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Power Doppler signal at the enthesis and bone erosions are the most discriminative OMERACT ultrasound lesions for SpA: results from the DEUS (Defining Enthesitis on Ultrasound in Spondyloarthritis) multicentre study
A. Di Matteo, G. Smerilli, S. Di Donato, AR. Liu, A. Becciolini, F. Camarda, T. Cazenave, E. Cipolletta, D. Corradini, JJ. de Agustín, GM. Destro Castaniti, E. Di Donato, L. Di Geso, E. Duran, B. Farisogullari, M. Fornaro, F. Francioso, P....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, multicentrická studie
NLK
ProQuest Central
od 1939-01-01 do Před 6 měsíci
Health & Medicine (ProQuest)
od 1939-01-01 do Před 6 měsíci
Family Health Database (ProQuest)
od 1939-01-01 do Před 6 měsíci
PubMed
38443140
DOI
10.1136/ard-2023-225443
Knihovny.cz E-zdroje
- MeSH
- Achillova šlacha diagnostické zobrazování patologie MeSH
- dospělí MeSH
- entezopatie * diagnostické zobrazování MeSH
- lidé středního věku MeSH
- lidé MeSH
- psoriatická artritida diagnostické zobrazování komplikace MeSH
- spondylartritida * diagnostické zobrazování komplikace MeSH
- studie případů a kontrol MeSH
- stupeň závažnosti nemoci MeSH
- ultrasonografie dopplerovská * metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
OBJECTIVES: To assess, in spondyloarthritis (SpA), the discriminative value of the Outcome Measures in Rheumatology (OMERACT) ultrasound lesions of enthesitis and their associations with clinical features in this population. METHODS: In this multicentre study involving 20 rheumatology centres, clinical and ultrasound examinations of the lower limb large entheses were performed in 413 patients with SpA (axial SpA and psoriatic arthritis) and 282 disease controls (osteoarthritis and fibromyalgia). 'Active enthesitis' was defined as (1) power Doppler (PD) at the enthesis grade ≥1 plus entheseal thickening and/or hypoechoic areas, or (2) PD grade >1 (independent of the presence of entheseal thickening and/or hypoechoic areas). RESULTS: In the univariate analysis, all OMERACT lesions except enthesophytes/calcifications showed a significant association with SpA. PD (OR=8.77, 95% CI 4.40 to 19.20, p<0.001) and bone erosions (OR=4.75, 95% CI 2.43 to 10.10, p<0.001) retained this association in the multivariate analysis. Among the lower limb entheses, only the Achilles tendon was significantly associated with SpA (OR=1.93, 95% CI 1.30 to 2.88, p<0.001) in the multivariate analyses. Active enthesitis showed a significant association with SpA (OR=9.20, 95% CI 4.21 to 23.20, p<0.001), and unlike the individual OMERACT ultrasound lesions it was consistently associated with most clinical measures of SpA disease activity and severity in the regression analyses. CONCLUSIONS: This large multicentre study assessed the value of different ultrasound findings of enthesitis in SpA, identifying the most discriminative ultrasound lesions and entheseal sites for SpA. Ultrasound could differentiate between SpA-related enthesitis and other forms of entheseal pathology (ie, mechanical enthesitis), thus improving the assessment of entheseal involvement in SpA.
Department of Paediatric and Adult Rheumatology Motol University Hospital Praha Czech Republic
Department of Rheumatology Iuliu Haţieganu University of Medicine and Pharmacy Cluj Napoca Romania
Department of Rheumatology The Hokkaido Medical Center Sapporo Japan
Division of Rheumatology Fundación Hospital San Pedro San Juan de Pasto Colombia
Division of Rheumatology Hacettepe University Faculty of Medicine Ankara Turkey
Faculty of Health Sciences University of Beira Interior Covilha Portugal
Instituto de Rehabilitación Psicofísica Buenos Aires Argentina
Leeds Institute of Rheumatic and Musculoskeletal Medicine University of Leeds Leeds UK
Rheumatology Department Centro Hospitalar e Universitário de Coimbra EPE Coimbra Portugal
Rheumatology Department Hospital Juárez de México Mexico City Mexico
Rheumatology Department Leiria Hospital Centre Pousos Portugal
Rheumatology Hospital San Roque de Gonnet La Plata Buenos Aires Argentina
Rheumatology Unit Hospital Universitari Vall d'Hebron Barcelona Spain
Citace poskytuje Crossref.org
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- $a Di Matteo, Andrea $u Rheumatology Unit, Department of Clinical and Molecular Sciences, 'Carlo Urbani' Hospital, Polytechnic University of Marche, Ancona, Italy andrea.dimatteo@hotmail.com $u Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK $1 https://orcid.org/0000000308677051
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- $a Power Doppler signal at the enthesis and bone erosions are the most discriminative OMERACT ultrasound lesions for SpA: results from the DEUS (Defining Enthesitis on Ultrasound in Spondyloarthritis) multicentre study / $c A. Di Matteo, G. Smerilli, S. Di Donato, AR. Liu, A. Becciolini, F. Camarda, T. Cazenave, E. Cipolletta, D. Corradini, JJ. de Agustín, GM. Destro Castaniti, E. Di Donato, L. Di Geso, E. Duran, B. Farisogullari, M. Fornaro, F. Francioso, P. Giorgis, A. Granel, C. Hernández-Díaz, R. Horvath, J. Hurnakova, D. Jesus, O. Karadag, L. Li, J. Marin, MV. Martire, X. Michelena, E. Moscioni, L. Muntean, M. Piga, M. Rosemffet, J. Rovisco, D. Sahin, F. Salaffi, L. Saraiva, C. Scioscia, MM. Tamas, S. Tanimura, A. Venetsanopoulou, L. Ventura-Rios, O. Villota, C. Villota-Eraso, PV. Voulgari, G. Vukatana, J. Zacariaz Hereter, H. Marzo-Ortega, W. Grassi, E. Filippucci
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- $a OBJECTIVES: To assess, in spondyloarthritis (SpA), the discriminative value of the Outcome Measures in Rheumatology (OMERACT) ultrasound lesions of enthesitis and their associations with clinical features in this population. METHODS: In this multicentre study involving 20 rheumatology centres, clinical and ultrasound examinations of the lower limb large entheses were performed in 413 patients with SpA (axial SpA and psoriatic arthritis) and 282 disease controls (osteoarthritis and fibromyalgia). 'Active enthesitis' was defined as (1) power Doppler (PD) at the enthesis grade ≥1 plus entheseal thickening and/or hypoechoic areas, or (2) PD grade >1 (independent of the presence of entheseal thickening and/or hypoechoic areas). RESULTS: In the univariate analysis, all OMERACT lesions except enthesophytes/calcifications showed a significant association with SpA. PD (OR=8.77, 95% CI 4.40 to 19.20, p<0.001) and bone erosions (OR=4.75, 95% CI 2.43 to 10.10, p<0.001) retained this association in the multivariate analysis. Among the lower limb entheses, only the Achilles tendon was significantly associated with SpA (OR=1.93, 95% CI 1.30 to 2.88, p<0.001) in the multivariate analyses. Active enthesitis showed a significant association with SpA (OR=9.20, 95% CI 4.21 to 23.20, p<0.001), and unlike the individual OMERACT ultrasound lesions it was consistently associated with most clinical measures of SpA disease activity and severity in the regression analyses. CONCLUSIONS: This large multicentre study assessed the value of different ultrasound findings of enthesitis in SpA, identifying the most discriminative ultrasound lesions and entheseal sites for SpA. Ultrasound could differentiate between SpA-related enthesitis and other forms of entheseal pathology (ie, mechanical enthesitis), thus improving the assessment of entheseal involvement in SpA.
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