Derivation and validation of the systemic lupus international collaborating clinics classification criteria for systemic lupus erythematosus

被引：3980

作者：

Petri, Michelle ^{[1
]}

Orbai, Ana-Maria

Alarcon, Graciela S. ^{[2
]}

Gordon, Caroline ^{[3
]}

Merrill, Joan T. ^{[4
]}

Fortin, Paul R. ^{[5
]}

Bruce, Ian N. ^{[6
,7
]}

Isenberg, David ^{[8
]}

Wallace, Daniel J. ^{[9
,10
]}

Nived, Ola ^{[11
]}

Sturfelt, Gunnar ^{[11
]}

Ramsey-Goldman, Rosalind ^{[12
]}

Bae, Sang-Cheol ^{[13
]}

Hanly, John G. ^{[14
,15
]}

Sanchez-Guerrero, Jorge ^{[16
,17
]}

Clarke, Ann ^{[18
]}

Aranow, Cynthia ^{[19
]}

Manzi, Susan ^{[20
,21
]}

Urowitz, Murray ^{[22
,23
]}

Gladman, Dafna ^{[22
,23
]}

Kalunian, Kenneth ^{[24
]}

Costner, Melissa ^{[25
]}

Werth, Victoria P. ^{[26
,27
]}

Zoma, Asad ^{[28
,29
]}

Bernatsky, Sasha ^{[18
]}

Ruiz-Irastorza, Guillermo ^{[30
,31
]}

Khamashta, Munther A. ^{[32
,33
]}

Jacobsen, Soren ^{[34
]}

Buyon, Jill P. ^{[35
]}

Maddison, Peter ^{[36
]}

Dooley, Mary Anne ^{[37
]}

van vollenhoven, Ronald F. ^{[38
]}

Ginzler, Ellen ^{[39
]}

Stoll, Thomas ^{[40
]}

Peschken, Christine ^{[41
]}

Jorizzo, Joseph L. ^{[42
]}

Callen, Jeffrey P. ^{[43
]}

Lim, S. Sam ^{[44
]}

Fessler, Barri J. ^{[2
]}

Inanc, Murat ^{[45
]}

Kamen, Diane L. ^{[46
]}

Rahman, Anisur ^{[8
]}

Steinsson, Kristjan ^{[47
]}

Franks, Andrew G., Jr. ^{[35
]}

Sigler, Lisa

Hameed, Suhail

Fang, Hong

Ngoc Pham

Brey, Robin ^{[48
]}

Weisman, Michael H. ^{[9
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Baltimore, MD 21205 USA

[2] Univ Alabama Birmingham, Birmingham, AL USA

[3] Univ Birmingham, Birmingham, W Midlands, England

[4] Oklahoma Med Res Fdn, Oklahoma City, OK 73104 USA

[5] Univ Laval, Ctr Hosp Univ Quebec, Quebec City, PQ, Canada

[6] Manchester Acad Hlth Sci Ctr, Manchester, Lancs, England

[7] Univ Manchester, Manchester, Lancs, England

[8] UCL, London, England

[9] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA

[10] Univ Calif Los Angeles, Los Angeles, CA USA

[11] Univ Lund Hosp, S-22185 Lund, Sweden

[12] Northwestern Univ, Chicago, IL 60611 USA

[13] Hanyang Univ Hosp Rheumat Dis, Seoul, South Korea

[14] Dalhousie Univ, Halifax, NS, Canada

[15] Capital Hlth, Halifax, NS, Canada

[16] Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada

[17] Univ Hlth Network, Toronto, ON, Canada

[18] McGill Univ, Ctr Hlth, Montreal, PQ, Canada

[19] Feinstein Inst Med Res, Manhasset, NY USA

[20] Allegheny Singer Res Inst, Pittsburgh, PA 15212 USA

[21] Allegheny Gen Hosp, Pittsburgh, PA 15212 USA

[22] Toronto Western Hosp, Toronto, ON M5T 2S8, Canada

[23] Univ Toronto, Toronto, ON, Canada

[24] Univ Calif San Diego, La Jolla, CA 92093 USA

[25] N Dallas Dermatol Associates, Dallas, TX USA

[26] Philadelphia VA Med Ctr, Philadelphia, PA USA

[27] Univ Penn, Philadelphia, PA 19104 USA

[28] Lanarkshire Ctr Rheumatol, E Kilbride, Lanark, Scotland

[29] Hairmyres Hosp, E Kilbride, Lanark, Scotland

[30] Hosp Univ Cruces, Baracaldo, Spain

[31] Univ Basque Country, Baracaldo, Spain

[32] Rayne Inst, London, England

[33] St Thomas Hosp, London, England

[34] Copenhagen Univ Hosp, Rigshosp, Copenhagen, Denmark

[35] NYU, New York, NY USA

[36] Ysbyty Gwynedd, Bangor, Gwynedd, Wales

[37] Univ N Carolina, Chapel Hill, NC USA

[38] Karolinska Univ Hosp, Stockholm, Sweden

[39] Suny Downstate Med Ctr, Brooklyn, NY 11203 USA

[40] Kantonsspital Schaffhausen, Schaffhausen, Switzerland

[41] Univ Manitoba, Winnipeg, MB, Canada

[42] Wake Forest Univ, Winston Salem, NC 27109 USA

[43] Univ Louisville, Louisville, KY 40292 USA

[44] Emory Univ, Atlanta, GA 30322 USA

[45] Istanbul Univ, Istanbul, Turkey

[46] Med Univ S Carolina, Charleston, SC USA

[47] Landspitali Univ Hosp, Reykjavik, Iceland

[48] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA

[49] Univ Maryland, Baltimore, MD 21201 USA

来源：

ARTHRITIS AND RHEUMATISM | 2012年 / 64卷 / 08期

关键词：

RHEUMATISM-ASSOCIATION CRITERIA; OF-RHEUMATOLOGY CRITERIA; WEIGHTED CRITERIA; REVISED CRITERIA; ANTIBODIES; NEPHRITIS; ARTHRITIS;

D O I：

10.1002/art.34473

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective The Systemic Lupus International Collaborating Clinics (SLICC) group revised and validated the American College of Rheumatology (ACR) systemic lupus erythematosus (SLE) classification criteria in order to improve clinical relevance, meet stringent methodology requirements, and incorporate new knowledge regarding the immunology of SLE. Methods The classification criteria were derived from a set of 702 expert-rated patient scenarios. Recursive partitioning was used to derive an initial rule that was simplified and refined based on SLICC physician consensus. The SLICC group validated the classification criteria in a new validation sample of 690 new expert-rated patient scenarios. Results Seventeen criteria were identified. In the derivation set, the SLICC classification criteria resulted in fewer misclassifications compared with the current ACR classification criteria (49 versus 70; P = 0.0082) and had greater sensitivity (94% versus 86%; P < 0.0001) and equal specificity (92% versus 93%; P = 0.39). In the validation set, the SLICC classification criteria resulted in fewer misclassifications compared with the current ACR classification criteria (62 versus 74; P = 0.24) and had greater sensitivity (97% versus 83%; P < 0.0001) but lower specificity (84% versus 96%; P < 0.0001). Conclusion The new SLICC classification criteria performed well in a large set of patient scenarios rated by experts. According to the SLICC rule for the classification of SLE, the patient must satisfy at least 4 criteria, including at least one clinical criterion and one immunologic criterion OR the patient must have biopsy-proven lupus nephritis in the presence of antinuclear antibodies or antidouble-stranded DNA antibodies.

引用

页码：2677 / 2686

页数：10

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