Assessing the performance of the Birmingham Vasculitis Activity Score at diagnosis for children with antineutrophil cytoplasmic antibody-associated vasculitis in A Registry for Childhood Vasculitis (ARChiVe)
OBJECTIVE: There are no validated tools for measuring disease activity in pediatric vasculitis. The Birmingham Vasculitis Activity Score (BVAS) is a valid disease activity tool in adult vasculitis. Version 3 (BVAS v.3) correlates well with physician's global assessment (PGA), treatment decision, and C-reactive protein in adults. The utility of BVAS v.3 in pediatric vasculitis is not known. We assessed the association of BVAS v.3 scores with PGA, treatment decision, and erythrocyte sedimentation rate (ESR) at diagnosis in pediatric antineutrophil cytoplasmic antibody-associated vasculitis (AAV).
METHODS: Children with AAV diagnosed between 2004 and 2010 at all ARChiVe centers were eligible. BVAS v.3 scores were calculated with a standardized online tool (www.vasculitis.org). Spearman's rank correlation coefficient (r(s)) was used to test the strength of association between BVAS v.3 and PGA, treatment decision, and ESR.
RESULTS: A total of 152 patients were included. The physician diagnosis of these patients was predominantly granulomatosis with polyangiitis (n = 99). The median BVAS v.3 score was 18.0 (range 0-40). The BVAS v.3 correlations were r(s) = 0.379 (95% CI 0.233 to 0.509) with PGA, r(s) = 0.521 (95% CI 0.393 to 0.629) with treatment decision, and r(s) = 0.403 (95% CI 0.253 to 0.533) with ESR.
CONCLUSION: Applied to children with AAV, BVAS v.3 had a weak correlation with PGA and moderate correlation with both ESR and treatment decision. Prospective evaluation of BVAS v.3 and/or pediatric-specific modifications to BVAS v.3 may be required before it can be formalized as a disease activity assessment tool in pediatric AAV.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2012 |
|---|---|
| Erschienen: |
2012 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
|---|---|
| Enthalten in: |
The Journal of rheumatology - 39(2012), 5 vom: 16. Mai, Seite 1088-94 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Morishita, Kimberly [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
9007-41-4 |
|---|
| Anmerkungen: |
Date Completed 04.02.2013 Date Revised 10.12.2019 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.3899/jrheum.111030 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM215444809 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM215444809 | ||
| 003 | DE-627 | ||
| 005 | 20231224025541.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231224s2012 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3899/jrheum.111030 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0718.xml |
| 035 | |a (DE-627)NLM215444809 | ||
| 035 | |a (NLM)22337238 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Morishita, Kimberly |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Assessing the performance of the Birmingham Vasculitis Activity Score at diagnosis for children with antineutrophil cytoplasmic antibody-associated vasculitis in A Registry for Childhood Vasculitis (ARChiVe) |
| 264 | 1 | |c 2012 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 04.02.2013 | ||
| 500 | |a Date Revised 10.12.2019 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: There are no validated tools for measuring disease activity in pediatric vasculitis. The Birmingham Vasculitis Activity Score (BVAS) is a valid disease activity tool in adult vasculitis. Version 3 (BVAS v.3) correlates well with physician's global assessment (PGA), treatment decision, and C-reactive protein in adults. The utility of BVAS v.3 in pediatric vasculitis is not known. We assessed the association of BVAS v.3 scores with PGA, treatment decision, and erythrocyte sedimentation rate (ESR) at diagnosis in pediatric antineutrophil cytoplasmic antibody-associated vasculitis (AAV) | ||
| 520 | |a METHODS: Children with AAV diagnosed between 2004 and 2010 at all ARChiVe centers were eligible. BVAS v.3 scores were calculated with a standardized online tool (www.vasculitis.org). Spearman's rank correlation coefficient (r(s)) was used to test the strength of association between BVAS v.3 and PGA, treatment decision, and ESR | ||
| 520 | |a RESULTS: A total of 152 patients were included. The physician diagnosis of these patients was predominantly granulomatosis with polyangiitis (n = 99). The median BVAS v.3 score was 18.0 (range 0-40). The BVAS v.3 correlations were r(s) = 0.379 (95% CI 0.233 to 0.509) with PGA, r(s) = 0.521 (95% CI 0.393 to 0.629) with treatment decision, and r(s) = 0.403 (95% CI 0.253 to 0.533) with ESR | ||
| 520 | |a CONCLUSION: Applied to children with AAV, BVAS v.3 had a weak correlation with PGA and moderate correlation with both ESR and treatment decision. Prospective evaluation of BVAS v.3 and/or pediatric-specific modifications to BVAS v.3 may be required before it can be formalized as a disease activity assessment tool in pediatric AAV | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Validation Study | |
| 650 | 7 | |a Antibodies, Antineutrophil Cytoplasmic |2 NLM | |
| 650 | 7 | |a C-Reactive Protein |2 NLM | |
| 650 | 7 | |a 9007-41-4 |2 NLM | |
| 700 | 1 | |a Li, Suzanne C |e verfasserin |4 aut | |
| 700 | 1 | |a Muscal, Eyal |e verfasserin |4 aut | |
| 700 | 1 | |a Spalding, Steven |e verfasserin |4 aut | |
| 700 | 1 | |a Guzman, Jaime |e verfasserin |4 aut | |
| 700 | 1 | |a Uribe, America |e verfasserin |4 aut | |
| 700 | 1 | |a Abramson, Leslie |e verfasserin |4 aut | |
| 700 | 1 | |a Baszis, Kevin |e verfasserin |4 aut | |
| 700 | 1 | |a Benseler, Susanne |e verfasserin |4 aut | |
| 700 | 1 | |a Bowyer, Suzanne |e verfasserin |4 aut | |
| 700 | 1 | |a Campillo, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Chira, Peter |e verfasserin |4 aut | |
| 700 | 1 | |a Hersh, Aimee O |e verfasserin |4 aut | |
| 700 | 1 | |a Higgins, Gloria |e verfasserin |4 aut | |
| 700 | 1 | |a Eberhard, Anne |e verfasserin |4 aut | |
| 700 | 1 | |a Ede, Kaleo |e verfasserin |4 aut | |
| 700 | 1 | |a Imundo, Lisa |e verfasserin |4 aut | |
| 700 | 1 | |a Jung, Lawrence |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Susan |e verfasserin |4 aut | |
| 700 | 1 | |a Kingsbury, Daniel J |e verfasserin |4 aut | |
| 700 | 1 | |a Klein-Gitelman, Marisa |e verfasserin |4 aut | |
| 700 | 1 | |a Lawson, Erica F |e verfasserin |4 aut | |
| 700 | 1 | |a Lovell, Daniel J |e verfasserin |4 aut | |
| 700 | 1 | |a Mason, Thomas |e verfasserin |4 aut | |
| 700 | 1 | |a McCurdy, Deborah |e verfasserin |4 aut | |
| 700 | 1 | |a Nanda, Kabita |e verfasserin |4 aut | |
| 700 | 1 | |a Nassi, Lorien |e verfasserin |4 aut | |
| 700 | 1 | |a O'Neil, Kathleen M |e verfasserin |4 aut | |
| 700 | 1 | |a Rabinovich, Egla |e verfasserin |4 aut | |
| 700 | 1 | |a Ramsey, Suzanne E |e verfasserin |4 aut | |
| 700 | 1 | |a Reiff, Andreas |e verfasserin |4 aut | |
| 700 | 1 | |a Rosenkranz, Margalit |e verfasserin |4 aut | |
| 700 | 1 | |a Schikler, Kenneth |e verfasserin |4 aut | |
| 700 | 1 | |a Stevens, Anne |e verfasserin |4 aut | |
| 700 | 1 | |a Wahezi, Dawn |e verfasserin |4 aut | |
| 700 | 1 | |a Cabral, David A |e verfasserin |4 aut | |
| 700 | 0 | |a ARChiVe Investigators Network |e verfasserin |4 aut | |
| 700 | 1 | |a Sarmiento, Angelyne |e investigator |4 oth | |
| 700 | 1 | |a Espinosa, Victor |e investigator |4 oth | |
| 700 | 1 | |a Houghton, Kristin |e investigator |4 oth | |
| 700 | 1 | |a Petty, Ross |e investigator |4 oth | |
| 700 | 1 | |a Tucker, Lori |e investigator |4 oth | |
| 700 | 1 | |a Turvey, Stuart |e investigator |4 oth | |
| 700 | 1 | |a Brooks, Elizabeth B |e investigator |4 oth | |
| 700 | 1 | |a Robinson, Angela |e investigator |4 oth | |
| 700 | 1 | |a Singer, Nora G |e investigator |4 oth | |
| 700 | 1 | |a Ilowite, Norman T |e investigator |4 oth | |
| 700 | 1 | |a Dedeoglu, Fatma |e investigator |4 oth | |
| 700 | 1 | |a Fuhlbrigge, Robert |e investigator |4 oth | |
| 700 | 1 | |a Hazen, Melissa |e investigator |4 oth | |
| 700 | 1 | |a Son, Mary Beth |e investigator |4 oth | |
| 700 | 1 | |a Sundel, Robert |e investigator |4 oth | |
| 700 | 1 | |a Brown, Diane |e investigator |4 oth | |
| 700 | 1 | |a Shaham, Bracha |e investigator |4 oth | |
| 700 | 1 | |a Adams, Matthew |e investigator |4 oth | |
| 700 | 1 | |a Valentini, Rudolf |e investigator |4 oth | |
| 700 | 1 | |a Hirsh, Raphael |e investigator |4 oth | |
| 700 | 1 | |a Kietz, Daniel |e investigator |4 oth | |
| 700 | 1 | |a Rosen, Paul |e investigator |4 oth | |
| 700 | 1 | |a Torok, Kathryn |e investigator |4 oth | |
| 700 | 1 | |a Pachman, Lauren |e investigator |4 oth | |
| 700 | 1 | |a Brunner, Hermine |e investigator |4 oth | |
| 700 | 1 | |a Griffin, Thomas |e investigator |4 oth | |
| 700 | 1 | |a Grom, Alexi |e investigator |4 oth | |
| 700 | 1 | |a Zeft, Andrew |e investigator |4 oth | |
| 700 | 1 | |a Hashkes, Phil |e investigator |4 oth | |
| 700 | 1 | |a Eichenfield, Andrew |e investigator |4 oth | |
| 700 | 1 | |a Ardoin, Stacy |e investigator |4 oth | |
| 700 | 1 | |a Schanberg, Laura |e investigator |4 oth | |
| 700 | 1 | |a Laxer, Ronald |e investigator |4 oth | |
| 700 | 1 | |a Schneider, Rayfel |e investigator |4 oth | |
| 700 | 1 | |a Huber, Adam M |e investigator |4 oth | |
| 700 | 1 | |a Lang, Bianca A |e investigator |4 oth | |
| 700 | 1 | |a Stringer, Elizabeth |e investigator |4 oth | |
| 700 | 1 | |a Haines, Kathleen |e investigator |4 oth | |
| 700 | 1 | |a Kimura, Yukiko |e investigator |4 oth | |
| 700 | 1 | |a Weiss, Jennifer |e investigator |4 oth | |
| 700 | 1 | |a Lee, Tzielan |e investigator |4 oth | |
| 700 | 1 | |a Balboni, Imelda |e investigator |4 oth | |
| 700 | 1 | |a Bromberg, Reuven |e investigator |4 oth | |
| 700 | 1 | |a Cidon, Michal |e investigator |4 oth | |
| 700 | 1 | |a Frankovich, Jennifer |e investigator |4 oth | |
| 700 | 1 | |a Gerstbacher, Dana |e investigator |4 oth | |
| 700 | 1 | |a Hsu, Joyce J |e investigator |4 oth | |
| 700 | 1 | |a Park, Jane L |e investigator |4 oth | |
| 700 | 1 | |a Sandborg, Christy |e investigator |4 oth | |
| 700 | 1 | |a Song, Steven |e investigator |4 oth | |
| 700 | 1 | |a Reed, Ann |e investigator |4 oth | |
| 700 | 1 | |a Magalnick, Michael |e investigator |4 oth | |
| 700 | 1 | |a Ramirez, Andrea |e investigator |4 oth | |
| 700 | 1 | |a Shishov, Michael |e investigator |4 oth | |
| 700 | 1 | |a Ballinger, Susan |e investigator |4 oth | |
| 700 | 1 | |a Klausmeier, Thomas |e investigator |4 oth | |
| 700 | 1 | |a White, Andrew |e investigator |4 oth | |
| 700 | 1 | |a Emery, Helen |e investigator |4 oth | |
| 700 | 1 | |a Hayward, Kristin |e investigator |4 oth | |
| 700 | 1 | |a Ringold, Sarah |e investigator |4 oth | |
| 700 | 1 | |a Shaw, Elizabeth |e investigator |4 oth | |
| 700 | 1 | |a Turner, Jennifer |e investigator |4 oth | |
| 700 | 1 | |a Wallace, Carol |e investigator |4 oth | |
| 700 | 1 | |a Myones, Barry L |e investigator |4 oth | |
| 700 | 1 | |a Cartwright, Victoria |e investigator |4 oth | |
| 700 | 1 | |a Chédeville, Gaëlle |e investigator |4 oth | |
| 700 | 1 | |a Duffy, Ciarán |e investigator |4 oth | |
| 700 | 1 | |a Duffy, Karen |e investigator |4 oth | |
| 700 | 1 | |a Scuccimarri, Rosie |e investigator |4 oth | |
| 700 | 1 | |a von Scheven, Emily |e investigator |4 oth | |
| 700 | 1 | |a Jarvis, James |e investigator |4 oth | |
| 700 | 1 | |a Punaro, Marilynn |e investigator |4 oth | |
| 700 | 1 | |a Pascual, Virginia |e investigator |4 oth | |
| 700 | 1 | |a Bonsack, John |e investigator |4 oth | |
| 700 | 1 | |a Prahalad, Sampath |e investigator |4 oth | |
| 700 | 1 | |a Abramson, Leslie |e investigator |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t The Journal of rheumatology |d 1983 |g 39(2012), 5 vom: 16. Mai, Seite 1088-94 |w (DE-627)NLM000019593 |x 1499-2752 |7 nnns |
| 773 | 1 | 8 | |g volume:39 |g year:2012 |g number:5 |g day:16 |g month:05 |g pages:1088-94 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.3899/jrheum.111030 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 39 |j 2012 |e 5 |b 16 |c 05 |h 1088-94 | ||