{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T13:56:49Z","timestamp":1764251809947,"version":"build-2065373602"},"reference-count":30,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Revista Cl\u00ednica Espa\u00f1ola (English Edition)"],"published-print":{"date-parts":[[2023,4]]},"DOI":"10.1016\/j.rceng.2023.02.004","type":"journal-article","created":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T13:00:09Z","timestamp":1677243609000},"page":"209-215","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Associations of diagnostic findings with disease activity in primary Sj\u04e7gren's syndrome: a cluster analysis"],"prefix":"10.1016","volume":"223","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3141-9245","authenticated-orcid":false,"given":"T.","family":"Mohammadi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Yavari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Ghorbani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8177-0725","authenticated-orcid":false,"given":"B.","family":"Mohammadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.rceng.2023.02.004_bib0005","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1007\/s10067-022-06053-x","article-title":"Indications and risk factors for hospitalization in patients with primary Sjogren syndrome: experience from a tertiary center in Turkey","volume":"41","author":"Yayla","year":"2022","journal-title":"Clin Rheumatol"},{"key":"10.1016\/j.rceng.2023.02.004_bib0010","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-223952","article-title":"Cerebellar degeneration in primary Sj\u04e7gren syndrome","volume":"2018","author":"Heidary","year":"2018","journal-title":"BMJ Case Rep"},{"issue":"10","key":"10.1016\/j.rceng.2023.02.004_bib0015","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1056\/NEJMcp1702514","article-title":"Primary Sj\u00f6gren's Syndrome","volume":"378","author":"Mariette","year":"2018","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.rceng.2023.02.004_bib0020","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s42358-022-00250-7","article-title":"Primary Sjogren syndrome and development of another autoimmune rheumatic disease during the follow-up","volume":"62","author":"Rodriguez","year":"2022","journal-title":"Adv Rheumatol"},{"issue":"1","key":"10.1016\/j.rceng.2023.02.004_bib0025","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/s42358-022-00248-1","volume":"62","author":"Trevisani","year":"2022","journal-title":"Adv Rheumatol"},{"issue":"7","key":"10.1016\/j.rceng.2023.02.004_bib0030","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/j.autrev.2016.03.004","article-title":"Primary Sj\u04e7gren\u2019s syndrome: clinical phenotypes, outcome and the development of biomarkers","volume":"15","author":"Goules","year":"2016","journal-title":"Autoimmun Rev"},{"issue":"1-2","key":"10.1016\/j.rceng.2023.02.004_bib0035","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.jaut.2012.03.001","article-title":"Subgroups of Sjogren syndrome patients according to serological profiles","volume":"39","author":"Bournia","year":"2012","journal-title":"J Autoimmun"},{"issue":"4","key":"10.1016\/j.rceng.2023.02.004_bib0040","doi-asserted-by":"crossref","first-page":"284","DOI":"10.5606\/ArchRheumatol.2017.6273","article-title":"Beta-2 microglobulin in whole unstimulated saliva can effectively distinguish between Sjogren\u2019s syndrome and non-autoimmune sicca symptoms","volume":"32","author":"Riega-Torres","year":"2017","journal-title":"Arch Rheumatol"},{"issue":"1","key":"10.1016\/j.rceng.2023.02.004_bib0045","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1002\/art.39859","article-title":"2016 American College of Rheumatology\/European League against rheumatism classification criteria for primary Sj\u00f6gren\u2019s syndrome: a consensus and data-driven methodology involving three international patient cohorts","volume":"69","author":"Shiboski","year":"2017","journal-title":"Arthritis Rheumatol"},{"issue":"1","key":"10.1016\/j.rceng.2023.02.004_bib0050","doi-asserted-by":"crossref","DOI":"10.1136\/rmdopen-2014-000022","article-title":"EULAR Sj\u00f6gren\u2019s syndrome disease activity index (ESSDAI): a user guide","volume":"1","author":"Seror","year":"2015","journal-title":"RMD Open"},{"issue":"2","key":"10.1016\/j.rceng.2023.02.004_bib0055","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1136\/annrheumdis-2014-206008","article-title":"Defining disease activity states and clinically meaningful improvement in primary Sj\u00f6gren\u2019s syndrome with EULAR primary Sj\u00f6gren\u2019s syndrome disease activity (ESSDAI) and patient-reported indexes (ESSPRI)","volume":"75","author":"Seror","year":"2016","journal-title":"Ann Rheum Dis"},{"issue":"7","key":"10.1016\/j.rceng.2023.02.004_bib0060","first-page":"454","article-title":"Accuracy of minor salivary gland biopsy in the diagnosis of Sjogren syndrome","volume":"122","author":"Edelstein","year":"2021","journal-title":"Bratisl Lek Listy"},{"issue":"12","key":"10.1016\/j.rceng.2023.02.004_bib0065","doi-asserted-by":"crossref","first-page":"2573","DOI":"10.1016\/j.joms.2017.05.021","article-title":"Minor salivary gland biopsy-an important contributor to the diagnosis of Sjogren syndrome","volume":"75","author":"Wicheta","year":"2017","journal-title":"J Oral Maxillofac Surg"},{"issue":"1","key":"10.1016\/j.rceng.2023.02.004_bib0070","first-page":"e1","article-title":"Sialendoscopy for improvement of salivary flow in patients with Sjogren syndrome - comparative analysis of intraglandular washing solutions","volume":"25","author":"Pascoto","year":"2021","journal-title":"Int Arch Otorhinolaryngol"},{"issue":"4","key":"10.1016\/j.rceng.2023.02.004_bib0075","doi-asserted-by":"crossref","first-page":"584","DOI":"10.14366\/usg.21014","article-title":"Effectiveness of ultrasonography and shear wave sonoelastography in Sjogren syndrome with salivary gland involvement","volume":"40","author":"Oruk","year":"2021","journal-title":"Ultrasonography"},{"issue":"8","key":"10.1016\/j.rceng.2023.02.004_bib0080","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0182287","article-title":"Salivary gland ultrasonography as a predictor of clinical activity in Sjogren\u2019s syndrome","volume":"12","author":"Fidelix","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.rceng.2023.02.004_bib0085","doi-asserted-by":"crossref","DOI":"10.1177\/1759720X221100295","article-title":"Sjogren syndrome: looking forward to the future","volume":"14","author":"Zandonella Callegher","year":"2022","journal-title":"Ther Adv Musculoskelet Dis"},{"issue":"2","key":"10.1016\/j.rceng.2023.02.004_bib0090","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1002\/acr.23264","article-title":"Natural history and predictors of progression to Sj\u00f6gren\u2019s syndrome among participants of the Sj\u00f6gren\u2019s international collaborative clinical alliance registry","volume":"70","author":"Shiboski","year":"2018","journal-title":"Arthritis Care Res"},{"key":"10.1016\/j.rceng.2023.02.004_bib0095","article-title":"Autoantibodies in Sjogren's syndrome and its classification criteria","volume":"5","author":"Veenbergen","year":"2022","journal-title":"J Transl Autoimmun"},{"issue":"6","key":"10.1016\/j.rceng.2023.02.004_bib0100","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1136\/ard.61.6.554","article-title":"Classification criteria for Sj\u00f6gren\u2019s syndrome: a revised version of the European criteria proposed by the American-European Consensus Group","volume":"61","author":"Vitali","year":"2002","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.rceng.2023.02.004_bib0105","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1111\/j.1749-6632.1993.tb18343.x","article-title":"Methods for collecting saliva","volume":"694","author":"Navazesh","year":"1993","journal-title":"Ann N Y Acad Sci"},{"issue":"1","key":"10.1016\/j.rceng.2023.02.004_bib0110","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1002\/art.37698","article-title":"Contribution of salivary gland ultrasonography to the diagnosis of Sj\u00f6gren\u2019s syndrome: toward new diagnostic criteria?","volume":"65","author":"Cornec","year":"2013","journal-title":"Arthritis Rheum"},{"issue":"6","key":"10.1016\/j.rceng.2023.02.004_bib0115","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1136\/ard.2009.110619","article-title":"EULAR Sjogren\u2019s syndrome disease activity index: development of a consensus systemic disease activity index for primary Sjogren\u2019s syndrome","volume":"69","author":"Seror","year":"2010","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"10.1016\/j.rceng.2023.02.004_bib0120","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.jaut.2012.03.001","article-title":"Subgroups of Sj\u00f6gren syndrome patients according to serological profiles","volume":"39","author":"Bournia","year":"2012","journal-title":"J Autoimmun"},{"issue":"3","key":"10.1016\/j.rceng.2023.02.004_bib0125","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1007\/s12016-007-8003-8","article-title":"Sjogren\u2019s syndrome--study of autoantigens and autoantibodies","volume":"32","author":"Routsias","year":"2007","journal-title":"Clin Rev Allergy Immunol"},{"issue":"7","key":"10.1016\/j.rceng.2023.02.004_bib0130","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1002\/acr.22264","article-title":"Primary Sj\u00f6gren\u2019s syndrome: diagnostic and prognostic value of salivary gland ultrasonography using a simplified scoring system","volume":"66","author":"Theander","year":"2014","journal-title":"Arthritis Care Res"},{"key":"10.1016\/j.rceng.2023.02.004_bib0135","doi-asserted-by":"crossref","first-page":"102","DOI":"10.3389\/fmed.2018.00102","article-title":"Lymphoma and Lymphomagenesis in Primary Sj\u00f6gren\u2019s Syndrome","volume":"5","author":"Alunno","year":"2018","journal-title":"Front Med (Lausanne)"},{"issue":"6","key":"10.1016\/j.rceng.2023.02.004_bib0140","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1097\/MLG.0b013e31804654f7","article-title":"Utility of lip biopsy in the diagnosis and treatment of Sjogren\u2019s syndrome","volume":"117","author":"Langerman","year":"2007","journal-title":"Laryngoscope"},{"key":"10.1016\/j.rceng.2023.02.004_bib0145","doi-asserted-by":"crossref","first-page":"36","DOI":"10.2174\/1874312901409010036","article-title":"Clinical characteristics and outcome of primary Sjogren\u2019s syndrome: a large Asian Indian cohort","volume":"9","author":"Sandhya","year":"2015","journal-title":"Open Rheumatol J"},{"issue":"1","key":"10.1016\/j.rceng.2023.02.004_bib0150","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1186\/s12967-021-03051-6","article-title":"Longitudinal analysis of symptom-based clustering in patients with primary Sjogren\u2019s syndrome: a prospective cohort study with a 5-year follow-up period","volume":"19","author":"Lee","year":"2021","journal-title":"J Transl Med"}],"container-title":["Revista Cl\u00ednica Espa\u00f1ola (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2254887423000267?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2254887423000267?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T08:49:52Z","timestamp":1762418992000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2254887423000267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["S2254887423000267"],"URL":"https:\/\/doi.org\/10.1016\/j.rceng.2023.02.004","relation":{},"ISSN":["2254-8874"],"issn-type":[{"type":"print","value":"2254-8874"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Associations of diagnostic findings with disease activity in primary Sj\u04e7gren's syndrome: a cluster analysis","name":"articletitle","label":"Article Title"},{"value":"Revista Cl\u00ednica Espa\u00f1ola (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.rceng.2023.02.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.rce.2023.01.010","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Espa\u00f1a, S.L.U. and Sociedad Espa\u00f1ola de Medicina Interna (SEMI). All rights reserved.","name":"copyright","label":"Copyright"}]}}