Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus
Autor(a) principal: | |
---|---|
Data de Publicação: | 2011 |
Outros Autores: | , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1002/acr.20507 http://hdl.handle.net/11449/13202 |
Resumo: | Objective. To develop widely acceptable preliminary criteria of global flare for childhood-onset systemic lupus erythematosus (cSLE).Methods. Pediatric rheumatologists (n = 138) rated a total of 358 unique patient profiles with information about the cSLE flare descriptors from 2 consecutive visits: patient global assessment of well-being, physician global assessment of disease activity (MD-global), health-related quality of life, anti-double-stranded DNA antibodies, disease activity index scores, protein: creatinine (P:C) ratio, complement levels, and erythrocyte sedimentation rate (ESR). Based on 2,996 rater responses about the course of cSLE (baseline versus followup), the accuracy (sensitivity, specificity, and area under the receiver operating characteristic curve) of candidate flare criteria was assessed. An international consensus conference was held to rank these candidate flare criteria as per the American College of Rheumatology recommendations for the development and validation of criteria sets.Results. The highest-ranked candidate criteria considered absolute changes (Delta) of the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) or British Isles Lupus Assessment Group (BILAG), MD-global, P:C ratio, and ESR; flare scores can be calculated (0.5 x Delta SLEDAI + 0.45 x Delta P:C ratio + 0.5 x Delta MD-global + 0.02 x Delta ESR), where values of >= 1.04 are reflective of a flare. Similarly, BILAG-based flare scores (0.4 x Delta BILAG + Delta 0.65 x Delta P:C ratio + 0.5 + Delta MD-global + 0.02 x Delta ESR) of >= 1.15 were diagnostic of a flare. Flare scores increased with flare severity.Conclusion. Consensus has been reached on preliminary criteria for global flares in cSLE. Further validation studies are needed to confirm the usefulness of the cSLE flare criteria in research and for clinical care. |
id |
UNSP_0e83220aa9c260d3be173992e878fc14 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/13202 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus ErythematosusObjective. To develop widely acceptable preliminary criteria of global flare for childhood-onset systemic lupus erythematosus (cSLE).Methods. Pediatric rheumatologists (n = 138) rated a total of 358 unique patient profiles with information about the cSLE flare descriptors from 2 consecutive visits: patient global assessment of well-being, physician global assessment of disease activity (MD-global), health-related quality of life, anti-double-stranded DNA antibodies, disease activity index scores, protein: creatinine (P:C) ratio, complement levels, and erythrocyte sedimentation rate (ESR). Based on 2,996 rater responses about the course of cSLE (baseline versus followup), the accuracy (sensitivity, specificity, and area under the receiver operating characteristic curve) of candidate flare criteria was assessed. An international consensus conference was held to rank these candidate flare criteria as per the American College of Rheumatology recommendations for the development and validation of criteria sets.Results. The highest-ranked candidate criteria considered absolute changes (Delta) of the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) or British Isles Lupus Assessment Group (BILAG), MD-global, P:C ratio, and ESR; flare scores can be calculated (0.5 x Delta SLEDAI + 0.45 x Delta P:C ratio + 0.5 x Delta MD-global + 0.02 x Delta ESR), where values of >= 1.04 are reflective of a flare. Similarly, BILAG-based flare scores (0.4 x Delta BILAG + Delta 0.65 x Delta P:C ratio + 0.5 + Delta MD-global + 0.02 x Delta ESR) of >= 1.15 were diagnostic of a flare. Flare scores increased with flare severity.Conclusion. Consensus has been reached on preliminary criteria for global flares in cSLE. Further validation studies are needed to confirm the usefulness of the cSLE flare criteria in research and for clinical care.NIHNational Institute of Arthritis and Musculoskeletal and Skin DiseasesUniv Cincinnati, Cincinnati Childrens Hosp, Med Ctr, William S Rowe Div Rheumatol, Cincinnati, OH 45229 USAGreat Ormond St Hosp Sick Children, London, EnglandUniv Coll Hosp, London, EnglandUniv Liverpool, Alder Hey Childrens Natl Hlth Serv Fdn Trust, Liverpool L69 3BX, Merseyside, EnglandChildrens Hosp Los Angeles, Los Angeles, CA 90027 USAHosp Sick Children, Toronto, on M5G 1X8, CanadaBritish Columbia Childrens Hosp, Vancouver, BC V6H 3V4, CanadaSteven & Alexandra Cohen Childrens Med Ctr New Yo, New York, NY USAUniv Genoa, Ist Giannina Gaslini, Genoa, ItalyDuke Univ, Med Ctr, Durham, NC USAUniv Estadual Paulista, São Paulo, BrazilNationwide Childrens Hosp, Columbus, OH USAOhio State Univ, Columbus, OH 43210 USAUniv Chicago, Comer Childrens Hosp, Chicago, IL 60637 USACase Western Reserve Univ, Cleveland, OH 44106 USAMetrohlth Med Ctr, Cleveland, OH USAUniv Calif San Francisco, San Francisco, CA 94143 USAChildrens Mem Hosp, Chicago, IL 60614 USATexas Scottish Rite Hosp Crippled Children, Dallas, TX USAUniv Cincinnati, Cincinnati, OH USAUniv Estadual Paulista, São Paulo, BrazilNIH: 5U01-AR51868NIH: P30-AR AR47363NIH: P60-AR047884NIH: 2UL1RR026314National Institute of Arthritis and Musculoskeletal and Skin Diseases: T32100291National Institute of Arthritis and Musculoskeletal and Skin Diseases: K23AR053202Wiley-BlackwellUniv CincinnatiGreat Ormond St Hosp Sick ChildrenUniv Coll HospUniv LiverpoolChildrens Hosp Los AngelesHosp Sick ChildrenBritish Columbia Childrens HospSteven & Alexandra Cohen Childrens Med Ctr New YoUniv GenoaDuke UnivUniversidade Estadual Paulista (Unesp)Nationwide Childrens HospOhio State UnivUniv ChicagoCase Western Reserve UnivMetrohlth Med CtrUniv Calif San FranciscoChildrens Mem HospTexas Scottish Rite Hosp Crippled ChildrenBrunner, Hermine I.Mina, RinaPilkington, ClarissaBeresford, Michael W.Reiff, AndreasLevy, Deborah M.Tucker, Lori B.Eberhard, B. AnneRavelli, AngeloSchanberg, Laura E.Saad-Magalhaes, Claudia [UNESP]Higgins, Gloria C.Onel, KarenSinger, Nora G.von Scheven, EmilyItert, LukaszKlein-Gitelman, Marisa S.Punaro, MarilynnYing, JunGiannini, Edward H.2014-05-20T13:38:03Z2014-05-20T13:38:03Z2011-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1213-1223http://dx.doi.org/10.1002/acr.20507Arthritis Care & Research. Malden: Wiley-blackwell, v. 63, n. 9, p. 1213-1223, 2011.2151-464Xhttp://hdl.handle.net/11449/1320210.1002/acr.20507WOS:00029525490000170983100083716320000-0002-7631-7093Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArthritis Care & Research4.149info:eu-repo/semantics/openAccess2021-12-06T18:30:22Zoai:repositorio.unesp.br:11449/13202Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-12-06T18:30:22Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus |
title |
Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus |
spellingShingle |
Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus Brunner, Hermine I. |
title_short |
Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus |
title_full |
Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus |
title_fullStr |
Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus |
title_full_unstemmed |
Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus |
title_sort |
Preliminary Criteria for Global Flares in Childhood-Onset Systemic Lupus Erythematosus |
author |
Brunner, Hermine I. |
author_facet |
Brunner, Hermine I. Mina, Rina Pilkington, Clarissa Beresford, Michael W. Reiff, Andreas Levy, Deborah M. Tucker, Lori B. Eberhard, B. Anne Ravelli, Angelo Schanberg, Laura E. Saad-Magalhaes, Claudia [UNESP] Higgins, Gloria C. Onel, Karen Singer, Nora G. von Scheven, Emily Itert, Lukasz Klein-Gitelman, Marisa S. Punaro, Marilynn Ying, Jun Giannini, Edward H. |
author_role |
author |
author2 |
Mina, Rina Pilkington, Clarissa Beresford, Michael W. Reiff, Andreas Levy, Deborah M. Tucker, Lori B. Eberhard, B. Anne Ravelli, Angelo Schanberg, Laura E. Saad-Magalhaes, Claudia [UNESP] Higgins, Gloria C. Onel, Karen Singer, Nora G. von Scheven, Emily Itert, Lukasz Klein-Gitelman, Marisa S. Punaro, Marilynn Ying, Jun Giannini, Edward H. |
author2_role |
author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Univ Cincinnati Great Ormond St Hosp Sick Children Univ Coll Hosp Univ Liverpool Childrens Hosp Los Angeles Hosp Sick Children British Columbia Childrens Hosp Steven & Alexandra Cohen Childrens Med Ctr New Yo Univ Genoa Duke Univ Universidade Estadual Paulista (Unesp) Nationwide Childrens Hosp Ohio State Univ Univ Chicago Case Western Reserve Univ Metrohlth Med Ctr Univ Calif San Francisco Childrens Mem Hosp Texas Scottish Rite Hosp Crippled Children |
dc.contributor.author.fl_str_mv |
Brunner, Hermine I. Mina, Rina Pilkington, Clarissa Beresford, Michael W. Reiff, Andreas Levy, Deborah M. Tucker, Lori B. Eberhard, B. Anne Ravelli, Angelo Schanberg, Laura E. Saad-Magalhaes, Claudia [UNESP] Higgins, Gloria C. Onel, Karen Singer, Nora G. von Scheven, Emily Itert, Lukasz Klein-Gitelman, Marisa S. Punaro, Marilynn Ying, Jun Giannini, Edward H. |
description |
Objective. To develop widely acceptable preliminary criteria of global flare for childhood-onset systemic lupus erythematosus (cSLE).Methods. Pediatric rheumatologists (n = 138) rated a total of 358 unique patient profiles with information about the cSLE flare descriptors from 2 consecutive visits: patient global assessment of well-being, physician global assessment of disease activity (MD-global), health-related quality of life, anti-double-stranded DNA antibodies, disease activity index scores, protein: creatinine (P:C) ratio, complement levels, and erythrocyte sedimentation rate (ESR). Based on 2,996 rater responses about the course of cSLE (baseline versus followup), the accuracy (sensitivity, specificity, and area under the receiver operating characteristic curve) of candidate flare criteria was assessed. An international consensus conference was held to rank these candidate flare criteria as per the American College of Rheumatology recommendations for the development and validation of criteria sets.Results. The highest-ranked candidate criteria considered absolute changes (Delta) of the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) or British Isles Lupus Assessment Group (BILAG), MD-global, P:C ratio, and ESR; flare scores can be calculated (0.5 x Delta SLEDAI + 0.45 x Delta P:C ratio + 0.5 x Delta MD-global + 0.02 x Delta ESR), where values of >= 1.04 are reflective of a flare. Similarly, BILAG-based flare scores (0.4 x Delta BILAG + Delta 0.65 x Delta P:C ratio + 0.5 + Delta MD-global + 0.02 x Delta ESR) of >= 1.15 were diagnostic of a flare. Flare scores increased with flare severity.Conclusion. Consensus has been reached on preliminary criteria for global flares in cSLE. Further validation studies are needed to confirm the usefulness of the cSLE flare criteria in research and for clinical care. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-09-01 2014-05-20T13:38:03Z 2014-05-20T13:38:03Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1002/acr.20507 Arthritis Care & Research. Malden: Wiley-blackwell, v. 63, n. 9, p. 1213-1223, 2011. 2151-464X http://hdl.handle.net/11449/13202 10.1002/acr.20507 WOS:000295254900001 7098310008371632 0000-0002-7631-7093 |
url |
http://dx.doi.org/10.1002/acr.20507 http://hdl.handle.net/11449/13202 |
identifier_str_mv |
Arthritis Care & Research. Malden: Wiley-blackwell, v. 63, n. 9, p. 1213-1223, 2011. 2151-464X 10.1002/acr.20507 WOS:000295254900001 7098310008371632 0000-0002-7631-7093 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Arthritis Care & Research 4.149 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1213-1223 |
dc.publisher.none.fl_str_mv |
Wiley-Blackwell |
publisher.none.fl_str_mv |
Wiley-Blackwell |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799965361690378240 |