University School of Medicine, Suwon, Republic of Korea.
Su-Jin MoonDivision of Rheumatology, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea prajna79@catholic.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the risk of incident cognitive disorders in patients with primary Sjögren's disease (pSjD) using nationwide Korean National Health Insurance Service data.

methodsThis retrospective cohort study included patients newly diagnosed with pSjD between 2010 and 2021 and propensity score-matched controls. The primary outcome was a composite of Alzheimer's dementia (AD), vascular dementia (VaD), secondary dementia, unclassified dementia and mild cognitive impairment (MCI). Adjusted HRs (aHRs) and 95% CIs were estimated using multivariable Cox regression. Age-stratified analyses were also performed.

resultsA total of 12 731 patients with pSjD and 36 514 matched controls were analysed. pSjD was associated with increased risks of total cognitive disorders (aHR 1.48, 95% CI 1.36 to 1.63), AD (aHR 1.48, 95% CI 1.35 to 1.63), secondary dementia (aHR 2.24, 95% CI 1.45 to 3.48), unclassified dementia (aHR 1.43, 95% CI 1.21 to 1.70) and MCI (aHR 1.62, 95% CI 1.41 to 1.85). In age-stratified analyses, pSjD was associated with an increased risk of MCI among participants aged <65 years (aHR 1.46, 95% CI 1.06 to 2.01). Among those aged 65-74 years, pSjD was associated with increased risks of total cognitive disorders, AD and MCI.

conclusionspSjD was associated with increased risks of multiple cognitive disorders. The age-specific patterns-an increased risk of MCI among individuals aged <65 years and increased risks of total cognitive disorders, AD and MCI among those aged 65-74 years-underscore the need for clinical attention to cognitive symptoms across age groups in patients with pSjD.

Indexed as

Cognition DisordersSjogren's SyndromeAdultAgedCognitive DysfunctionFemaleHumansIncidenceMaleMiddle AgedRepublic of KoreaRetrospective StudiesRisk FactorsEpidemiologyOutcome Assessment, Health CareSjogren's Syndrome

Identifiers

PMID42785957
PMCPMC13629991

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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.