医学
风湿病
痹症科
内科学
麦克内马尔试验
系统性红斑狼疮
队列
银屑病性关节炎
物理疗法
关节炎
疾病
数学
统计
作者
Jialin Teng,Junna Ye,Zhuochao Zhou,Cui Lu,Huihui Chi,Xiaobing Cheng,Honglei Liu,Yutong Su,Hui Shi,Yue Sun,Chengde Yang
出处
期刊:Lupus
[SAGE]
日期:2020-03-26
卷期号:29 (6): 617-624
被引量:18
标识
DOI:10.1177/0961203320914356
摘要
Background New criteria published by the European League Against Rheumatism (EULAR) and the American College of Rheumatology (ACR) use a point system that gives varying weight to each of 22 criteria. The aim of this study was to compare the performance of the 2019 EULAR/ACR criteria and the 2012 Systemic Lupus International Collaborating Clinics (SLICC) criteria with the 1997 ACR criteria in a Chinese cohort. Methods A cross-sectional observation study of patients with a clinical diagnosis of SLE was performed. We collected 199 new-onset SLE patients and 175 control subjects. The data were retrospectively collected to establish the patients who fulfilled the 1997 ACR, 2012 SLICC and 2019 EULAR/ACR criteria. The sensitivity and specificity of the three classification criteria were compared using McNemar’s test. Results The sensitivity and specificity of the 2019 EULAR/ACR criteria were 96.5% and 90.3%, respectively. For the 2012 SLICC criteria, the sensitivity and specificity were 92.0% and 84.0%, respectively, while for the 1997 ACR criteria, these two values were 75.4% and 96.0%. Leucopaenia (62%), arthritis (54%) and autoimmune haemolysis (45%) were the most frequently observed clinical manifestations in the group that fulfilled the 2019 EULAR/ACR criteria. Fever was reported by 39% of participants. Conclusion Compared with the 1997 ACR and 2012 SLICC criteria, the 2019 EULAR/ACR criteria performed best in terms of sensitivity but less well in terms of specificity in Chinese new-onset lupus patients.
科研通智能强力驱动
Strongly Powered by AbleSci AI