Metadata

Name Sjogren’s disease (sjogren)
Category Musculoskeletal
Sex
Adult Yes
UUID 752378a9-8d4c-4ef8-8e4e-a3b94eba7273
Definition Sjogren syndrome An autoimmune disorder in which immune cells attack and destroy the glands that produce tears and saliva. Sjogren syndrome is also associated with rheumatic disorders such as rheumatoid arthritis or systemic lupus erythematosus. The hallmark symptoms of Sjogren syndrome are dry mouth and dry eyes. In addition, Sjogren syndrome may cause skin, nose, and vaginal dryness. It also may affect other organs of the body including the kidneys, blood vessels, lungs, liver, pancreas, and brain.

Ontologies

Disease Ontology (DOID) DOID_12894
GWAS Catalogue EFO_0000699
MeSH D012859
SNOMED-CT 83901003
FinnGen M13_SJOGREN

Key Summary Statistics

Cases from any source

Total 1487
Female (%) 1326 (89%)
Male (%) 161 (11%)

Year first recorded

sjogren year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced sjogren cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of sjogren

Baseline prevalence stratified by sex

Female 27.47 (23.94,30.99)
Male 2.38 (1.25,3.51)

Incidence stratified by sex

Female 1.74 (1.4,2.09)
Male 0.36 (0.19,0.53)

Incidence stratified by age

Ages 40-44 0.7 (0.18,1.23)
Ages 45-49 0.74 (0.28,1.2)
Ages 50-54 1.33 (0.76,1.9)
Ages 55-59 1.2 (0.71,1.69)
Ages 60-64 1.04 (0.65,1.43)
Ages 65-69 1.41 (0.89,1.93)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB sjogren prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 7 (5,11) 18 (15,21) 22 (19,25)
CALIBER 8 (7,9) 16 (15,17) 26 (24,27)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 4(1,11) 15(10,23) 19(13,25)
Low 6(2,15) 15(9,23) 27(20,35)
Medium 9(3,18) 18(12,26) 19(14,27)
High 7(3,15) 16(10,23) 22(16,30)
Most deprived 10(5,18) 26(19,36) 23(16,31)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 7(4,10) 16(13,20) 21(18,24)
Scotland 11(4,24) 29(19,41) 27(19,39)
Wales 10(2,31) 13(6,26) 27(16,42)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=153824, Events=116

Factor Level Hazard Ratio P value
BMI overweight 0.57 (0.36, 0.9) 0.0161
BMI obese 1.07 (0.69, 1.66) 0.75
BMI underweight 0 (0, Inf) 0.992
smoking previous 0.88 (0.59, 1.31) 0.524
smoking current 0.55 (0.24, 1.26) 0.159
hypertension yes 1.81 (1.22, 2.71) 0.00355

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1382 sjogren’s syndrome/sicca syndrome
41202 Diagnoses - main ICD10 M35.0 Sicca syndrome [Sjogren]
41204 Diagnoses - secondary ICD10 M35.0 Sicca syndrome [Sjogren]
40001 Underlying (primary) cause of death: ICD10 M35.0 Sicca syndrome [Sjogren]
40002 Contributory (secondary) causes of death: ICD10 M35.0 Sicca syndrome [Sjogren]
42040 GP clinical event records F396700 Myopathy due to Sjogren’s disease
42040 GP clinical event records H57y300 Lung disease with Sjogren’s disease
42040 GP clinical event records N002.00 Sicca (Sjogren’s) syndrome