A comparison of the performance characteristics of classification criteria for the diagnosis of psoriatic arthritis

Taylor, William J.; Marchesoni, Antonio; Arreghini, Marco; Sokoll, K; Helliwell, Philip S.

doi:10.1016/j.semarthrit.2004.05.001

Cited by 93 publications

(57 citation statements)

References 9 publications

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“…Third, while the modified McGonagle criteria (2) were more sensitive than the CASPAR criteria, the same was true of the Vasey and Espinoza criteria (3,4). There was actually no significant difference between the sensitivity of the modified McGonagle criteria and that of the Vasey and Espinoza criteria.…”

Section: To the Editormentioning

confidence: 87%

“…This classification also allows one to conceptualize the coexistence of rheumatoid arthritis, a disease related to autoimmune mechanisms whereby the synovium is targeted, and PsA, a disease with a different immunologic basis and a different primary anatomic epicenter of disease. Therefore, our group's criteria may be useful during early disease in patients with small joint polyarthropathy without other enthesitis/osteitis-related features, in whom MRI changes, including diffuse bone edema or extracapsular enhancement, would support the diagnosis of PsA (4,5).…”

Section: To the Editormentioning

confidence: 99%

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Are the classification criteria for psoriatic arthritis better than existing criteria for diagnosing psoriatic arthritis? Comment on the article by Taylor et al

McGonagle

Tan

2007

Arthritis & Rheumatism

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measured in a more accessible compartment, are a compatible surrogate for the hormonal environment of the knee joint.This new information also does not yet establish whether our observed associations represent the response to a receptor-mediated process (as in the case of lower estradiol concentrations) or a cytokine-based response (as in the lower urinary 2-hydroxyestrone concentrations), or potentially, both mechanisms. There is little evidence that 2-hydroxyestrogens have binding affinity to the estrogen receptor (4,5), but they appear to have additional important properties, including participation in oxidation/reduction actions (6), and may modulate arachidonic acid metabolism and the cyclooxygenase 1 (COX-1) and COX-2 enzymes.

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Section: To the Editormentioning

confidence: 87%

Section: To the Editormentioning

confidence: 99%

Are the classification criteria for psoriatic arthritis better than existing criteria for diagnosing psoriatic arthritis? Comment on the article by Taylor et al

McGonagle

Tan

2007

Arthritis & Rheumatism

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“…Fournie criteria were the most difficult to use and Vasey and Espinoza, and Moll and Wright were the easiest. Vasey and Espinoza, Gladman or McGonagle are the most accurate and feasible in distinguishing RA from PsA [45] . The classification of psoriatic arthritis (CASPAR) study group is an international group of investigators, all of whom have records of research in PsA.…”

Section: Psoriatic Arthritismentioning

confidence: 99%

Classification criteria for spondyloarthropathies

Akgül

Özgöçmen²

2011

WJO

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Spondyloarthropathies (SpA) are a group of inflammatory arthritis which consist of ankylosing spondylitis (AS), reactive arthritis, arthritis/spondylitis associated with psoriasis (PsA), and arthritis/spondylitis associated with inflammatory bowel diseases. It is now more important than ever to diagnose and treat SpA early. New therapeutic agents including blockers of tumor necrosis factor have yielded tremendous responses not only in advanced disease but also in the early stages of the disease. Sacroiliitis on conventional radiography is the result of structural changes which may appear late in the disease process. However, magnetic resonance imaging (MRI) can visualize active inflammation at sacroiliac joints and spine in recent onset disease. The modified New York criteria, the European Spondyloarthropathy Study Group criteria and the Amor criteria do not include advanced imaging techniques like MRI which is very sensitive to the early Inflammatory changes. Assessment of SpondyloArthritis international Society has defined MRI methods for the assessment of sacroiliac joints and spine, criteria for inflammatory back pain and developed new criteria for classification of axial and peripheral spondyloarthritis. These new criteria are intended to be used for patients with SpA at the very early stage of their disease. Also, classification of psoriatic arthritis study group developed criteria for the classification of PsA. The widespread use of these criteria in clinical trials will provide evidence for a better definition of early disease and recognize many patients who may further develop classical AS or PsA. These efforts will guide therapeutic trials of potent drugs like biological agents in the early stage of these diseases.

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“…In der Planungsphase unserer Studie waren wir mit diesem Problem konfrontiert und entschieden uns für die V&E-Kriterien. Diese Kriterien erschienen am besten geeignet für unsere Studie aufgrund der Einfachheit der Anwendung für Fachärzte der Dermatologie bei gleichzeitig in der Literatur angegebener hoher Sensitivität und Spezifität und hoher Rate an Fallklassifikation [10]. Taylor et al [10] diskutieren die Charakteristika verschiedener Klassifikationsvorschläge und schließen, dass die V&E-Kriterien vor der CASPAR-Ära als am güns-tigsten bezüglich Praktikabilität, Sensitivität und Spezifität angesehen werden kön-nen.…”

Section: Diskussionunclassified