Review Article

OHIP-14 Scores in Patients with Sjögren’s Syndrome Compared to Sicca Syndrome: A Systematic Review with Meta-Analysis

Table 2

Synthesis of studies reporting of pSS patients versus sicca syndrome patients.

AuthorsCountryStudy designSettingFundingDiagnostic criteriapSSSicca syndromeConclusions

Azuma et al. [35]JapanCross-sectionalUniversity hospitalPublic fundingAmerican–European Consensus Group40 patients (37 F)
Age 55.4 years (SD 13.2)
OHIP-14 11.3 (9.4)
Salivary flow 0.78 ± 0.44 ml (min)
23 patients (18 F)
Age 56.1 years (SD 17.4)
OHIP-14 7.1 (SD 7.6)
Salivary flow 1.69 ± 0.59 ml (min)
The decrease in salivary flow and salivary EGF levels associated with pSS progression causes a deterioration of saliva quality contributing to an impairment in oral health

Tashbayev et al. [36]NorwayCross-sectionalUniversity hospitalPublic fundingAmerican–European Consensus Group60 (60 F)
Age 53.6 years (SD 13.2)
OHIP-14 13.5 (SD 10.5)
Salivary flow 3.5 ± 2.8 ml (min)
22 patients (22 F)
Age 52 years (SD 10.4)
OHIP-14 18.6 (SD 13.9)
Salivary flow 4.8 ± 1.7 ml (min)
Even though patients affected by sicca syndrome had less severe clinical signs than the pSS patients, they demonstrated much poorer general and oral health-related quality of life

Galves et al. [37]BrazilCross-sectionalUniversity hospitalPublic fundingAmerican–European Consensus Group33 (31 F)
Age 49 years (SD 24.9)
OHIP-14 21 (SD 18.7)
Salivary flow 0.11 ± 0.41 ml (min)
9 patients (9 F)
Age 40 years (SD 19.9)
OHIP-14 28 (7.6)
Salivary flow 0.10 ± 0.15 ml (min)
An association between pSS and oral health impairment was noted, with a negative impact on quality of life