作者
Frédéric Banal, Maxime Dougados, Christophe Combescure, Laure Gossec
发表日期
2009/7/1
来源
Annals of the rheumatic diseases
卷号
68
期号
7
页码范围
1184-1191
出版商
BMJ Publishing Group Ltd
简介
Objective
To evaluate the ability of the widely used ACR set of criteria (both list and tree format) to diagnose RA compared with expert opinion according to disease duration.
Methods
A systematic literature review was conducted in PubMed and Embase databases. All articles reporting the prevalence of RA according to ACR criteria and expert opinion in cohorts of early (<1 year duration) or established (>1 year) arthritis were analysed to calculate the sensitivity and specificity of ACR 1987 criteria against the “gold standard” (expert opinion). A meta-analysis using a summary receiver operating characteristic (SROC) curve was performed and pooled sensitivity and specificity were calculated with confidence intervals.
Results
Of 138 publications initially identified, 19 were analysable (total 7438 patients, 3883 RA). In early arthritis, pooled sensitivity and specificity of the ACR set of criteria were 77% (68% to 84%) and 77 …
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F Banal, M Dougados, C Combescure, L Gossec - Annals of the rheumatic diseases, 2009