The value of power Doppler ultrasound in patients with rheumatoid arthritis in clinical remission: Reclassifying disease activity?
The aim of the present study was to describe the ultrasound (US) findings in patients with rheumatoid arthritis (RA) in clinical remission, and to evaluate the ability of power Doppler (PD) US to reclassify disease activity in these patients. We included consecutive patients with RA according to 201...
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| Veröffentlicht in: | Reumatologia clinica 2018-07, Vol.14 (4), p.202-206 |
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| container_title | Reumatologia clinica |
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| creator | Vergara, Facundo Ruta, Santiago Rosa, Javier Marín, Josefina García-Mónaco, Ricardo Soriano, Enrique R |
| description | The aim of the present study was to describe the ultrasound (US) findings in patients with rheumatoid arthritis (RA) in clinical remission, and to evaluate the ability of power Doppler (PD) US to reclassify disease activity in these patients.
We included consecutive patients with RA according to 2010 American College of Rheumatology/European League Against Rheumatism criteria, who were in clinical remission by the Disease Activity Score (DAS28 |
| doi_str_mv | 10.1016/j.reuma.2017.01.007 |
| format | Article |
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We included consecutive patients with RA according to 2010 American College of Rheumatology/European League Against Rheumatism criteria, who were in clinical remission by the Disease Activity Score (DAS28<2.6). Twenty joints of both hands were assessed by US. PD signal was evaluated on a semi-quantitative scale from 0 to 3. Three different US-modified DAS28 (US-DAS28) were constructed, replacing the clinical swollen joint count by the PD US joint count using PD score ≥1, ≥2 or ≥3, respectively.
Eighty-six patients were included. Twenty-three (26.7%) patients had at least one joint with abnormal US-positive PD signal. Thirteen percent of patients were reclassified to low disease activity by applying the US-DAS28 when joints were considered active with a PD signal ≥1; 12%, when a PD signal ≥2 was considered, and 2% of the patients were reclassified when a PD score of 3 was considered. No patients were reclassified to a level of moderate or high activity applying US-DAS28.
Although around a quarter of patients with RA in clinical remission showed PD US features indicating residual activity, only a small percentage were reclassified to a state of low activity and none to a level of moderate or high activity, applying the proposed US-DAS28.</description><identifier>EISSN: 1885-1398</identifier><identifier>EISSN: 2173-5743</identifier><identifier>DOI: 10.1016/j.reuma.2017.01.007</identifier><identifier>PMID: 28330716</identifier><language>eng ; spa</language><publisher>Spain</publisher><subject>Adult ; Aged ; Arthritis, Rheumatoid - classification ; Arthritis, Rheumatoid - diagnostic imaging ; Arthritis, Rheumatoid - therapy ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Remission Induction ; Severity of Illness Index ; Ultrasonography, Doppler</subject><ispartof>Reumatologia clinica, 2018-07, Vol.14 (4), p.202-206</ispartof><rights>Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28330716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vergara, Facundo</creatorcontrib><creatorcontrib>Ruta, Santiago</creatorcontrib><creatorcontrib>Rosa, Javier</creatorcontrib><creatorcontrib>Marín, Josefina</creatorcontrib><creatorcontrib>García-Mónaco, Ricardo</creatorcontrib><creatorcontrib>Soriano, Enrique R</creatorcontrib><title>The value of power Doppler ultrasound in patients with rheumatoid arthritis in clinical remission: Reclassifying disease activity?</title><title>Reumatologia clinica</title><addtitle>Reumatol Clin</addtitle><description>The aim of the present study was to describe the ultrasound (US) findings in patients with rheumatoid arthritis (RA) in clinical remission, and to evaluate the ability of power Doppler (PD) US to reclassify disease activity in these patients.
We included consecutive patients with RA according to 2010 American College of Rheumatology/European League Against Rheumatism criteria, who were in clinical remission by the Disease Activity Score (DAS28<2.6). Twenty joints of both hands were assessed by US. PD signal was evaluated on a semi-quantitative scale from 0 to 3. Three different US-modified DAS28 (US-DAS28) were constructed, replacing the clinical swollen joint count by the PD US joint count using PD score ≥1, ≥2 or ≥3, respectively.
Eighty-six patients were included. Twenty-three (26.7%) patients had at least one joint with abnormal US-positive PD signal. Thirteen percent of patients were reclassified to low disease activity by applying the US-DAS28 when joints were considered active with a PD signal ≥1; 12%, when a PD signal ≥2 was considered, and 2% of the patients were reclassified when a PD score of 3 was considered. No patients were reclassified to a level of moderate or high activity applying US-DAS28.
Although around a quarter of patients with RA in clinical remission showed PD US features indicating residual activity, only a small percentage were reclassified to a state of low activity and none to a level of moderate or high activity, applying the proposed US-DAS28.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthritis, Rheumatoid - classification</subject><subject>Arthritis, Rheumatoid - diagnostic imaging</subject><subject>Arthritis, Rheumatoid - therapy</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Remission Induction</subject><subject>Severity of Illness Index</subject><subject>Ultrasonography, Doppler</subject><issn>1885-1398</issn><issn>2173-5743</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE1LAzEYhIMgttT-AkFy9NL1zX5kEy8i9RMKgtTzks2-60ayHybZll795W5RTzOHh5lhCLlgEDFg_Pozcji2KoqB5RGwCCA_IXMmRLZiiRQzsvTelMAkj3MO-RmZxSJJIGd8Tr63DdKdsiPSvqZDv0dH7_thsJOONjjl-7GrqOnooILBLni6N6GhrjlWht5UVLnQOBOMP1Lams5oZanD1ky1fXdD31BbNfn6YLoPWhmPyiNVOpidCYfbc3JaK-tx-acL8v74sF0_rzavTy_ru81qiBkLq7jkqUhiCaliIEWqmeY1A56XQnKdQZ1kiUIusxylrLVWiFiLtK5KiDnwNFmQq9_cwfVfI_pQTAs1Wqs67EdfTIdByjnjMKGXf-hYtlgVgzOtcofi_7fkB_pKcrs</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Vergara, Facundo</creator><creator>Ruta, Santiago</creator><creator>Rosa, Javier</creator><creator>Marín, Josefina</creator><creator>García-Mónaco, Ricardo</creator><creator>Soriano, Enrique R</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201807</creationdate><title>The value of power Doppler ultrasound in patients with rheumatoid arthritis in clinical remission: Reclassifying disease activity?</title><author>Vergara, Facundo ; Ruta, Santiago ; Rosa, Javier ; Marín, Josefina ; García-Mónaco, Ricardo ; Soriano, Enrique R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-2b64832904a10984c1c6f1067b896c50f353ae6957e99fccaeeef84fdb0260643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthritis, Rheumatoid - classification</topic><topic>Arthritis, Rheumatoid - diagnostic imaging</topic><topic>Arthritis, Rheumatoid - therapy</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Remission Induction</topic><topic>Severity of Illness Index</topic><topic>Ultrasonography, Doppler</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vergara, Facundo</creatorcontrib><creatorcontrib>Ruta, Santiago</creatorcontrib><creatorcontrib>Rosa, Javier</creatorcontrib><creatorcontrib>Marín, Josefina</creatorcontrib><creatorcontrib>García-Mónaco, Ricardo</creatorcontrib><creatorcontrib>Soriano, Enrique R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Reumatologia clinica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vergara, Facundo</au><au>Ruta, Santiago</au><au>Rosa, Javier</au><au>Marín, Josefina</au><au>García-Mónaco, Ricardo</au><au>Soriano, Enrique R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The value of power Doppler ultrasound in patients with rheumatoid arthritis in clinical remission: Reclassifying disease activity?</atitle><jtitle>Reumatologia clinica</jtitle><addtitle>Reumatol Clin</addtitle><date>2018-07</date><risdate>2018</risdate><volume>14</volume><issue>4</issue><spage>202</spage><epage>206</epage><pages>202-206</pages><eissn>1885-1398</eissn><eissn>2173-5743</eissn><abstract>The aim of the present study was to describe the ultrasound (US) findings in patients with rheumatoid arthritis (RA) in clinical remission, and to evaluate the ability of power Doppler (PD) US to reclassify disease activity in these patients.
We included consecutive patients with RA according to 2010 American College of Rheumatology/European League Against Rheumatism criteria, who were in clinical remission by the Disease Activity Score (DAS28<2.6). Twenty joints of both hands were assessed by US. PD signal was evaluated on a semi-quantitative scale from 0 to 3. Three different US-modified DAS28 (US-DAS28) were constructed, replacing the clinical swollen joint count by the PD US joint count using PD score ≥1, ≥2 or ≥3, respectively.
Eighty-six patients were included. Twenty-three (26.7%) patients had at least one joint with abnormal US-positive PD signal. Thirteen percent of patients were reclassified to low disease activity by applying the US-DAS28 when joints were considered active with a PD signal ≥1; 12%, when a PD signal ≥2 was considered, and 2% of the patients were reclassified when a PD score of 3 was considered. No patients were reclassified to a level of moderate or high activity applying US-DAS28.
Although around a quarter of patients with RA in clinical remission showed PD US features indicating residual activity, only a small percentage were reclassified to a state of low activity and none to a level of moderate or high activity, applying the proposed US-DAS28.</abstract><cop>Spain</cop><pmid>28330716</pmid><doi>10.1016/j.reuma.2017.01.007</doi><tpages>5</tpages></addata></record> |
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| identifier | EISSN: 1885-1398 |
| ispartof | Reumatologia clinica, 2018-07, Vol.14 (4), p.202-206 |
| issn | 1885-1398 2173-5743 |
| language | eng ; spa |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Arthritis, Rheumatoid - classification Arthritis, Rheumatoid - diagnostic imaging Arthritis, Rheumatoid - therapy Cross-Sectional Studies Female Humans Male Middle Aged Remission Induction Severity of Illness Index Ultrasonography, Doppler |
| title | The value of power Doppler ultrasound in patients with rheumatoid arthritis in clinical remission: Reclassifying disease activity? |
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