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Comparison of the 2...
Comparison of the 2019 European Alliance of Associations for Rheumatology/American College of Rheumatology Systemic Lupus Erythematosus Classification Criteria With Two Sets of Earlier Systemic Lupus Erythematosus Classification Criteria
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- Petri, Michelle (author)
- Johns Hopkins University
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- Goldman, Daniel W. (author)
- Johns Hopkins University
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- Alarcón, Graciela S. (author)
- University of Alabama
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- Gordon, Caroline (author)
- University of Birmingham
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- Merrill, Joan T. (author)
- Oklahoma Medical Research Foundation
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- Fortin, Paul R. (author)
- Laval University
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- Bruce, Ian N. (author)
- Manchester University NHS Foundation Trust
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- Isenberg, David (author)
- University College London
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- Wallace, Daniel (author)
- University of California, Los Angeles
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- Nived, Ola (author)
- Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Ramsey-Goldman, Rosalind (author)
- Northwestern University
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Bae, Sang Cheol (author)
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- Hanly, John G. (author)
- Dalhousie University
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- Sanchez-Guerrero, Jorge (author)
- University of Toronto
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- Clarke, Ann E. (author)
- University of Calgary
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- Aranow, Cynthia (author)
- Feinstein Institute for Medical Research
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- Manzi, Susan (author)
- Allegheny Health Network
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- Urowitz, Murray (author)
- University of Toronto
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- Gladman, Dafna D. (author)
- University of Toronto
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- Kalunian, Ken (author)
- University of California, San Diego
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- Werth, Victoria P. (author)
- Hospital of the University of Pennsylvania
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- Zoma, Asad (author)
- Hairmyres Hospital
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- Bernatsky, Sasha (author)
- McGill University Health Center
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Khamashta, Munther (author)
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- Jacobsen, Søren (author)
- Copenhagen University Hospital
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- Buyon, Jill P. (author)
- New York University
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- Dooley, Mary Anne (author)
- University of North Carolina
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- van Vollenhoven, Ronald (author)
- Academic Medical Center of University of Amsterdam (AMC)
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- Ginzler, Ellen (author)
- SUNY Downstate Health Sciences University
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- Stoll, Thomas (author)
- Cantonal Hospital of Olten
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- Peschken, Christine (author)
- University of Manitoba
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- Jorizzo, Joseph L. (author)
- Wake Forest University
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- Callen, Jeffery P. (author)
- University of Louisville
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- Lim, Sam (author)
- Emory University
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- Inanç, Murat (author)
- Istanbul University
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- Kamen, Diane L. (author)
- Medical University of South Carolina
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- Rahman, Anisur (author)
- University College London
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- Steinsson, Kristjan (author)
- National University Hospital of Iceland
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- Franks, Andrew G. (author)
- New York University
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- Magder, Laurence S. (author)
- University of Maryland, Baltimore
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(creator_code:org_t)
- 2021-07-14
- 2021
- English 5 s.
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In: Arthritis Care and Research. - : Wiley. - 2151-464X .- 2151-4658. ; 73:9, s. 1231-1235
- Related links:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
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- Objective: The Systemic Lupus International Collaborating Clinics (SLICC) 2012 systemic lupus erythematosus (SLE) classification criteria and the revised American College of Rheumatology (ACR) 1997 criteria are list based, counting each SLE manifestation equally. We derived a classification rule based on giving variable weights to the SLICC criteria and compared its performance to the revised ACR 1997, the unweighted SLICC 2012, and the newly reported European Alliance of Associations for Rheumatology (EULAR)/ACR 2019 criteria sets. Methods: The physician-rated patient scenarios used to develop the SLICC 2012 classification criteria were reemployed to devise a new weighted classification rule using multiple linear regression. The performance of the rule was evaluated on an independent set of expert-diagnosed patient scenarios and compared to the performance of the previously reported classification rules. Results: The weighted SLICC criteria and the EULAR/ACR 2019 criteria had less sensitivity but better specificity compared to the list-based revised ACR 1997 and SLICC 2012 classification criteria. There were no statistically significant differences between any pair of rules with respect to overall agreement with the physician diagnosis. Conclusion: The 2 new weighted classification rules did not perform better than the existing list-based rules in terms of overall agreement on a data set originally generated to assess the SLICC criteria. Given the added complexity of summing weights, researchers may prefer the unweighted SLICC criteria. However, the performance of a classification rule will always depend on the populations from which the cases and non-cases are derived and whether the goal is to prioritize sensitivity or specificity.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Petri, Michelle
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Goldman, Daniel ...
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Alarcón, Graciel ...
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Gordon, Caroline
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Merrill, Joan T.
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Fortin, Paul R.
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show more...
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Bruce, Ian N.
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Isenberg, David
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Wallace, Daniel
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Nived, Ola
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Ramsey-Goldman, ...
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Bae, Sang Cheol
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Hanly, John G.
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Sanchez-Guerrero ...
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Clarke, Ann E.
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Aranow, Cynthia
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Manzi, Susan
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Urowitz, Murray
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Gladman, Dafna D ...
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Kalunian, Ken
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Werth, Victoria ...
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Zoma, Asad
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Bernatsky, Sasha
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Khamashta, Munth ...
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Jacobsen, Søren
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Buyon, Jill P.
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Dooley, Mary Ann ...
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van Vollenhoven, ...
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Ginzler, Ellen
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Stoll, Thomas
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Peschken, Christ ...
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Jorizzo, Joseph ...
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Callen, Jeffery ...
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Lim, Sam
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Inanç, Murat
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Kamen, Diane L.
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Rahman, Anisur
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Steinsson, Krist ...
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Franks, Andrew G ...
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Magder, Laurence ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Rheumatology and ...
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Arthritis Care a ...
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Lund University