作者
Michelle Petri, Ana‐Maria Orbai, Graciela S Alarcón, Caroline Gordon, Joan T Merrill, Paul R Fortin, Ian N Bruce, David Isenberg, Daniel J Wallace, Ola Nived, Gunnar Sturfelt, Rosalind Ramsey‐Goldman, Sang‐Cheol Bae, John G Hanly, Jorge Sánchez‐Guerrero, Ann Clarke, Cynthia Aranow, Susan Manzi, Murray Urowitz, Dafna Gladman, Kenneth Kalunian, Melissa Costner, Victoria P Werth, Asad Zoma, Sasha Bernatsky, Guillermo Ruiz‐Irastorza, Munther A Khamashta, Soren Jacobsen, Jill P Buyon, Peter Maddison, Mary Anne Dooley, Ronald F Van Vollenhoven, Ellen Ginzler, Thomas Stoll, Christine Peschken, Joseph L Jorizzo, Jeffrey P Callen, S Sam Lim, Barri J Fessler, Murat Inanc, Diane L Kamen, Anisur Rahman, Kristjan Steinsson, Andrew G Franks Jr, Lisa Sigler, Suhail Hameed, Hong Fang, Ngoc Pham, Robin Brey, Michael H Weisman, Gerald McGwin Jr, Laurence S Magder
发表日期
2012/8
期刊
Arthritis & Rheumatism
卷号
64
期号
8
页码范围
2677-2686
出版商
Wiley Subscription Services, Inc., A Wiley Company
简介
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 …
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