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Performance of the American College of Rheumatology/European League Against Rheumatism 2010 criteria for the diagnosis of rheumatoid arthritis in Chinese patients
Zhao, Juan; Li, Guangtao; Xu, Jing; Zhang, Xiaohui; Zhang, Zhuoli
关键词Rheumatoid Arthritis Classification Criteria Sensitivity Specificity
刊名JOINT BONE SPINE
2013-10-01
DOI10.1016/j.jbspin.2013.11.006
80期:5页:482-487
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Rheumatology
研究领域[WOS]Rheumatology
关键词[WOS]1987 ACR CRITERIA ; CLASSIFICATION CRITERIA ; INFLAMMATORY POLYARTHRITIS ; METHODOLOGICAL REPORT ; ANTIBODIES ; SPECIFICITY ; SENSITIVITY ; DURATION ; COHORTS
英文摘要

Objectives: To evaluate the ability of American College of Rheumatology (ACR) 2010 classification criteria to diagnose rheumatoid arthritis (RA) compared to the widely used ACR 1987 criteria in Chinese patients.

Methods: Four hundred and four patients suffering from arthritis were included in the study. Two hundred and twenty-one of them were classified as RA patients and 183 had alternative diagnoses. The patients were further subdivided into three groups according to their disease duration of within one year, one to two years or more than two years. The diagnostic value of ACR/EULAR 2010 criteria for RA was evaluated by comparing the sensitivity and specificity with those of ACR 1987 criteria in these patients.

Results: The sensitivity and specificity of ACR/EULAR 2010 criteria for diagnosing RA were 95% and 92.9%, respectively. In contrast, the sensitivity and specificity of ACR 1987 criteria were 81.4% and 92.9%, respectively. The efficacy of ACR/EULAR 2010 criteria was superior to the ACR 1987 criteria by comparing their area under the curves (AUC) (0.940, 95% CI [0.912, 0.967] vs. 0.872, 95% CI [0.835, 0.909]). The recognition accuracy of ACR/EULAR 2010 criteria was higher than that of ACR 1987 criteria (94.5% vs. 86.6%, < 0.05). Inter-rater analysis showed that agreement of the two criteria was substantial (Kappa = 0.744, 13< 0.001). For patients with disease duration within one year, one to two years and over two years, the sensitivities of ACR 1987 criteria were 69.2%, 81.3% and 89.9%, while the specificities were 94.4%, 90.6% and 92%, respectively. The corresponding sensitivities of ACR/EULAR 2010 criteria in these patients were 91%, 93.8% and 98.2%, while the corresponding specificities were 94.4%, 96.6% and 89.3%, respectively. The advantage of ACR/EULAR 2010 criteria over 1987 criteria in higher sensitivity was remarkable particularly in patients with disease duration within one year (P< 0.001).

Conclusions: The ACR/EULAR 2010 criteria is more accurate in RA diagnosis compared to the ACR 1987 criteria by elevating the sensitivity while preserving the specificity, especially in patients with disease duration within one year. The ACR/EULAR 2010 criteria may serve as new diagnostic tools in daily clinical practice. (C) 2012 Societe francaise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.

语种英语
WOS记录号WOS:000326683200009
项目编号2010CB529103 ; Z080507030808022
资助机构"973" Sub-topics Science and the Technology ; Beijing Municipal Science and Technology Commission - funded projects
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/56056
专题北京大学第一临床医学院
北京大学第一临床医学院_风湿免疫科
北京大学第一临床医学院_医疗耗材科
作者单位Peking Univ, Hosp 1, Dept Rheumatol & Clin Immunol, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Zhao, Juan,Li, Guangtao,Xu, Jing,et al. Performance of the American College of Rheumatology/European League Against Rheumatism 2010 criteria for the diagnosis of rheumatoid arthritis in Chinese patients[J]. JOINT BONE SPINE,2013,80(5):482-487.
APA Zhao, Juan,Li, Guangtao,Xu, Jing,Zhang, Xiaohui,&Zhang, Zhuoli.(2013).Performance of the American College of Rheumatology/European League Against Rheumatism 2010 criteria for the diagnosis of rheumatoid arthritis in Chinese patients.JOINT BONE SPINE,80(5),482-487.
MLA Zhao, Juan,et al."Performance of the American College of Rheumatology/European League Against Rheumatism 2010 criteria for the diagnosis of rheumatoid arthritis in Chinese patients".JOINT BONE SPINE 80.5(2013):482-487.
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