Utility of the new rheumatoid arthritis 2010 ACR/EULAR classification criteria in routine clinical care

Kennish, Lauren; Labitigan, Monalyn; Budoff, Sam; Filopoulos, Maria T.; McCracken, W.A.; Swearingen, Christopher J.; Yazıcı, Yusuf

doi:10.1136/bmjopen-2012-001117

Cited by 38 publications

(33 citation statements)

References 22 publications

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“…The 2010 criteria as applied in this group of patients had a poorer positive predictive value (44 vs. 61%) and a similar negative predictive value (98 vs. 97%) to the 1987 criteria. The authors believe that their study [11], performed in routine daily care, showed that the criteria have low specificity, and therefore incorrectly labels patients as having RA.…”

Section: Performance Of the New Criteriamentioning

confidence: 92%

“…However, these patients have lower disease activity at initial presentation [10 & ]. A more critical publication by Kennish et al [11] studied the value of the new criteria in a prospective consecutive patients cohort of 126 patients with joint symptoms. Both the 2010 ACR/EULAR RA criteria and the 1987 RA criteria were applied and the gold standard for the diagnosis of RA was the primary rheumatologist's diagnosis.…”

Section: Performance Of the New Criteriamentioning

confidence: 98%

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The new European League Against Rheumatism/American College of Rheumatology diagnostic criteria for rheumatoid arthritis

Vonkeman

Laar²

2013

Current Opinion in Rheumatology

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Section: Performance Of the New Criteriamentioning

confidence: 92%

Section: Performance Of the New Criteriamentioning

confidence: 98%

The new European League Against Rheumatism/American College of Rheumatology diagnostic criteria for rheumatoid arthritis

Vonkeman

Laar²

2013

Current Opinion in Rheumatology

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“…A study flow diagram showing these articles is shown in Figure 1. [16] Description of the studies These 10 studies included cohorts from the Netherlands, [6][7][8] the United States, [13] France, [10] UK, [9] New Zealand, [14] Spain, [15] South Korea, [11] and Japan. [6,12] The three studies [6][7][8] from the Netherlands used different cohort databases: the Rotterdam Early Arthritis Cohort" (REACH), the Stop Arthritis Very Early (SAVE) trial, and the Leiden early arthritis clinic (EAC) cohort).…”

Section: Results Of the Searchmentioning

confidence: 99%

“…Seven studies [7,[9][10][11][12]14,15] were included in the DMARD group with a sensitivity between 0.34 and 0.86, and a specificity between 0.40 and 0.78. The expert opinion group (expert group for short) was composed of five studies, [7,8,10,13,15] be defined within the same model which provides a general framework for the meta-analysis of diagnostic test studies.…”

Section: Resultsmentioning

confidence: 99%

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The Diagnostic Performance of the 2010 American College of Rheumatology/European League Against Rheumatism Classification Criteria for Rheumatoid Arthritis: A Systematic Review and Meta-Analysis

et al. 2013

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Patients and methods:Between January 2010 and November 2012, an electronic search was conducted using MEDLINE (via PubMed), EMBASE, and Cochrane CENTRAL to find studies related to the diagnostic performance of the 2010 ACR/EULAR classification criteria for RA in patients with inflammatory synovitis. Subgroup analyses were performed according to the adopted gold standards. The sensitivity and specificity of the 2010 criteria were extracted or calculated. Summary receiver operating characteristic (sROC) curves were drawn to evaluate the differences between the 2010 and 1987 criteria. Results:We found 10 studies which were eligible for inclusion. Based on the 2010 criteria, the pooled information showed a sensitivity of 0.804 (95% confidence interval [CI]; range 0.737 to 0.857) and a specificity of 0.556 (95% CI; range 0.417 to 0.687) in the methotrexate (MTX) group, a sensitivity of 0.706 (95% CI; range 0.585 to 0.803) and a specificity of 0.691 (95% CI; range 0.583 to 0.782) in the disease-modifying antirheumatic drug (DMARD) group, and a sensitivity of 0.901 (95% CI; range 0.856 to 0.933) and a specificity of 0.539 (95% CI; range 0.429 to 0.645) in the expert group. The sensitivity and specificity were pooled under the bivariate binomial mixed model in this review due to the heterogeneous nature of the data. Compared to the 1987 criteria, the 2010 criteria showed a higher sensitivity, lower specificity and similar accuracy rate with more accuracy rate in the MTX group, compared the DMARD and expert groups. Conclusion:The 2010 ACR/EULAR criteria for RA have a better discriminative and diagnostic ability, higher sensitivity, and lower specificity than the 1987 criteria; therefore, we believe that it cannot be substituted for the 1987 criteria.

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Incident Rheumatoid Arthritis in HIV Infection: Epidemiology and Treatment

Hanberg

Hsieh

Akgün

et al. 2021

Arthritis & Rheumatology

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and the VACS Project Team Objective. To assess the incidence, presentation, and management of rheumatoid arthritis (RA) in patients with HIV, including the use of disease-modifying antirheumatic drugs (DMARDs) in this immunosuppressed population.Methods. Patients included in this study were from the Veterans Aging Cohort Study, a longitudinal cohort of veterans with HIV and age-, race-, and site-matched uninfected veterans. We identified all patients who had ≥1 rheumatologist-generated International Classification of Diseases, Ninth Revision (ICD-9) or Tenth Revision (ICD-10) code for RA and whose serum samples were tested for rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibodies. To further confirm the diagnosis of RA, medical charts were reviewed to verify whether patients met the American College of Rheumatology/European Alliance of Associations for Rheumatology 2010 criteria for RA. We recorded DMARD use and adverse effects during the first contiguous course of treatment (i.e., >6 months of no interruption in DMARD treatment).Results. This study included 56,250 patients with HIV and 116,944 uninfected individuals over 2,384,541 personyears. Of the 2,748 individuals in this cohort who were reviewed for a diagnosis of RA based on ICD-9 or ICD-10 codes, incident RA was identified in 215 individuals, including 21 patients with HIV. The incidence rate ratio of RA for patients with HIV compared to uninfected individuals was 0.29 (95% confidence interval 0.19-0.48). Most of the patients diagnosed as having RA (88%) were seropositive for RA-associated autoantibodies (RF and/or anti-CCP). However, high autoantibody titers were less frequent in RA patients with HIV compared to RA patients without HIV. In total, 5% of RA patients with HIV (1 of 21) had both high titers of anti-CCP and high titers of RF, compared to 41% of uninfected individuals (81 of 194). DMARDs were prescribed in 71% of RA patients with HIV (15 of 21) compared to 94% of RA patients without HIV (183 of 194). There was no indication that the DMARD safety profile was worse among RA patients with HIV who were prescribed DMARDs (n = 10 assessed) compared to RA patients without HIV who were prescribed DMARDs (n = 158 assessed).Conclusion. In this cohort, incident RA was less common in patients with HIV compared to uninfected individuals. Moreover, compared to RA patients without HIV, the seropositivity rate and titers of RA-specific autoantibodies were lower among RA patients with HIV, and those with HIV were prescribed DMARDs less frequently than those without HIV.

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Utility of the new rheumatoid arthritis 2010 ACR/EULAR classification criteria in routine clinical care

Cited by 38 publications

References 22 publications

The new European League Against Rheumatism/American College of Rheumatology diagnostic criteria for rheumatoid arthritis

The new European League Against Rheumatism/American College of Rheumatology diagnostic criteria for rheumatoid arthritis

The Diagnostic Performance of the 2010 American College of Rheumatology/European League Against Rheumatism Classification Criteria for Rheumatoid Arthritis: A Systematic Review and Meta-Analysis

Incident Rheumatoid Arthritis in HIV Infection: Epidemiology and Treatment

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