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Journal article
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
Arthritis care & research (2010), v 73(9), pp 1231-1235
Sep 2021
PMID: 32433832
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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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Details
- Title
- 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
- Creators
- Michelle Petri - Johns Hopkins UniversityDaniel W. Goldman - Johns Hopkins UniversityGraciela S. Alarcon - University of Alabama at BirminghamCaroline Gordon - University of BirminghamJoan T. Merrill - Oklahoma Medical Research FoundationPaul R. Fortin - Université LavalIan N. Bruce - Manchester Academic Health Science CentreDavid Isenberg - University College LondonDaniel Wallace - Cedars-Sinai Medical CenterOla Nived - Lund UniversityRosalind Ramsey-Goldman - Northwestern UniversitySang-Cheol Bae - Hanyang UniversityJohn G. Hanly - Queen Elizabeth II Health Sciences CentreJorge Sanchez-Guerrero - Toronto Western HospitalAnn E. Clarke - University of CalgaryCynthia Aranow - Feinstein Institute for Medical ResearchSusan Manzi - Allegheny Health NetworkMurray Urowitz - Toronto Western HospitalDafna D. Gladman - Toronto Western HospitalKen Kalunian - Univ Calif San Diego, La Jolla, CA 92093 USAVictoria P. Werth - Hospital of the University of PennsylvaniaAsad Zoma - Hairmyres HospitalSasha Bernatsky - McGill University Health CentreMunther Khamashta - St Thomas' HospitalSoren Jacobsen - Copenhagen Univ Hosp, Rigshosp, Copenhagen, DenmarkJill P. Buyon - New York UniversityMary Anne Dooley - University of North Carolina at Chapel HillRonald van Vollenhoven - University of AmsterdamEllen Ginzler - SUNY Downstate Health Sciences UniversityThomas Stoll - Spitäler SchaffhausenChristine Peschken - University of ManitobaJoseph L. Jorizzo - Wake Forest UniversityJeffery P. Callen - University of LouisvilleSam Lim - Emory UniversityMurat Inanc - Istanbul UniversityDiane L. Kamen - Medical University of South CarolinaAnisur Rahman - University College LondonKristjan Steinsson - National University Hospital of IcelandAndrew G. Franks - New York UniversityLaurence S. Magder - University of Maryland, Baltimore
- Publication Details
- Arthritis care & research (2010), v 73(9), pp 1231-1235
- Publisher
- Wiley
- Number of pages
- 5
- Grant note
- R01-AR-069572 / NIH (National Institute of Arthritis and Musculoskeletal and Skin Diseases); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Web of Science ID
- WOS:000673412200001
- Scopus ID
- 2-s2.0-85109995720
- Other Identifier
- 991021933897404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Rheumatology