scholarly journals New classification criteria for gout: a framework for progress

Rheumatology ◽  
2013 ◽  
Vol 52 (10) ◽  
pp. 1748-1753 ◽  
Author(s):  
Nicola Dalbeth ◽  
Jaap Fransen ◽  
Tim L. Jansen ◽  
Tuhina Neogi ◽  
H. Ralph Schumacher ◽  
...  
Keyword(s):  
Classification Criteria ◽  
New Classification

Lupus: the new epidemic

Lupus ◽  
2019 ◽  
Vol 28 (9) ◽  
pp. 1031-1050 ◽  
Author(s):  
M F Ugarte-Gil ◽  
L A González ◽  
G S Alarcón
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Antinuclear Antibodies ◽  
Secular Trends ◽  
Classification Criteria ◽  
Systemic Lupus ◽  
New Classification ◽  
Uniform Definition ◽  
Definition Of ◽  
Incomplete Lupus

Is systemic lupus erythematosus (SLE) is occurring more frequently now than in decades past? Despite improvements in the identification of patients with SLE, the development of new classification criteria, and the recognition of several biomarkers used alone or in combination, the diagnosis of SLE is still a challenge for clinicians, in particular early in the course of the disease, which makes the recognition of secular trends difficult to ascertain. Lacking a uniform definition of preclinical lupus or incomplete lupus, it is difficult to predict accurately which patients would go on to develop SLE. We will briefly review the classification criteria, early or preclinical SLE, the epidemiology of SLE, antinuclear antibodies-negative SLE, and biomarkers of the disease.

scholarly journals Toward new classification criteria for Sjögren's syndrome?

2012 ◽  
Vol 65 (1) ◽  
pp. 21-23 ◽  
Author(s):  
H. Bootsma ◽  
F. K. L. Spijkervet ◽  
F. G. M. Kroese ◽  
A. Vissink
Keyword(s):  
Sjögren’S Syndrome ◽  
Sjögren's Syndrome ◽  
Sjogren’S Syndrome ◽  
Sjogren's Syndrome ◽  
Classification Criteria ◽  
New Classification ◽  
Sjögren‘S Syndrome

scholarly journals 2019 European League Against Rheumatism/American College of Rheumatology classification criteria for systemic lupus erythematosus

2019 ◽  
Vol 78 (9) ◽  
pp. 1151-1159 ◽  
Author(s):  
Martin Aringer ◽  
Karen Costenbader ◽  
David Daikh ◽  
Ralph Brinks ◽  
Marta Mosca ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Validation Cohort ◽  
Classification Criteria ◽  
Systemic Lupus ◽  
New Classification ◽  
Entry Criterion ◽  
American College Of Rheumatology ◽  
European League Against Rheumatism ◽  
European League

ObjectiveTo develop new classification criteria for systemic lupus erythematosus (SLE) jointly supported by the European League Against Rheumatism (EULAR) and the American College of Rheumatology (ACR).MethodsThis international initiative had four phases. (1) Evaluation of antinuclear antibody (ANA) as an entry criterion through systematic review and meta-regression of the literature and criteria generation through an international Delphi exercise, an early patient cohort and a patient survey. (2) Criteria reduction by Delphi and nominal group technique exercises. (3) Criteria definition and weighting based on criterion performance and on results of a multi-criteria decision analysis. (4) Refinement of weights and threshold scores in a new derivation cohort of 1001 subjects and validation compared with previous criteria in a new validation cohort of 1270 subjects.ResultsThe 2019 EULAR/ACR classification criteria for SLE include positive ANA at least once as obligatory entry criterion; followed by additive weighted criteria grouped in seven clinical (constitutional, haematological, neuropsychiatric, mucocutaneous, serosal, musculoskeletal, renal) and three immunological (antiphospholipid antibodies, complement proteins, SLE-specific antibodies) domains, and weighted from 2 to 10. Patients accumulating ≥10 points are classified. In the validation cohort, the new criteria had a sensitivity of 96.1% and specificity of 93.4%, compared with 82.8% sensitivity and 93.4% specificity of the ACR 1997 and 96.7% sensitivity and 83.7% specificity of the Systemic Lupus International Collaborating Clinics 2012 criteria.ConclusionThese new classification criteria were developed using rigorous methodology with multidisciplinary and international input, and have excellent sensitivity and specificity. Use of ANA entry criterion, hierarchically clustered and weighted criteria reflect current thinking about SLE and provide an improved foundation for SLE research.

scholarly journals Ankylosing spondylitis and axial spondyloarthritis: recent insights and impact of new classification criteria

2018 ◽  
Vol 10 (5-6) ◽  
pp. 129-139 ◽  
Author(s):  
Fabian Proft ◽  
Denis Poddubnyy
Keyword(s):  
Clinical Practice ◽  
Ankylosing Spondylitis ◽  
Early Diagnosis ◽  
Axial Spondyloarthritis ◽  
Early Stage ◽  
Classification Criteria ◽  
New Classification ◽  
The Past ◽  
Asas Classification Criteria ◽  
Recent Developments

Development of the Assessment in Spondyloarthritis International Society (ASAS) classification criteria for axial spondyloarthritis (SpA) was one of the major breakthroughs in the field over the past decade. Despite some concerns related to the specificity of the criteria, they stimulated research into the early stage of the disease. This resulted in major advances in the understanding of the course of the disease, revealing predictors of progression, improvement in early diagnosis and treatment in axial SpA. In this review, we summarize the recent developments resulting from the introduction of the ASAS classification criteria for axial SpA and the implications for research and clinical practice.

scholarly journals New classification criteria for systemic lupus erythematosus correlate with disease activity

2014 ◽  
Vol 55 (5) ◽  
pp. 514-519 ◽  
Author(s):  
Felina Anić ◽  
Marta Žuvić-Butorac ◽  
Davor Štimac ◽  
Srđan Novak
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Disease Activity ◽  
Lupus Erythematosus ◽  
Classification Criteria ◽  
Systemic Lupus ◽  
New Classification

scholarly journals Identifying Clinicoradiological Phenotypes in Diffuse Idiopathic Skeletal Hyperostosis: A Cross-Sectional Study

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1005
Author(s):  
Teresa Clavaguera ◽  
Patrícia Reyner ◽  
Maria Buxó ◽  
Marta Valls ◽  
Eulàlia Armengol ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Cross Sectional Study ◽  
Classification Criteria ◽  
Sectional Study ◽  
New Classification ◽  
Extensive Disease ◽  
Cross Sectional ◽  
Asymptomatic Patients ◽  
Mixed Pattern

Background and objectives: Diffuse idiopathic skeletal hyperostosis (DISH) is a bone formation disease in which only skeletal signs are considered in classification criteria. The aim of the study was to describe different phenotypes in DISH patients based on clinicoradiological features. Materials and Methods: We evaluated 97 patients who met the Resnick or modified Utsinger classification criteria for DISH and were diagnosed at our hospital from 2004 to 2015. Patients were stratified into: (a) peripheral pattern (PP)—Resnick criteria not met but presenting ≥3 peripheral enthesopathies; (b) axial pattern (AP)—Resnick criteria met but <3 enthesopathies; and (c) mixed pattern (MP)—Resnick criteria met with ≥3 enthesopathies. Statistical analysis was carried out to identify variables that might predict classification in a given group. Results: Fifty-six of the 97 patients included (57.7%) were male and 72.2% fulfilled the Resnick criteria. Applying our classification, 39.7% were stratified as MP, 30.9% as AP and 29.4% as PP. Clinical enthesopathy was reported in 40.2% of patients during the course of the disease. Sixty-eight patients were included in a comparative analysis of variables between DISH patterns. The results showed a predominance of women (p < 0.004), early onset (p < 0.03), hip involvement (p < 0.003) and enthesitis (p < 0.001) as hallmarks of PP. Asymptomatic patients were most frequently observed in AP (28.6%, MP 3.8%, PP 5.0%) while MP was characterized by a more extensive disease. Conclusions: We believe DISH has distinct phenotypes and describe a PP phenotype that is not usually considered. Extravertebral manifestations should be included in the new classification criteria in order to cover the entire spectrum of the disease.

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