Applying the ACR/EULAR Systemic Sclerosis Classification Criteria to the Spanish Scleroderma Registry Cohort

To compare American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for systemic sclerosis (SSc) with previous American Rheumatology Association (ARA) criteria. This was a cross-sectional multicenter study comparing sensitivity of both criteria in the c...

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Published in:Journal of rheumatology 2015-12, Vol.42 (12), p.2327-2331
Main Authors: Sáez-Comet, Luis, Simeón-Aznar, Carmen Pilar, Pérez-Conesa, Mercedes, Vallejo-Rodríguez, Carmen, Tolosa-Vilella, Carles, Iniesta-Arandia, Nerea, Colunga-Argüelles, Dolores, Egurbide-Arberas, Maria Victoria, Ortego-Centeno, Norberto, Vargas-Hitos, José Antonio, Freire-Dapena, Mayka, Rubio-Rivas, Manuel, Ríos-Blanco, Juan José, Trapiella-Martínez, Luis, Fonollosa-Pla, Vicent
Format: Article
Language:English
Subjects:
Adult
Cohort Studies
Cross-Sectional Studies
Europe
Female
Humans
Male
Middle Aged
Registries
Scleroderma, Systemic - classification
Scleroderma, Systemic - epidemiology
Scleroderma, Systemic - physiopathology
Severity of Illness Index
Spain
United States
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Summary:To compare American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for systemic sclerosis (SSc) with previous American Rheumatology Association (ARA) criteria. This was a cross-sectional multicenter study comparing sensitivity of both criteria in the cutaneous subsets in the Spanish scleroderma registry (RESCLE) cohort. In 1222 patients with SSc, the most prevalent items were Raynaud phenomenon (95%), skin thickening (91%), and abnormal capillaroscopy (89%). ARA criteria classified as SSc 63.5% of all patients, and 63%, 100%, 11.2%, and 0% in the limited, diffuse, sine, and pre-SSc subsets, respectively. ACR/EULAR criteria classified 87.5% of all patients and 98.5%, 100%, 41.8%, and 15.9% in the same subsets, respectively. ACR/EULAR criteria are more sensitive than ARA criteria, especially in limited, sine, and pre-SSc subsets.
ISSN:0315-162X
1499-2752
DOI:10.3899/jrheum.150144