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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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

Petri, Michelle (author): Johns Hopkins University

Goldman, Daniel W. (author): Johns Hopkins University

Alarcón, Graciela S. (author): University of Alabama

Gordon, Caroline (author): University of Birmingham

Merrill, Joan T. (author): Oklahoma Medical Research Foundation

Fortin, Paul R. (author): Laval University

Bruce, Ian N. (author): Manchester University NHS Foundation Trust

Isenberg, David (author): University College London

Wallace, Daniel (author): University of California, Los Angeles

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

Ramsey-Goldman, Rosalind (author): Northwestern University

Bae, Sang Cheol (author)

Hanly, John G. (author): Dalhousie University

Sanchez-Guerrero, Jorge (author): University of Toronto

Clarke, Ann E. (author): University of Calgary

Aranow, Cynthia (author): Feinstein Institute for Medical Research

Manzi, Susan (author): Allegheny Health Network

Urowitz, Murray (author): University of Toronto

Gladman, Dafna D. (author): University of Toronto

Kalunian, Ken (author): University of California, San Diego

Werth, Victoria P. (author): Hospital of the University of Pennsylvania

Zoma, Asad (author): Hairmyres Hospital

Bernatsky, Sasha (author): McGill University Health Center

Khamashta, Munther (author)

Jacobsen, Søren (author): Copenhagen University Hospital

Buyon, Jill P. (author): New York University

Dooley, Mary Anne (author): University of North Carolina

van Vollenhoven, Ronald (author): Academic Medical Center of University of Amsterdam (AMC)

Ginzler, Ellen (author): SUNY Downstate Health Sciences University

Stoll, Thomas (author): Cantonal Hospital of Olten

Peschken, Christine (author): University of Manitoba

Jorizzo, Joseph L. (author): Wake Forest University

Callen, Jeffery P. (author): University of Louisville

Lim, Sam (author): Emory University

Inanç, Murat (author): Istanbul University

Kamen, Diane L. (author): Medical University of South Carolina

Rahman, Anisur (author): University College London

Steinsson, Kristjan (author): National University Hospital of Iceland

Franks, Andrew G. (author): New York University

Magder, Laurence S. (author): University of Maryland, Baltimore

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2021-07-14
2021
English 5 s.
In: Arthritis Care and Research. - : Wiley. - 2151-464X .- 2151-4658. ; 73:9, s. 1231-1235

Related links:: http://dx.doi.org/10...; show more...; https://lup.lub.lu.s...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

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.

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Rheumatology and ...

Articles in the publication: Arthritis Care a ...

By the university: Lund University

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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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