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2023 EULAR classification criteria for hand osteoarthritis

Haugen, Ida K. ; Felson, David T. ; Abhishek, Abhishek ; Berenbaum, Francis ; Bierma-Zeinstra, Sita ; Dziedzic, Krysia S. ; Edwards, John James ; Englund, Martin LU orcid ; Hermann-Eriksen, Merete and Herrero-Beaumont, Gabriel , et al. (2024) In Annals of the Rheumatic Diseases
Abstract

Objectives: The objective of this study is to develop classification criteria for overall hand osteoarthritis (OA), interphalangeal OA and thumb base OA based on self-reported data and radiographic features. Methods: The classification criteria sets were developed in three phases. In phase 1, we identified criteria that discriminated hand OA from controls. In phase 2, we used a consensus-based decision analysis approach to derive a clinician-based evaluation of the relative importance of the criteria. In phase 3, we refined the scoring system, determined the cut-offs for disease classification and compared the sensitivity and specificity of the European Alliance of Associations for Rheumatology (EULAR) criteria with the 1990 American... (More)

Objectives: The objective of this study is to develop classification criteria for overall hand osteoarthritis (OA), interphalangeal OA and thumb base OA based on self-reported data and radiographic features. Methods: The classification criteria sets were developed in three phases. In phase 1, we identified criteria that discriminated hand OA from controls. In phase 2, we used a consensus-based decision analysis approach to derive a clinician-based evaluation of the relative importance of the criteria. In phase 3, we refined the scoring system, determined the cut-offs for disease classification and compared the sensitivity and specificity of the European Alliance of Associations for Rheumatology (EULAR) criteria with the 1990 American College of Rheumatology (ACR) criteria. Results: In persons with hand symptoms and no other disease (including psoriasis) or acute injury that can explain the hand symptoms (mandatory criteria), hand OA can be classified based on age, duration of morning stiffness, number of joints with osteophytes and joint space narrowing, and concordance between symptoms and radiographic findings. Using a sum of scores based on each diagnostic element, overall hand OA can be classified if a person achieves 9 or more points on a 0-15 scale. The cut-off for interphalangeal OA and thumb base OA is 8 points. While the EULAR criteria demonstrated better sensitivity than the ACR criteria in the phase 1 data set, the performance of the two criteria sets was similar in two external cohorts. Conclusions: International experts developed the EULAR criteria to classify overall hand OA, interphalangeal OA and thumb base OA in clinical studies using a rigorous methodology.

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organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Epidemiology, Osteoarthritis, Patient Reported Outcome Measures
in
Annals of the Rheumatic Diseases
article number
ard-2023-225073
publisher
BMJ Publishing Group
external identifiers
  • pmid:38821712
  • scopus:85195077696
ISSN
0003-4967
DOI
10.1136/ard-2023-225073
language
English
LU publication?
yes
id
4b552dd1-b08a-42a4-90ce-ee086de259e3
date added to LUP
2024-09-16 15:58:55
date last changed
2024-09-16 15:59:39
@article{4b552dd1-b08a-42a4-90ce-ee086de259e3,
  abstract     = {{<p>Objectives: The objective of this study is to develop classification criteria for overall hand osteoarthritis (OA), interphalangeal OA and thumb base OA based on self-reported data and radiographic features. Methods: The classification criteria sets were developed in three phases. In phase 1, we identified criteria that discriminated hand OA from controls. In phase 2, we used a consensus-based decision analysis approach to derive a clinician-based evaluation of the relative importance of the criteria. In phase 3, we refined the scoring system, determined the cut-offs for disease classification and compared the sensitivity and specificity of the European Alliance of Associations for Rheumatology (EULAR) criteria with the 1990 American College of Rheumatology (ACR) criteria. Results: In persons with hand symptoms and no other disease (including psoriasis) or acute injury that can explain the hand symptoms (mandatory criteria), hand OA can be classified based on age, duration of morning stiffness, number of joints with osteophytes and joint space narrowing, and concordance between symptoms and radiographic findings. Using a sum of scores based on each diagnostic element, overall hand OA can be classified if a person achieves 9 or more points on a 0-15 scale. The cut-off for interphalangeal OA and thumb base OA is 8 points. While the EULAR criteria demonstrated better sensitivity than the ACR criteria in the phase 1 data set, the performance of the two criteria sets was similar in two external cohorts. Conclusions: International experts developed the EULAR criteria to classify overall hand OA, interphalangeal OA and thumb base OA in clinical studies using a rigorous methodology.</p>}},
  author       = {{Haugen, Ida K. and Felson, David T. and Abhishek, Abhishek and Berenbaum, Francis and Bierma-Zeinstra, Sita and Dziedzic, Krysia S. and Edwards, John James and Englund, Martin and Hermann-Eriksen, Merete and Herrero-Beaumont, Gabriel and Hill, Catherine and Ishimori, Mariko L. and Jonsson, Helgi and Karjalainen, Teemu and Leung, Ying Ying and Maheu, Emmanuel and Mallen, Christian D. and Marshall, Michelle and Moe, Rikke H. and Ramonda, Roberta and Ritschl, Valentin and Ritt, Marco J.P.F. and Stamm, Tanja A. and Szekanecz, Zoltan and Van Der Giesen, Florus and Van De Stadt, Lotte A. and Van Der Meulen, Coen and Wittoek, Ruth and Greibrokk, Elsie and Laheij, Hellen and Kloppenburg, Margreet}},
  issn         = {{0003-4967}},
  keywords     = {{Epidemiology; Osteoarthritis; Patient Reported Outcome Measures}},
  language     = {{eng}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{Annals of the Rheumatic Diseases}},
  title        = {{2023 EULAR classification criteria for hand osteoarthritis}},
  url          = {{http://dx.doi.org/10.1136/ard-2023-225073}},
  doi          = {{10.1136/ard-2023-225073}},
  year         = {{2024}},
}