Publication date: Available online 31 January 2018
Source:Autoimmunity Reviews
Author(s): Esther A.R. Hartman, Annet van Royen-Kerkhof, Johannes W.G. Jacobs, Paco M.J. Welsing, Ruth D.E. Fritsch-Stork
ObjectiveTo evaluate the performance in classifying systemic lupus erythematosus by the 2012 Systemic Lupus International Collaborating Clinics criteria (SLICC'12), versus the revised American College of Rheumatology criteria from 1997 (ACR'97) in adult and juvenile SLE patients.MethodsA systematic literature search was conducted in PubMed and Embase for studies comparing SLICC'12 and ACR'97 with clinical diagnosis. A meta-analysis was performed to estimate the sensitivity and specificity of SLICC'12 and ACR'97. To assess classification earlier in the disease by either set, sensitivity and specificity were compared for patients with disease duration <5 years. Sensitivity and specificity of individual criteria items were also assessed.ResultsIn adult SLE (nine studies: 5236 patients, 1313 controls), SLICC'12 has higher sensitivity (94.6% vs. 89.6%) and similar specificity (95.5% vs. 98.1%) compared to ACR'97. For juvenile SLE (four studies: 568 patients, 339 controls), SLICC'12 demonstrates higher sensitivity (99.9% vs. 84.3%) than ACR'97, but much lower specificity (82.0% vs. 94.1%). SLICC'12 classifies juvenile SLE patients earlier in disease course. Individual items contributing to diagnostic accuracy are low complement, anti-ds DNA and acute cutaneous lupus in SLICC'12, and the immunologic and hematologic disorder in ACR'97.ConclusionBased on sensitivity and specificity SLICC'12 is best for adult SLE. Following the view that higher specificity, i.e. avoidance of false positives, is preferable, ACR'97 is best for juvenile SLE even if associated with lower sensitivity. Our results on the contribution of the individual items of SLICC'12 and ACR´97 may be of value in future efforts to update classification criteria.
http://ift.tt/2s1ruMX
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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! # Ola via Alexandros G.Sfakianakis on Inoreader
Η λίστα ιστολογίων μου
Παρασκευή 2 Φεβρουαρίου 2018
Performance of the 2012 systemic lupus international collaborating clinics classification criteria versus the 1997 American College of Rheumatology Classification Criteria in adult and juvenile systemic lupus Erythematosus. A systematic review and meta-analysis
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- Partial growth hormone insensitivity and dysregula...
- Prostaglandin E2 (PGE2) is a testicular peritubula...
- Intramuscular granular cell tumor of the gluteal r...
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- A rare case of spinal cord compression due to cerv...
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- Ensemble support vector machine classification of ...
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- Explaining the Association Between Music Training ...
- Listeners and Readers Generalize Their Experience ...
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- Snap, crackle and pop: when sneezing leads to crac...
- Successful treatment of postural orthostatic tachy...
- Non-replication of neurophysiological predictors o...
- Longitudinal study of radiation-induced brain micr...
- Bioluminescence Tomography Guided Small Animal Rad...
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- Les inhibiteurs des freins immunitaires (anticorps...
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- Strategic neuronal encoding in medial prefrontal c...
- 3D multi-scale FCN with random modality voxel drop...
- Universal ventricular coordinates: A generic frame...
- A novel multi-atlas strategy with dense deformatio...
- Spatial Aggregation of Holistically-Nested Convolu...
- A complex systems approach to cancer prevention
- Ultrasound-guided percutaneous electrolysis: A new...
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