2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative.
The objective of this study was to develop EULAR/ACR 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 algor...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
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2012
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| _version_ | 1797074933848735744 |
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| author | Dasgupta, B Cimmino, M Maradit-Kremers, H Schmidt, W Schirmer, M Salvarani, C Bachta, A Dejaco, C Duftner, C Jensen, H Duhaut, P Poór, G Kaposi, N Mandl, P Balint, P Schmidt, Z Iagnocco, A Nannini, C Cantini, F Macchioni, P Pipitone, N Amo, MD Espígol-Frigolé, G Cid, M Martínez-Taboada, V |
| author_facet | Dasgupta, B Cimmino, M Maradit-Kremers, H Schmidt, W Schirmer, M Salvarani, C Bachta, A Dejaco, C Duftner, C Jensen, H Duhaut, P Poór, G Kaposi, N Mandl, P Balint, P Schmidt, Z Iagnocco, A Nannini, C Cantini, F Macchioni, P Pipitone, N Amo, MD Espígol-Frigolé, G Cid, M Martínez-Taboada, V |
| author_sort | Dasgupta, B |
| collection | OXFORD |
| description | The objective of this study was to develop EULAR/ACR 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 RF and/or ACPA (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 CRP and/or ESR and new hip pain. These criteria are not meant for diagnostic purposes. |
| first_indexed | 2024-03-06T23:43:21Z |
| format | Journal article |
| id | oxford-uuid:70142c5e-3312-479f-9347-e1fba197ad20 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T23:43:21Z |
| publishDate | 2012 |
| record_format | dspace |
| spelling | oxford-uuid:70142c5e-3312-479f-9347-e1fba197ad202022-03-26T19:34:43Z2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:70142c5e-3312-479f-9347-e1fba197ad20EnglishSymplectic Elements at Oxford2012Dasgupta, BCimmino, MMaradit-Kremers, HSchmidt, WSchirmer, MSalvarani, CBachta, ADejaco, CDuftner, CJensen, HDuhaut, PPoór, GKaposi, NMandl, PBalint, PSchmidt, ZIagnocco, ANannini, CCantini, FMacchioni, PPipitone, NAmo, MDEspígol-Frigolé, GCid, MMartínez-Taboada, VThe objective of this study was to develop EULAR/ACR 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 RF and/or ACPA (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 CRP and/or ESR and new hip pain. These criteria are not meant for diagnostic purposes. |
| spellingShingle | Dasgupta, B Cimmino, M Maradit-Kremers, H Schmidt, W Schirmer, M Salvarani, C Bachta, A Dejaco, C Duftner, C Jensen, H Duhaut, P Poór, G Kaposi, N Mandl, P Balint, P Schmidt, Z Iagnocco, A Nannini, C Cantini, F Macchioni, P Pipitone, N Amo, MD Espígol-Frigolé, G Cid, M Martínez-Taboada, V 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. |
| title | 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. |
| title_full | 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. |
| title_fullStr | 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. |
| title_full_unstemmed | 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. |
| title_short | 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. |
| title_sort | 2012 provisional classification criteria for polymyalgia rheumatica a european league against rheumatism american college of rheumatology collaborative initiative |
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