Pregled bibliografske jedinice broj: 1195481
2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus
2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus // Arthritis & Rheumatology, 71 (2019), 9; 1400-1412 doi:10.1002/art.40930 (međunarodna recenzija, članak, znanstveni)
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Naslov
2019 European League Against Rheumatism/American
College of Rheumatology Classification Criteria
for Systemic Lupus Erythematosus
Autori
Aringer, Martin ; Costenbader, Karen ; Daikh, David ; Brinks, Ralph ; Mosca, Marta ; Ramsey‐ Goldman, Rosalind ; Smolen, Josef S. ; Wofsy, David ; Boumpas, Dimitrios T. ; Kamen, Diane L. ; Jayne, David ; Cervera, Ricard ; Costedoat‐ Chalumeau, Nathalie ; Diamond, Betty ; Gladman, Dafna D. ; Hahn, Bevra ; Hiepe, Falk ; Jacobsen, Søren ; Khanna, Dinesh ; Lerstrøm, Kirsten ; Massarotti, Elena ; McCune, Joseph ; Ruiz‐ Irastorza, Guillermo ; Sanchez‐Guerrero, Jorge ; Schneider, Matthias ; Urowitz, Murray ; Bertsias, George ; Hoyer, Bimba F. ; Leuchten, Nicolai ; Tani, Chiara ; Tedeschi, Sara K. ; Touma, Zahi ; Schmajuk, Gabriela ; Anic, Branimir ; Assan, Florence ; Chan, Tak Mao ; Clarke, Ann Elaine ; Crow, Mary K. ; Czirják, László ; Doria, Andrea ; Graninger, Winfried ; Halda‐Kiss, Bernadett ; Hasni, Sarfaraz ; Izmirly, Peter M. ; Jung, Michelle ; Kumánovics, Gábor ; Mariette, Xavier ; Padjen, Ivan ; Pego‐Reigosa, José M. ; Romero‐ Diaz, Juanita ; Rúa‐Figueroa Fernández, Íñigo ; Seror, Raphaèle ; Stummvoll, Georg H. ; Tanaka, Yoshiya ; Tektonidou, Maria G. ; Vasconcelos, Carlos ; Vital, Edward M. ; Wallace, Daniel J. ; Yavuz, Sule ; Meroni, Pier Luigi ; Fritzler, Marvin J. ; Naden, Ray ; Dörner, Thomas ; Johnson, Sindhu R.
Izvornik
Arthritis & Rheumatology (2326-5191) 71
(2019), 9;
1400-1412
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
Systemic lupus erythematosus, lupus, classification criteria, consensus methods, multi-criteria decision analysis, validation
Sažetak
Objective. To develop new classification criteria for systemic lupus erythematosus (SLE) jointly supported by the European League Against Rheumatism (EULAR) and the American College of Rheumatology (ACR). Methods. This international initiative had 4 phases: 1) Evaluation of anti-nuclear antibody (ANA) as an entry criterion through systematic review and meta-regression of the literature and criteria generation through an international Delphi exercise, an early patient cohort and a patient survey. 2) Criteria reduction by Delphi and nominal group technique (NGT) exercises. 3) Criteria definition and weighting based on criterion performance and on results of a multi- criteria decision analysis. 4) Refinement of weights and threshold scores in a new derivation cohort of 1001 subjects and validation compared to previous criteria in a new validation cohort of 1270 subjects. Results. The 2019 EULAR/ACR classification criteria for SLE include positive ANA at least once as obligatory entry criterion ; followed by additive weighted criteria grouped in 7 clinical (constitutional, hematologic, neuropsychiatric, mucocutaneous, serosal, musculoskeletal, renal) and 3 immunological (antiphospholipid antibodies, complement proteins, SLE-specific antibodies) domains, and weighted from 2 to 10. Patients accumulating ≥10 points are classified. In the validation cohort, the new criteria had a sensitivity of 96.1% and specificity of 93.4%, compared to 82.8% sensitivity and 93.4% specificity of the ACR 1997 and 96.7% sensitivity and 83.7% specificity of the Systemic Lupus International Collaborating Clinics (SLICC) 2012 criteria. Conclusion. These new classification criteria were developed using rigorous methodology with multidisciplinary and international input, and have excellent sensitivity and specificity. Use of ANA entry criterion, hierarchically clustered and weighted criteria reflect current thinking about SLE and provide an improved foundation for SLE research.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
POVEZANOST RADA
Ustanove:
Medicinski fakultet, Zagreb,
Klinički bolnički centar Zagreb
Citiraj ovu publikaciju:
Časopis indeksira:
- Current Contents Connect (CCC)
- Web of Science Core Collection (WoSCC)
- Science Citation Index Expanded (SCI-EXP)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus
- MEDLINE