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Comparison of EULAR/PRINTO/PReS Ankara 2008 and 2022 ACR/EULAR classification criteria for granulomatosis with polyangiitis in children
U. Kaya Akca, ED. Batu, M. Jelusic, M. Calatroni, R. Bakry, M. Frkovic, N. Vinšová, RT. Campos, A. Horne, S. Caglayan, A. Vaglio, G. Moroni, G. Emmi, GM. Ghiggeri, O. Koker, RA. Sinico, S. Kim, A. Gagro, C. Matucci-Cerinic, E. Çomak, Z. Ekici...
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, srovnávací studie, multicentrická studie
NLK
Free Medical Journals
od 1996 do Před 1 rokem
Open Access Digital Library
od 1996-01-01
Medline Complete (EBSCOhost)
od 1999-01-01 do Před 1 rokem
- MeSH
- Behcetův syndrom klasifikace diagnóza MeSH
- Churgův-Straussové syndrom diagnóza klasifikace MeSH
- dítě MeSH
- granulomatóza s polyangiitidou * klasifikace diagnóza MeSH
- IgA vaskulitida diagnóza klasifikace MeSH
- lidé MeSH
- mikroskopická polyangiitida klasifikace diagnóza MeSH
- mladiství MeSH
- polyarteritis nodosa klasifikace diagnóza MeSH
- prediktivní hodnota testů MeSH
- předškolní dítě MeSH
- retrospektivní studie MeSH
- revmatologie normy MeSH
- senzitivita a specificita * MeSH
- Takayasuova arteriitida * klasifikace diagnóza MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- srovnávací studie MeSH
- Geografické názvy
- Evropa MeSH
OBJECTIVE: Granulomatosis with polyangiitis (GPA) is an ANCA-associated vasculitis. The 2022 ACR/EULAR-endorsed classification criteria for GPA was derived using data only from adult patients. We aimed to assess the performance of the ACR/EULAR classification criteria for GPA in paediatric patients and compare it with the EULAR/Pediatric Rheumatology International Trials Organization (PRINTO)/Pediatric Rheumatology European Society (PReS)-endorsed Ankara 2008 criteria for GPA. METHODS: Retrospective data of paediatric patients with GPA in 20 centres from 9 countries were evaluated. The diagnosis of GPA was made according to the expert opinion. The sensitivity, specificity, positive predictive value, and negative predictive value of the criteria sets were evaluated. RESULTS: The study included 77 patients with GPA and 108 controls [IgA vasculitis (n = 44), Takayasu's arteritis (n = 20), microscopic polyangiitis (n = 16), polyarteritis nodosa (n = 14), Behçet's disease (n = 12), eosinophilic granulomatosis with polyangiitis (n = 1) and Cogan's syndrome (n = 1)] with a median age of 17.8 and 15.2 years, respectively. Among patients with GPA, constitutional symptoms (85.7%) and ENT involvement (79.2%) were the most common presentations. In the GPA group, 73 patients fulfilled the Ankara 2008 criteria and 69 the ACR/EULAR classification criteria. Sensitivities of the Ankara 2008 criteria and the ACR/EULAR classification criteria were 94.8% and 89.6%, while specificities were 95.3% and 96.3%, respectively. No significant difference was found between sensitivities and specificities of both classification criteria (P = 0.229 and P = 0.733, respectively). CONCLUSION: In children, both the ACR/EULAR and EULAR/PRINTO/PReS Ankara 2008 classification criteria for GPA perform well and similarly.
Department of Biomedical Sciences Humanitas University Milan Italy
Department of Paediatric Rheumatology Astrid Lindgren Children's Hospital Stockholm Sweden
Department of Pediatric Rheumatology Ankara City Hospital Ankara Turkey
Department of Pediatric Rheumatology Hacettepe University Faculty of Medicine Ankara Turkey
Department of Pediatric Rheumatology Marmara University Medical School Istanbul Turkey
Department of Pediatric Rheumatology Umraniye Training and Research Hospital Istanbul Turkey
Division of Nephrology Dialysis Transplantation IRCCS Istituto Giannina Gaslini Genoa Italy
Division of Pediatric Rheumatology University of California San Francisco California USA
Division of Rheumatology Department of Medicine
Nephrology and Dialysis Division IRCCS Humanitas Research Hospital Milan Italy
Pediatric Nephrology and Rheumatology Faculty of Medicine Akdeniz University Antalya Turkey
Pediatric Rheumatology East Jeddah Hospital Jeddah Saudi Arabia
UOC Rheumatology and Autoinflammatory diseases IRCCS Istituto Giannina Gaslini Genoa Italy
Citace poskytuje Crossref.org
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- $a Kaya Akca, Ummusen $u Department of Pediatric Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey $1 https://orcid.org/0000000204269432
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- $a Comparison of EULAR/PRINTO/PReS Ankara 2008 and 2022 ACR/EULAR classification criteria for granulomatosis with polyangiitis in children / $c U. Kaya Akca, ED. Batu, M. Jelusic, M. Calatroni, R. Bakry, M. Frkovic, N. Vinšová, RT. Campos, A. Horne, S. Caglayan, A. Vaglio, G. Moroni, G. Emmi, GM. Ghiggeri, O. Koker, RA. Sinico, S. Kim, A. Gagro, C. Matucci-Cerinic, E. Çomak, Z. Ekici Tekin, E. Arslanoglu Aydin, M. Heshin-Bekenstein, BC. Acar, M. Gattorno, S. Akman, B. Sozeri, K. Palmblad, SM. Al-Mayouf, CA. Silva, P. Doležalová, PA. Merkel, S. Ozen
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- $a OBJECTIVE: Granulomatosis with polyangiitis (GPA) is an ANCA-associated vasculitis. The 2022 ACR/EULAR-endorsed classification criteria for GPA was derived using data only from adult patients. We aimed to assess the performance of the ACR/EULAR classification criteria for GPA in paediatric patients and compare it with the EULAR/Pediatric Rheumatology International Trials Organization (PRINTO)/Pediatric Rheumatology European Society (PReS)-endorsed Ankara 2008 criteria for GPA. METHODS: Retrospective data of paediatric patients with GPA in 20 centres from 9 countries were evaluated. The diagnosis of GPA was made according to the expert opinion. The sensitivity, specificity, positive predictive value, and negative predictive value of the criteria sets were evaluated. RESULTS: The study included 77 patients with GPA and 108 controls [IgA vasculitis (n = 44), Takayasu's arteritis (n = 20), microscopic polyangiitis (n = 16), polyarteritis nodosa (n = 14), Behçet's disease (n = 12), eosinophilic granulomatosis with polyangiitis (n = 1) and Cogan's syndrome (n = 1)] with a median age of 17.8 and 15.2 years, respectively. Among patients with GPA, constitutional symptoms (85.7%) and ENT involvement (79.2%) were the most common presentations. In the GPA group, 73 patients fulfilled the Ankara 2008 criteria and 69 the ACR/EULAR classification criteria. Sensitivities of the Ankara 2008 criteria and the ACR/EULAR classification criteria were 94.8% and 89.6%, while specificities were 95.3% and 96.3%, respectively. No significant difference was found between sensitivities and specificities of both classification criteria (P = 0.229 and P = 0.733, respectively). CONCLUSION: In children, both the ACR/EULAR and EULAR/PRINTO/PReS Ankara 2008 classification criteria for GPA perform well and similarly.
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