IR@PKUHSC  > 北京大学第二临床医学院
Classification criteria of early rheumatoid arthritis and validation of its performance in a multi-centre cohort
Zhao, J.1,2; Su, Y.1; Li, R.1; Ye, H.1; Zou, Q.3; Fang, Y.3; Liu, H.4; Li, X.4; Guo, J.5; Bi, L.5; Gu, F.6; Sun, L.6; Mei, Y.7; Zhang, Z.7; Chen, L.8; Zhu, P.8; Li, G.9; Zhang, Z.9; Leng, X.10; Zhao, Y.10; Jiang, L.11; Zou, H.11; Zhao, Y.12; Liu, Y.12; Li, L.13; Wang, H.13; Liu, X.2; Li, Z.1
Source PublicationCLINICAL AND EXPERIMENTAL RHEUMATOLOGY
2014-09-01
Volume32Issue:5Pages:667-673
Indexed BySCI
Abstract

Objective

To develop classification criteria for early rheumatoid arthritis (ERA) based on a large cohort of early inflammatory arthritis patients and to evaluate the performance of these criteria.

Methods

The study population comprised a cohort of early inflammatory arthritis patients with symptom duration less than one year. Classification criteria of ERA were developed by incorporating the most sensitive or specific variables. Performance of the ERA criteria, 1987 ACR and 2010 ACR/EULAR criteria were evaluated.

Results

A total of 803 patients were enrolled in this study. By the end of the one year follow-up, 514 patients were diagnosed with RA, 251 with other rheumatic diseases, and 38 patients with undifferentiated arthritis. The ERA criteria are as follows: 1) morning stiffness >= 30 minutes; 2) arthritis of 3 or more joint areas; 3) arthritis of hand joints; 4) positive RF; 5) positive anti-CCP antibody. Rheumatoid arthritis is defined by the presence of 3 or more of the criteria. The sensitivity (84.4%) of the ERA classification criteria was much higher than the 1987 ACR criteria (58.0%). In a validation cohort of early inflammatory arthritis patients, the area under the ROC curves (AUC) showed a better performance for the ERA criteria (0.906, 95%CI 0.866 to 0.945) than the 1987 ACR criteria (0.786, 95%CI 0.725 to 0.848) and the 2010 ACR/EULAR criteria (0.745, 95%CI 0.677 to 0.814).

Conclusion

A set of ERA classification criteria has been developed with good performance for early RA. It is applicable in clinical. practice and research.

KeywordArthritis Rheumatoid Early Classification Criteria
Subject Area临床医学
SubtypeArticle
WOS HeadingsScience & Technology
Language英语
WOS Research AreaRheumatology
WOS SubjectRheumatology
WOS Keyword2010 AMERICAN-COLLEGE ; 1987 ACR CRITERIA ; RHEUMATOLOGY/EUROPEAN LEAGUE ; ACR/EULAR CRITERIA ; REVISED CRITERIA
WOS IDWOS:000343633200008
Citation statistics
Cited Times:10[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttp://ir.bjmu.edu.cn/handle/400002259/53738
Collection北京大学第二临床医学院
北京大学公共卫生学院_卫计委生育健康重点实验室
北京大学第一临床医学院_泌尿外科
北京大学第一临床医学院_肾脏内科
北京大学第一临床医学院_医学影像科
北京大学第二临床医学院_风湿免疫科
北京大学第二临床医学院_肝胆外科
北京大学第三临床医学院_消化科
北京大学第三临床医学院_超声影像科
Affiliation1.Peking Univ, Dept Rheumatol & Immunol, Peoples Hosp, Beijing 100044, Peoples R China
2.Peking Univ, Dept Rheumatol & Immunol, Hosp 3, Beijing 100191, Peoples R China
3.Third Mil Med Univ, Southwest Hosp, Dept Rheumatol & Immunol, Chongqing, Peoples R China
4.Shandong Univ, Dept Rheumatol & Immunol, Qilu Hosp, Jinan, Shandong, Peoples R China
5.Jilin Univ, Dept Rheumatol & Immunol, China Japan Union Hosp, Changchun, Peoples R China
6.Nanjing Univ, Dept Rheumatol & Immunol, Affiliated Drum Tower Hosp, Nanjing, Jiangsu, Peoples R China
7.Harbin Med Univ, Affiliated Hosp 1, Dept Rheumatol & Immunol, Harbin, Peoples R China
8.Fourth Mil Med Univ, Xijing Hosp, Dept Clin Immunol, Xian, Peoples R China
9.Peking Univ, Hosp 1, Dept Rheumatol & Immunol, Beijing 100871, Peoples R China
10.Beijing Union Med Coll Hosp, Dept Rheumatol & Immunol, Beijing, Peoples R China
11.Fudan Univ, Huashan Hosp, Dept Rheumatol, Shanghai, Peoples R China
12.Sichuan Univ, West China Hosp, Dept Rheumatol & Immunol, Chengdu, Peoples R China
13.Peking Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing 100871, Peoples R China
First Author AffilicationPEKING UNIVERSITY HEALTH SCIENCE CENTER
Recommended Citation
GB/T 7714
Zhao, J.,Su, Y.,Li, R.,et al. Classification criteria of early rheumatoid arthritis and validation of its performance in a multi-centre cohort[J]. CLINICAL AND EXPERIMENTAL RHEUMATOLOGY,2014,32(5):667-673.
APA Zhao, J..,Su, Y..,Li, R..,Ye, H..,Zou, Q..,...&Li, Z..(2014).Classification criteria of early rheumatoid arthritis and validation of its performance in a multi-centre cohort.CLINICAL AND EXPERIMENTAL RHEUMATOLOGY,32(5),667-673.
MLA Zhao, J.,et al."Classification criteria of early rheumatoid arthritis and validation of its performance in a multi-centre cohort".CLINICAL AND EXPERIMENTAL RHEUMATOLOGY 32.5(2014):667-673.
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