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A Systematic Review of Non-Pharmacological Interventions for Primary Sjögren's Syndrome.

Lookup NU author(s): Dr Katie Hackett, Dr Katherine Deane, Vicki Strassheim, Vincent Deary, Dr Tim Rapley, Emerita Professor Julia Newton, Professor Fai NgORCiD



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Objective. To evaluate the effects of non-pharmacological interventions for primary SS (pSS) on outcomes falling within the World Health Organization International Classification of Functioning Disability and Health domains. Methods. We searched the following databases from inception to September 2014: Cochrane Database of Systematic Reviews; Medline; Embase; PsychINFO; CINAHL; and clinical trials registers. We included randomized controlled trials of any non-pharmacological intervention. Two authors independently reviewed titles and abstracts against the inclusion/exclusion criteria and independently assessed trial quality and extracted data. Results. A total of 1463 studies were identified, from which 17 full text articles were screened and 5 studies were included in the review; a total of 130 participants were randomized. The included studies investigated the effectiveness of an oral lubricating device for dry mouth, acupuncture for dry mouth, lacrimal punctum plugs for dry eyes and psychodynamic group therapy for coping with symptoms. Overall, the studies were of low quality and at high risk of bias. Although one study showed punctum plugs to improve dry eyes, the sample size was relatively small. Conclusion. Further high-quality studies to evaluate non-pharmacological interventions for PSS are needed.

Publication metadata

Author(s): Hackett KL, Deane KHO, Strassheim V, Deary V, Rapley T, Newton JL, Ng W-F

Publication type: Article

Publication status: Published

Journal: Rheumatology

Year: 2015

Volume: 54

Issue: 11

Pages: 2025-2032

Print publication date: 01/11/2015

Online publication date: 30/06/2015

Acceptance date: 12/05/2015

Date deposited: 20/07/2015

ISSN (print): 1462-0324

ISSN (electronic): 1462-0332

Publisher: Oxford University Press


DOI: 10.1093/rheumatology/kev227

PubMed id: 26135587


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Funder referenceFunder name
20169Arthritis Research UK
MP/20169VERSUS Arthritis (formerly Arthritis Research UK)