Performance of classification criteria for peripheral spondyloarthritis and psoriatic arthritis in the Leiden early arthritis cohort
Objectives The performance of spondyloarthritis (SpA) classification criteria is not well-established in general early arthritis cohorts. Therefore, the authors tested their performance in the Leiden Early Arthritis Clinic (EAC) cohort and assessed whether these criteria can assist rheumatologists i...
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| Veröffentlicht in: | Annals of the rheumatic diseases 2012-08, Vol.71 (8), p.1366-1369 |
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| container_title | Annals of the rheumatic diseases |
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| creator | van den Berg, Rosaline van Gaalen, Floris van der Helm-van Mil, Annette Huizinga, Tom van der Heijde, Désirée |
| description | Objectives The performance of spondyloarthritis (SpA) classification criteria is not well-established in general early arthritis cohorts. Therefore, the authors tested their performance in the Leiden Early Arthritis Clinic (EAC) cohort and assessed whether these criteria can assist rheumatologists in diagnosing patients. Methods The authors identified all SpA and psoriatic arthritis (PsA) patients in the EAC cohort according to the diagnosis of the treating rheumatologist. A control group consisting of arthritis patients with other diagnoses was matched to the SpA and PsA patients on gender, age and symptom duration. The authors assessed the fulfilment of SpA criteria in all three groups. Results Of the patients in the EAC cohort (n=2011), 7.5% was diagnosed with PsA and 3.8% with SpA. In the PsA group, the ClASsification criteria for Psoratic ARthritis (CASPAR) criteria had the highest sensitivity (88.7%). In the SpA group, the Assessment of SpondyloArthritis international Society (ASAS) peripheral SpA and European Spondylarthropathy Study Group (ESSG) criteria had the highest sensitivity (both 48.7%). Specificity of all criteria sets was good: ranging from 88.5% (ESSG) to 100% (Amor). Conclusions In early arthritis, sensitivity of SpA classification criteria is modest except for the CASPAR criteria in PsA. However, specificity of classification criteria, including the new ASAS-peripheral SpA criteria, is high. |
| doi_str_mv | 10.1136/annrheumdis-2011-201081 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1026700832</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1026700832</sourcerecordid><originalsourceid>FETCH-LOGICAL-b452t-a5952929ad3a4dd70b513159d90784e8cb0fc1d3e20384fc2cdb5ad551081a3b3</originalsourceid><addsrcrecordid>eNqNkV2L1DAUhoMo7uzoX9CACN5U89E07aUM-yEM6woq3oXTJGUytklNWnDu_eFm6DguXnmTr_Ocl3AehF5S8pZSXr0D7-POzoNxqWCE0uNCavoIrWhZ1flWkcdoRQjhRdlU8gJdprTP18zUT9EFY4KUouIr9Ovexi7EAby2OHRY95CS65yGyQWPdXSTjQ5wZvCYT-PORuhxGoM3hz5AnHYZcQmDN3hMIbOT0_jvu_N42lm8tc5Yjy3E_vCgqsMuxOkZetJBn-zz075GX66vPm9ui-3Hmw-b99uiLQWbChCNYA1rwHAojZGkFZRT0ZiGyLq0tW5Jp6nhlhFel51m2rQCjBDH0QBv-Rq9WXLHGH7MNk1qcEnbvgdvw5wUJaySeUacZfTVP-g-zNHn3ykqpaxl3WQRayQXSseQUrSdGqMbIB5ylDqKUg9EqaMotYjKnS9O-XM7WHPu-2MmA69PACQNfRezoZxx5ioqeU7KXLFwLk3257kO8buqJJdC3X3dqE_s_q5qbr6p68yzhW-H_X__9jeO28FH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1777878911</pqid></control><display><type>article</type><title>Performance of classification criteria for peripheral spondyloarthritis and psoriatic arthritis in the Leiden early arthritis cohort</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><creator>van den Berg, Rosaline ; van Gaalen, Floris ; van der Helm-van Mil, Annette ; Huizinga, Tom ; van der Heijde, Désirée</creator><creatorcontrib>van den Berg, Rosaline ; van Gaalen, Floris ; van der Helm-van Mil, Annette ; Huizinga, Tom ; van der Heijde, Désirée</creatorcontrib><description>Objectives The performance of spondyloarthritis (SpA) classification criteria is not well-established in general early arthritis cohorts. Therefore, the authors tested their performance in the Leiden Early Arthritis Clinic (EAC) cohort and assessed whether these criteria can assist rheumatologists in diagnosing patients. Methods The authors identified all SpA and psoriatic arthritis (PsA) patients in the EAC cohort according to the diagnosis of the treating rheumatologist. A control group consisting of arthritis patients with other diagnoses was matched to the SpA and PsA patients on gender, age and symptom duration. The authors assessed the fulfilment of SpA criteria in all three groups. Results Of the patients in the EAC cohort (n=2011), 7.5% was diagnosed with PsA and 3.8% with SpA. In the PsA group, the ClASsification criteria for Psoratic ARthritis (CASPAR) criteria had the highest sensitivity (88.7%). In the SpA group, the Assessment of SpondyloArthritis international Society (ASAS) peripheral SpA and European Spondylarthropathy Study Group (ESSG) criteria had the highest sensitivity (both 48.7%). Specificity of all criteria sets was good: ranging from 88.5% (ESSG) to 100% (Amor). Conclusions In early arthritis, sensitivity of SpA classification criteria is modest except for the CASPAR criteria in PsA. However, specificity of classification criteria, including the new ASAS-peripheral SpA criteria, is high.</description><identifier>ISSN: 0003-4967</identifier><identifier>EISSN: 1468-2060</identifier><identifier>DOI: 10.1136/annrheumdis-2011-201081</identifier><identifier>PMID: 22504563</identifier><identifier>CODEN: ARDIAO</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><subject>Adult ; Age ; Arthritis ; Arthritis, Psoriatic - classification ; Arthritis, Psoriatic - diagnosis ; Arthritis, Psoriatic - epidemiology ; Biological and medical sciences ; Classification ; Comorbidity ; Disease ; Diseases of the osteoarticular system ; Diseases of the spine ; Early Diagnosis ; Family medical history ; Female ; Hematologic and hematopoietic diseases ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous. Osteoarticular involvement in other diseases ; Netherlands - epidemiology ; Platelet diseases and coagulopathies ; Predictive Value of Tests ; Prognosis ; Prospective Studies ; Spondylarthritis - classification ; Spondylarthritis - diagnosis ; Spondylarthritis - epidemiology</subject><ispartof>Annals of the rheumatic diseases, 2012-08, Vol.71 (8), p.1366-1369</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>2015 INIST-CNRS</rights><rights>Copyright: 2012 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b452t-a5952929ad3a4dd70b513159d90784e8cb0fc1d3e20384fc2cdb5ad551081a3b3</citedby><cites>FETCH-LOGICAL-b452t-a5952929ad3a4dd70b513159d90784e8cb0fc1d3e20384fc2cdb5ad551081a3b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://ard.bmj.com/content/71/8/1366.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://ard.bmj.com/content/71/8/1366.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,23550,27901,27902,77343,77374</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26173108$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22504563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van den Berg, Rosaline</creatorcontrib><creatorcontrib>van Gaalen, Floris</creatorcontrib><creatorcontrib>van der Helm-van Mil, Annette</creatorcontrib><creatorcontrib>Huizinga, Tom</creatorcontrib><creatorcontrib>van der Heijde, Désirée</creatorcontrib><title>Performance of classification criteria for peripheral spondyloarthritis and psoriatic arthritis in the Leiden early arthritis cohort</title><title>Annals of the rheumatic diseases</title><addtitle>Ann Rheum Dis</addtitle><description>Objectives The performance of spondyloarthritis (SpA) classification criteria is not well-established in general early arthritis cohorts. Therefore, the authors tested their performance in the Leiden Early Arthritis Clinic (EAC) cohort and assessed whether these criteria can assist rheumatologists in diagnosing patients. Methods The authors identified all SpA and psoriatic arthritis (PsA) patients in the EAC cohort according to the diagnosis of the treating rheumatologist. A control group consisting of arthritis patients with other diagnoses was matched to the SpA and PsA patients on gender, age and symptom duration. The authors assessed the fulfilment of SpA criteria in all three groups. Results Of the patients in the EAC cohort (n=2011), 7.5% was diagnosed with PsA and 3.8% with SpA. In the PsA group, the ClASsification criteria for Psoratic ARthritis (CASPAR) criteria had the highest sensitivity (88.7%). In the SpA group, the Assessment of SpondyloArthritis international Society (ASAS) peripheral SpA and European Spondylarthropathy Study Group (ESSG) criteria had the highest sensitivity (both 48.7%). Specificity of all criteria sets was good: ranging from 88.5% (ESSG) to 100% (Amor). Conclusions In early arthritis, sensitivity of SpA classification criteria is modest except for the CASPAR criteria in PsA. However, specificity of classification criteria, including the new ASAS-peripheral SpA criteria, is high.</description><subject>Adult</subject><subject>Age</subject><subject>Arthritis</subject><subject>Arthritis, Psoriatic - classification</subject><subject>Arthritis, Psoriatic - diagnosis</subject><subject>Arthritis, Psoriatic - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Classification</subject><subject>Comorbidity</subject><subject>Disease</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Early Diagnosis</subject><subject>Family medical history</subject><subject>Female</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Netherlands - epidemiology</subject><subject>Platelet diseases and coagulopathies</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Spondylarthritis - classification</subject><subject>Spondylarthritis - diagnosis</subject><subject>Spondylarthritis - epidemiology</subject><issn>0003-4967</issn><issn>1468-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkV2L1DAUhoMo7uzoX9CACN5U89E07aUM-yEM6woq3oXTJGUytklNWnDu_eFm6DguXnmTr_Ocl3AehF5S8pZSXr0D7-POzoNxqWCE0uNCavoIrWhZ1flWkcdoRQjhRdlU8gJdprTP18zUT9EFY4KUouIr9Ovexi7EAby2OHRY95CS65yGyQWPdXSTjQ5wZvCYT-PORuhxGoM3hz5AnHYZcQmDN3hMIbOT0_jvu_N42lm8tc5Yjy3E_vCgqsMuxOkZetJBn-zz075GX66vPm9ui-3Hmw-b99uiLQWbChCNYA1rwHAojZGkFZRT0ZiGyLq0tW5Jp6nhlhFel51m2rQCjBDH0QBv-Rq9WXLHGH7MNk1qcEnbvgdvw5wUJaySeUacZfTVP-g-zNHn3ykqpaxl3WQRayQXSseQUrSdGqMbIB5ylDqKUg9EqaMotYjKnS9O-XM7WHPu-2MmA69PACQNfRezoZxx5ioqeU7KXLFwLk3257kO8buqJJdC3X3dqE_s_q5qbr6p68yzhW-H_X__9jeO28FH</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>van den Berg, Rosaline</creator><creator>van Gaalen, Floris</creator><creator>van der Helm-van Mil, Annette</creator><creator>Huizinga, Tom</creator><creator>van der Heijde, Désirée</creator><general>BMJ Publishing Group Ltd and European League Against Rheumatism</general><general>BMJ Publishing Group</general><general>Elsevier Limited</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120801</creationdate><title>Performance of classification criteria for peripheral spondyloarthritis and psoriatic arthritis in the Leiden early arthritis cohort</title><author>van den Berg, Rosaline ; van Gaalen, Floris ; van der Helm-van Mil, Annette ; Huizinga, Tom ; van der Heijde, Désirée</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b452t-a5952929ad3a4dd70b513159d90784e8cb0fc1d3e20384fc2cdb5ad551081a3b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Age</topic><topic>Arthritis</topic><topic>Arthritis, Psoriatic - classification</topic><topic>Arthritis, Psoriatic - diagnosis</topic><topic>Arthritis, Psoriatic - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Classification</topic><topic>Comorbidity</topic><topic>Disease</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the spine</topic><topic>Early Diagnosis</topic><topic>Family medical history</topic><topic>Female</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Netherlands - epidemiology</topic><topic>Platelet diseases and coagulopathies</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Spondylarthritis - classification</topic><topic>Spondylarthritis - diagnosis</topic><topic>Spondylarthritis - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van den Berg, Rosaline</creatorcontrib><creatorcontrib>van Gaalen, Floris</creatorcontrib><creatorcontrib>van der Helm-van Mil, Annette</creatorcontrib><creatorcontrib>Huizinga, Tom</creatorcontrib><creatorcontrib>van der Heijde, Désirée</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Family Health Database (Proquest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Science Database (ProQuest)</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of the rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van den Berg, Rosaline</au><au>van Gaalen, Floris</au><au>van der Helm-van Mil, Annette</au><au>Huizinga, Tom</au><au>van der Heijde, Désirée</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Performance of classification criteria for peripheral spondyloarthritis and psoriatic arthritis in the Leiden early arthritis cohort</atitle><jtitle>Annals of the rheumatic diseases</jtitle><addtitle>Ann Rheum Dis</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>71</volume><issue>8</issue><spage>1366</spage><epage>1369</epage><pages>1366-1369</pages><issn>0003-4967</issn><eissn>1468-2060</eissn><coden>ARDIAO</coden><abstract>Objectives The performance of spondyloarthritis (SpA) classification criteria is not well-established in general early arthritis cohorts. Therefore, the authors tested their performance in the Leiden Early Arthritis Clinic (EAC) cohort and assessed whether these criteria can assist rheumatologists in diagnosing patients. Methods The authors identified all SpA and psoriatic arthritis (PsA) patients in the EAC cohort according to the diagnosis of the treating rheumatologist. A control group consisting of arthritis patients with other diagnoses was matched to the SpA and PsA patients on gender, age and symptom duration. The authors assessed the fulfilment of SpA criteria in all three groups. Results Of the patients in the EAC cohort (n=2011), 7.5% was diagnosed with PsA and 3.8% with SpA. In the PsA group, the ClASsification criteria for Psoratic ARthritis (CASPAR) criteria had the highest sensitivity (88.7%). In the SpA group, the Assessment of SpondyloArthritis international Society (ASAS) peripheral SpA and European Spondylarthropathy Study Group (ESSG) criteria had the highest sensitivity (both 48.7%). Specificity of all criteria sets was good: ranging from 88.5% (ESSG) to 100% (Amor). Conclusions In early arthritis, sensitivity of SpA classification criteria is modest except for the CASPAR criteria in PsA. However, specificity of classification criteria, including the new ASAS-peripheral SpA criteria, is high.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and European League Against Rheumatism</pub><pmid>22504563</pmid><doi>10.1136/annrheumdis-2011-201081</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Age Arthritis Arthritis, Psoriatic - classification Arthritis, Psoriatic - diagnosis Arthritis, Psoriatic - epidemiology Biological and medical sciences Classification Comorbidity Disease Diseases of the osteoarticular system Diseases of the spine Early Diagnosis Family medical history Female Hematologic and hematopoietic diseases Humans Male Medical sciences Middle Aged Miscellaneous. Osteoarticular involvement in other diseases Netherlands - epidemiology Platelet diseases and coagulopathies Predictive Value of Tests Prognosis Prospective Studies Spondylarthritis - classification Spondylarthritis - diagnosis Spondylarthritis - epidemiology |
| title | Performance of classification criteria for peripheral spondyloarthritis and psoriatic arthritis in the Leiden early arthritis cohort |
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