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 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.
| Errataetall: |
CommentIn: Ann Rheum Dis. 2012 Apr;71(4):475-6. - PMID 22388994 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2012 |
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| Erschienen: |
2012 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:71 |
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| Enthalten in: |
Annals of the rheumatic diseases - 71(2012), 4 vom: 03. Apr., Seite 484-92 |
| Sprache: |
Englisch |
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| Links: |
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| Themen: |
9007-41-4 |
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| Anmerkungen: |
Date Completed 08.05.2012 Date Revised 19.04.2022 published: Print CommentIn: Ann Rheum Dis. 2012 Apr;71(4):475-6. - PMID 22388994 Citation Status MEDLINE |
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| doi: |
10.1136/annrheumdis-2011-200329 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM215928482 |
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| 100 | 1 | |a Dasgupta, Bhaskar |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a 2012 provisional classification criteria for polymyalgia rheumatica |b a European League Against Rheumatism/American College of Rheumatology collaborative initiative |
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| 500 | |a CommentIn: Ann Rheum Dis. 2012 Apr;71(4):475-6. - PMID 22388994 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a 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 | ||
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