Ultrasound definition of tendon damage in patients with rheumatoid arthritis. Results of a OMERACT consensus-based ultrasound score focussing on the diagnostic reliability
Language English Country United States Media print-electronic
Document type Consensus Development Conference, Journal Article, Research Support, Non-U.S. Gov't
Grant support
19335
Versus Arthritis - United Kingdom
20666
Versus Arthritis - United Kingdom
PubMed
23940212
DOI
10.1136/annrheumdis-2013-203596
PII: S0003-4967(24)09814-5
Knihovny.cz E-resources
- Keywords
- Rheumatoid Arthritis, Tendinitis, Ultrasonography,
- MeSH
- Delphi Technique MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Observer Variation MeSH
- Tendon Injuries diagnostic imaging etiology MeSH
- Reproducibility of Results MeSH
- Arthritis, Rheumatoid complications diagnostic imaging MeSH
- Rupture diagnostic imaging etiology MeSH
- Aged MeSH
- Tendons diagnostic imaging MeSH
- Severity of Illness Index MeSH
- Tenosynovitis diagnostic imaging etiology MeSH
- Ultrasonography MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Consensus Development Conference MeSH
- Research Support, Non-U.S. Gov't MeSH
OBJECTIVE: To develop the first ultrasound scoring system of tendon damage in rheumatoid arthritis (RA) and assess its intraobserver and interobserver reliability. METHODS: We conducted a Delphi study on ultrasound-defined tendon damage and ultrasound scoring system of tendon damage in RA among 35 international rheumatologists with experience in musculoskeletal ultrasound. Twelve patients with RA were included and assessed twice by 12 rheumatologists-sonographers. Ultrasound examination for tendon damage in B mode of five wrist extensor compartments (extensor carpi radialis brevis and longus; extensor pollicis longus; extensor digitorum communis; extensor digiti minimi; extensor carpi ulnaris) and one ankle tendon (tibialis posterior) was performed blindly, independently and bilaterally in each patient. Intraobserver and interobserver reliability were calculated by κ coefficients. RESULTS: A three-grade semiquantitative scoring system was agreed for scoring tendon damage in B mode. The mean intraobserver reliability for tendon damage scoring was excellent (κ value 0.91). The mean interobserver reliability assessment showed good κ values (κ value 0.75). The most reliable were the extensor digiti minimi, the extensor carpi ulnaris, and the tibialis posterior tendons. An ultrasound reference image atlas of tenosynovitis and tendon damage was also developed. CONCLUSIONS: Ultrasound is a reproducible tool for evaluating tendon damage in RA. This study strongly supports a new reliable ultrasound scoring system for tendon damage.
Academic Unit of Musculoskeletal Disease University of Leeds Leeds UK
Department of Rheumatology Charite University Hospital Berlin Germany
Department of Rheumatology Copenhagen University Hospital at Glostrup Copenhagen Denmark
Department of Rheumatology Hospital General Universitario Gregorio Marañón Madrid Spain
Department of Rheumatology Institute of Rheumatology Prague Czech Republic
Department of Rheumatology Instituto Poal Barcelona Spain
Department of Rheumatology National Institute of Rehabilitation Mexico City Mexico
Department of Rheumatology National Institute of Rheumatology and Physiotherapy Budapest Hungary
Department of Rheumatology Sapienza Università di Roma Rome Italy
Department of Rheumatology VU Medisch Centrum Amsterdam The Netherlands
Rheumatology Department MC Groep Hospitals Lelystad The Netherlands
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