Performance of the 2010 American College of Rheumatology/European League against Rheumatism (ACR/EULAR) criteria for classification of rheumatoid arthritis in an Indian population: An observational study in a single centre
| Autor: | Raviraja V Acharya, Mvv Pavan Kedar, Koteshwara Prakashini |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
rheumatoid arthritis Adult Male medicine.medical_specialty education Student IJMR lcsh:Medicine India Pilot Projects General Biochemistry Genetics and Molecular Biology Medical Records Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Rheumatology immune system diseases Internal medicine medicine Humans skin and connective tissue diseases 2010 ACR/EULAR classification criteria 030203 arthritis & rheumatology business.industry Medical record lcsh:R 1987 ACR classification criteria Indian population 1987 ACR classification criteria - 2010 ACR/EULAR classification criteria - rheumatoid arthritis General Medicine Middle Aged medicine.disease Confidence interval United States Single centre 030220 oncology & carcinogenesis Rheumatoid arthritis Physical therapy Observational study Female business Rheumatism |
| Zdroj: | The Indian Journal of Medical Research Indian Journal of Medical Research, Vol 144, Iss 2, Pp 288-292 (2016) |
| ISSN: | 0971-5916 |
| Popis: | Background & objectives: The 1987 American College of Rheumatology (ACR) criteria were criticised for classifying patients only in the late stage. The 2010 ACR/European League against Rheumatism (ACR/EULAR) classification criteria for rheumatoid arthritis (RA) were thus formulated to recognize the early stage of disease with high sensitivity. This pilot study was designed to estimate and compare the sensitivities of the 1987 ACR and 2010 ACR/EULAR classification criteria for RA. Methods: In a tertiary care hospital, the medical records of 97 patients diagnosed with RA were reviewed. Case study forms were filled with relevant clinical data and investigation results after reviewing each medical record. The radiographs of hands were also reviewed. To each case, both the 1987 ACR and the 2010 ACR/EULAR criteria were applied and the results of the classification were noted. Results: The sensitivity of the 2010 ACR/EULAR criteria was found to be 79.38 per cent [95% confidence interval (CI) = 71.33-87.43%] and the sensitivity of the 1987 ACR criteria was found to be 63.92 per cent (95% CI = 54.36-73.48%). The difference in the sensitivities was significant (P< 0.01). There was a significant rise in sensitivity of the 2010 ACR/EULAR criteria when patients having anti-cyclic citrullinated peptide (CCP) titres were analysed. Interpretation & conclusions: The 2010 ACR/EULAR criteria were found to be more sensitive than the 1987 ACR criteria possibly owing to features of the criteria. Anti-CCP titres were found to increase the sensitivity of the 2010 ACR/EULAR criteria. |
| Databáze: | OpenAIRE |
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