Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Dasgupta, B; Cimmino, MA; Kremers, HM; Schmidt, WA; Schirmer, M; Salvarani, C; Bachta, A; Dejaco, C; Duftner, C; Jensen, HS; Duhaut, P; Poór, G; Kaposi, NP; Mandl, P; Balint, PV; Schmidt, Z; Iagnocco, A; Nannini, C; Cantini, F; Macchioni, P; Pipitone, N; Del Amo, M; Espígol-Frigolé, G; Cid, MC; Martínez-Taboada, VM; Nordborg, E; Direskeneli, H; Aydin, SZ; Ahmed, K; Hazleman, B; Silverman, B; Pease, C; Wakefield, RJ; Luqmani, R; Abril, A; Michet, CJ; Marcus, R; Gonter, NJ; Maz, M; Carter, RE; Crowson, CS; Matteson, EL.
2012 Provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative.
Arthritis Rheum. 2012; 64(4):943-954
Doi: 10.1002/art.34356
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- Co-Autor*innen der Med Uni Graz
- Dejaco Christian
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- Abstract:
- The objective of this study was to develop European League Against Rheumatism/American College of Rheumatology classification criteria for polymyalgia rheumatica (PMR). Candidate criteria were evaluated in a 6-month prospective cohort study of 125 patients with new-onset PMR and 169 non-PMR comparison subjects with conditions mimicking PMR. A scoring algorithm was developed based on morning stiffness >45 minutes (2 points), hip pain/limited range of motion (1 point), absence of rheumatoid factor and/or anti-citrullinated protein antibody (2 points), and absence of peripheral joint pain (1 point). A score ≥4 had 68% sensitivity and 78% specificity for discriminating all comparison subjects from PMR. The specificity was higher (88%) for discriminating shoulder conditions from PMR and lower (65%) for discriminating RA from PMR. Adding ultrasound, a score ≥5 had increased sensitivity to 66% and specificity to 81%. According to these provisional classification criteria, patients ≥50 years old presenting with bilateral shoulder pain, not better explained by an alternative pathology, can be classified as having PMR in the presence of morning stiffness >45 minutes, elevated C-reactive protein and/or erythrocyte sedimentation rate, and new hip pain. These criteria are not meant for diagnostic purposes. Copyright © 2012 by the American College of Rheumatology.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aged, 80 and over -
- Arthritis, Rheumatoid - diagnosis
- Diagnosis, Differential -
- Female -
- Humans -
- Male -
- Middle Aged -
- Polymyalgia Rheumatica - classification
- Prospective Studies -