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Article

Real-World Database Examining the Association between Sjögren’s Syndrome and Chronic Rhinosinusitis

1
Department of Otolaryngology – Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan
2
Department of General Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan
3
Department of Rheumatology, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan
4
College of Medicine, Chang Gung University, Taoyuan 333, Taiwan
5
Health Information and Epidemiology Laboratory of Chang Gung Memorial Hospital, Chiayi 613, Taiwan
6
Department of Traditional Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan
7
School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan
*
Author to whom correspondence should be addressed.
The author contributed equally to this work.
J. Clin. Med. 2019, 8(2), 155; https://doi.org/10.3390/jcm8020155
Received: 22 December 2018 / Revised: 22 January 2019 / Accepted: 26 January 2019 / Published: 30 January 2019
(This article belongs to the Special Issue Prevention, Diagnosis and Management of Chronic Rhinosinusitis)
Objective: To investigate the risk of chronic rhinosinusitis (CRS) among patients with Sjögren’s syndrome (SS). Method: A total of 18,723 patients diagnosed with SS between 1997 and 2011 were retrospectively analyzed. Moreover, 59,568 patients without SS were matched to patients with SS at a 1:4 ratio on the basis of sex, age, urbanization level, income level, and the comorbidities of rhinitis and nasal sepal deviation. Patients were followed up until death or the end of the study period (31 December, 2013). The primary outcome was the occurrence of CRS. Results: The cumulative incidence of CRS was significantly higher in patients with SS than in those without SS (p < 0.001). The adjusted Cox proportional hazard model showed that patients with SS had a significantly higher incidence of CRS (hazard ratio, 2.51; 95% confidence interval, 2.22–2.84; p < 0.001). Sensitivity and subgroup analyses demonstrated SS was an independent risk factor for CRS. The dosage of intranasal corticosteroid spray used was not different between the SS and non-SS groups. Fewer patients with CRS in the SS group underwent sinus surgery (82/407 (20.2%)) than those in the non-SS group (179/667 (26.8%)) and this finding was statistically significant (p = 0.013). The number of operations did not differ significantly between patients with CRS in the SS and non-SS groups. Conclusions: SS is an independent risk factor for CRS. Our study extends the disease spectrum and prompts physicians to be aware of potential CRS occurrence after SS. View Full-Text
Keywords: Sjögren’s syndrome; sicca; autoimmune diseases; sinusitis Sjögren’s syndrome; sicca; autoimmune diseases; sinusitis
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MDPI and ACS Style

Chang, G.-H.; Chen, Y.-C.; Lin, K.-M.; Yang, Y.-H.; Liu, C.-Y.; Lin, M.-H.; Wu, C.-Y.; Hsu, C.-M.; Tsai, M.-S. Real-World Database Examining the Association between Sjögren’s Syndrome and Chronic Rhinosinusitis. J. Clin. Med. 2019, 8, 155. https://doi.org/10.3390/jcm8020155

AMA Style

Chang G-H, Chen Y-C, Lin K-M, Yang Y-H, Liu C-Y, Lin M-H, Wu C-Y, Hsu C-M, Tsai M-S. Real-World Database Examining the Association between Sjögren’s Syndrome and Chronic Rhinosinusitis. Journal of Clinical Medicine. 2019; 8(2):155. https://doi.org/10.3390/jcm8020155

Chicago/Turabian Style

Chang, Geng-He, Yu-Cheng Chen, Ko-Ming Lin, Yao-Hsu Yang, Chia-Yen Liu, Meng-Hung Lin, Ching-Yuan Wu, Cheng-Ming Hsu, and Ming-Shao Tsai. 2019. "Real-World Database Examining the Association between Sjögren’s Syndrome and Chronic Rhinosinusitis" Journal of Clinical Medicine 8, no. 2: 155. https://doi.org/10.3390/jcm8020155

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