Title
Applying the 2019 EULAR/ACR lupus criteria to patients from an established cohort: A Latin American perspective
Date Issued
20 January 2020
Access level
open access
Resource Type
journal article
Author(s)
Pons-Estel G.J.
Harvey G.B.
Wojdyla D.
Quintana R.
Saurit V.
Soriano E.R.
Bonfa E.
Massardo L.
Cardiel M.
Vila L.M.
Griffin R.
Pons-Estel B.A.
Publisher(s)
BMJ Publishing Group
Abstract
To evaluate the performance of the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) systemic lupus erythematosus (SLE) criteria in terms of earlier patients' classification in comparison to the 1982/1997 ACR or the 2012 Systemic Lupus International Collaborating Clinics (SLICC) criteria. Materials and methods Patients from a Latin America, multiethnic, multicentre cohort, where SLE was defined using the physicians' diagnosis, were included. To calculate the sensitivity of the 2019 EULAR/ACR criteria, the 1982/1997 ACR criteria were considered the gold standard. Additionally, comparison of the 1982/1997 ACR criteria and the 2012 SLICC criteria with the 2019 EULAR/ACR criteria was performed. Results The sensitivity of the 2019 EULAR/ACR criteria when compared with the 1982/1997 ACR criteria as the gold standard was 91.3%. This new set of criteria allowed an earlier SLE patient classification in 7.4% (mean 0.67 years) and 0.6% (mean 1.47 years) than the 1982/1997 ACR and the 2012 SLICC criteria, respectively. Patients accruing the 2019 EULAR/ACR earlier than the 1982/1997 ACR criteria were more likely to have high anti-dsDNA titres; those accruing them later were less likely to have mucocutaneous and joint manifestations; this was not observed when comparing them with the 2012 SLICC criteria. Conclusions The 2019 EULAR/ACR criteria classified earlier only a small proportion of Latin America patients than with the two other criteria sets in real-life clinical practice scenarios. Further studies in different patient populations are needed before these new criteria are adopted worldwide.
Volume
6
Issue
1
Language
English
OCDE Knowledge area
Reumatología
Subjects
Scopus EID
2-s2.0-85078515209
PubMed ID
Source
RMD Open
ISSN of the container
20565933
Sources of information:
Directorio de Producción Científica
Scopus