Validity of polymyalgia rheumatica diagnoses and classification criteria in primary health care
(2019) In Rheumatology Advances in Practice 3(2).- Abstract
Objectives: PMR is an inflammatory disease with prominent morning stiffness and muscular tenderness, usually diagnosed in primary health care (PHC). The objectives were to examine the validity of PMR diagnoses in PHC and to validate the use of classification criteria for PMR.
Methods: Medical records for patients with a registered PMR diagnosis at two PHC facilities were reviewed. Patients were classified according to several sets of criteria. An independent review, with assessment of the PMR diagnosis, was performed by an experienced rheumatologist.
Results: Of 188 patients, the PMR diagnosis was in agreement with the independent review in 60% overall, in 84% of those fulfilling a modified version of the ACR/EULAR... (More)
Objectives: PMR is an inflammatory disease with prominent morning stiffness and muscular tenderness, usually diagnosed in primary health care (PHC). The objectives were to examine the validity of PMR diagnoses in PHC and to validate the use of classification criteria for PMR.
Methods: Medical records for patients with a registered PMR diagnosis at two PHC facilities were reviewed. Patients were classified according to several sets of criteria. An independent review, with assessment of the PMR diagnosis, was performed by an experienced rheumatologist.
Results: Of 188 patients, the PMR diagnosis was in agreement with the independent review in 60% overall, in 84% of those fulfilling a modified version of the ACR/EULAR classification criteria and in 52% of those who did not. The corresponding proportions for the Bird criteria were 66 and 31%, and for the Healey criteria 74 and 42%. In 74% of the medical records, documentation on morning stiffness was missing. Rheumatoid factor was tested in 22% and anti-CCP antibodies in 15%.
Conclusion: In this study of patients with PMR diagnosed in PHC, the diagnosis was supported by the independent review in 60% of the patients. Documentation on morning stiffness and testing for autoantibodies were limited. A modified version of the ACR/EULAR criteria can be used to identify patients with a valid PMR diagnosis in retrospective surveys but does not capture all PMR patients. The modified ACR/EULAR criteria may be more stringent than some of the older criteria sets.
(Less)
- author
- Fors, Charlotta LU ; Bergström, Ulf LU ; Willim, Minna LU ; Pilman, Eva and Turesson, Carl LU
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Rheumatology Advances in Practice
- volume
- 3
- issue
- 2
- article number
- rkz033
- publisher
- Oxford University Press
- external identifiers
-
- pmid:31660474
- scopus:85090330549
- ISSN
- 2514-1775
- DOI
- 10.1093/rap/rkz033
- language
- English
- LU publication?
- yes
- additional info
- © The Author(s) 2019. Published by Oxford University Press on behalf of the British Society for Rheumatology.
- id
- 04542a3c-307f-4895-88b3-f9feb30a1cce
- date added to LUP
- 2021-01-21 13:12:22
- date last changed
- 2024-05-13 18:17:35
@article{04542a3c-307f-4895-88b3-f9feb30a1cce,
abstract = {{<p>Objectives: PMR is an inflammatory disease with prominent morning stiffness and muscular tenderness, usually diagnosed in primary health care (PHC). The objectives were to examine the validity of PMR diagnoses in PHC and to validate the use of classification criteria for PMR.</p><p>Methods: Medical records for patients with a registered PMR diagnosis at two PHC facilities were reviewed. Patients were classified according to several sets of criteria. An independent review, with assessment of the PMR diagnosis, was performed by an experienced rheumatologist.</p><p>Results: Of 188 patients, the PMR diagnosis was in agreement with the independent review in 60% overall, in 84% of those fulfilling a modified version of the ACR/EULAR classification criteria and in 52% of those who did not. The corresponding proportions for the Bird criteria were 66 and 31%, and for the Healey criteria 74 and 42%. In 74% of the medical records, documentation on morning stiffness was missing. Rheumatoid factor was tested in 22% and anti-CCP antibodies in 15%.</p><p>Conclusion: In this study of patients with PMR diagnosed in PHC, the diagnosis was supported by the independent review in 60% of the patients. Documentation on morning stiffness and testing for autoantibodies were limited. A modified version of the ACR/EULAR criteria can be used to identify patients with a valid PMR diagnosis in retrospective surveys but does not capture all PMR patients. The modified ACR/EULAR criteria may be more stringent than some of the older criteria sets.</p>}},
author = {{Fors, Charlotta and Bergström, Ulf and Willim, Minna and Pilman, Eva and Turesson, Carl}},
issn = {{2514-1775}},
language = {{eng}},
number = {{2}},
publisher = {{Oxford University Press}},
series = {{Rheumatology Advances in Practice}},
title = {{Validity of polymyalgia rheumatica diagnoses and classification criteria in primary health care}},
url = {{http://dx.doi.org/10.1093/rap/rkz033}},
doi = {{10.1093/rap/rkz033}},
volume = {{3}},
year = {{2019}},
}