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Sökning: onr:"swepub:oai:lup.lub.lu.se:0d113ac6-3a26-4acc-a40d-10cc4bc613d7" > EULAR points to con...

  • Basu, NeilUniversity of Aberdeen, Aberdeen, UK (författare)

EULAR points to consider in the development of classification and diagnostic criteria in systemic vasculitis

  • Artikel/kapitelEngelska2010

Förlag, utgivningsår, omfång ...

  • 2010-05-06
  • London, UK :BMJ,2010

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:0d113ac6-3a26-4acc-a40d-10cc4bc613d7
  • https://lup.lub.lu.se/record/1696068URI
  • https://doi.org/10.1136/ard.2009.119032DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-101940URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • Objectives The systemic vasculitides are multiorgan diseases where early diagnosis and treatment can significantly improve outcomes. Robust nomenclature reduces diagnostic delay. However, key aspects of current nomenclature are widely perceived to be out of date, these include disease definitions, classification and diagnostic criteria. Therefore, the aim of the present work was to identify deficiencies and provide contemporary points to consider for the development of future definitions and criteria in systemic vasculitis. Methods The expert panel identified areas of concern within existing definitions/criteria. Consequently, a systematic literature review was undertaken looking to address these deficiencies and produce 'points to consider' in accordance with standardised European League Against Rheumatism (EULAR) operating procedures. In the absence of evidence, expert consensus was used. Results There was unanimous consensus for re-evaluating existing definitions and developing new criteria. A total of 17 points to consider were proposed, covering 6 main areas: biopsy, laboratory testing, diagnostic radiology, nosology, definitions and research agenda. Suggestions to improve and expand current definitions were described including the incorporation of anti-neutrophil cytoplasm antibody and aetiological factors, where known. The importance of biopsy in diagnosis and exclusion of mimics was highlighted, while equally emphasising its problems. Thus, the role of alternative diagnostic tools such as MRI, ultrasound and surrogate markers were also discussed. Finally, structures to develop future criteria were considered. Conclusions Limitations in current classification criteria and definitions for vasculitis have been identified and suggestions provided for improvement. Additionally it is proposed that, in combination with the updated evidence, these should form the basis of future attempts to develop and validate revised criteria and definitions of vasculitis.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Watts, RichardUniversity of East Anglia, School of Medicine, Norwich, Norfolk, UK (författare)
  • Bajema, IngeborgLeiden University Medical Center, Leiden, The Netherlands (författare)
  • Baslund, BoRigshospitalet, Copenhagen, Denmark (författare)
  • Bley, ThorstenUniversity Hospital Freiburg, Freiburg, Germany (författare)
  • Boers, MaartenVU University Medical Center, Amsterdam, The Netherlands (författare)
  • Brogan, PaulInstitute of Child Health, London, UK (författare)
  • Calabrese, LenCleveland Clinic Foundation, Cleveland, Ohio, USA (författare)
  • Cid, Maria C.Hospital Clinic, University of Barcelona IDIBAPS, Barcelona, Spain (författare)
  • Cohen-Tervaert, Jan WillemMaastricht UMC, Maastricht, The Netherlands (författare)
  • Flores-Suarez, Luis FelipeNational Institute of Respiratory Disease, Mexico City, Mexico (författare)
  • Fujimoto, ShouichiMiyazaki University, Miyazaki, Japan (författare)
  • de Groot, KirstenKlinikum Offenbach, Offenbach, Germany (författare)
  • Guillevin, LoicUniversity of Paris Descartes, Paris, France (författare)
  • Hatemi, GulenUniversity of Istanbul, Istanbul, Turkey (författare)
  • Hauser, ThomasImmunologie-Zentrum Zürich, Zurich, Switzerland (författare)
  • Jayne, DavidAddenbrooke's Hospital, Cambridge, UK (författare)
  • Jennette, CharlesUniversity of North Carolina, Chapel Hill, North Carolina, USA (författare)
  • Kallenberg, Cees G. M.University Hospital Groningen, Groningen, The Netherlands (författare)
  • Kobayashi, ShigetoJuntendo Koshigaya Hospital, Saitama, Japan (författare)
  • Little, Mark A.Renal Institute of Birmingham, University of Birmingham, Birmingham, UK (författare)
  • Mahr, AlfredUniversity of Paris Descartes, Paris, France (författare)
  • McLaren, JohnWhytemans Brae Hospital, Kirkcaldy, Fife, UK (författare)
  • Merkel, Peter A.Boston University School of Medicine, Boston, Massachusetts, USA (författare)
  • Ozen, SezaHacettepe University, Ankara, Turkey (författare)
  • Puechal, XavierCentre Hospitalier Le Mans, Le Mans, France (författare)
  • Rasmussen, NielsRigshospitalet, Copenhagen, Denmark (författare)
  • Salama, AlanImperial College London, London, UK (författare)
  • Salvarani, CarloArcispedale S Maria Nuova, Reggio Emilia, Italy (författare)
  • Savage, CarolineRenal Institute of Birmingham, University of Birmingham, Birmingham, UK (författare)
  • Scott, David G. I.Norfolk and Norwich University Hospital Trust, Norwich, Norfolk, UK (författare)
  • Segelmark, MårtenLund University,Lunds universitet,Njurmedicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Nephrology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University, Lund, Sweden(Swepub:liu)marse71 (författare)
  • Specks, UlrichMayo Clinc, Minnesota, Minneapolis, USA (författare)
  • Sunderkoeetter, CordUniversitätsklinikum Münster, Münich, Germany (författare)
  • Suzuki, KazuoChiba University Graduate School of Medicine, Chiba, Japan (författare)
  • Tesar, VladimirCharles University, Prague, Czech Republic (författare)
  • Wiik, AllanStatens Serum Institut, Copenhagen, Denmark (författare)
  • Yazici, HasanUniversity of Istanbul, Istanbul, Turkey (författare)
  • Luqmani, RaashidUniversity of Oxford, Oxford, UK (författare)
  • University of Aberdeen, Aberdeen, UKUniversity of East Anglia, School of Medicine, Norwich, Norfolk, UK (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Annals of the Rheumatic DiseasesLondon, UK : BMJ69:10, s. 1744-17501468-20600003-4967

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