Evaluation of the European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus in a Population Based Registry

Details

• Alternative Title:
  Arthritis Care Res (Hoboken)
• Personal Author:
  Guttmann, Allison ; Denvir, Brendan ; Aringer, Martin ; Buyon, Jill P. ; Belmont, H. Michael ; Sahl, Sara ; Salmon, Jane E. ; Askanase, Anca ; Bathon, Joan M. ; Geraldino-Pardilla, Laura ; Ali, Yousaf ; Ginzler, Ellen M. ; Putterman, Chaim ; Gordon, Caroline ; Helmick, Charles G. ; Parton, Hilary ; Izmirly, Peter M.
• Description:
  Objective
  
  Using the Manhattan Lupus Surveillance Program (MLSP), a multi-racial/ethnic population-based registry, we compared three commonly used classification criteria for Systemic Lupus Erythematosus (SLE) to identify unique cases and determine the incidence and prevalence of SLE using the EULAR/ACR criteria.
  
  Methods
  
  SLE cases were defined as fulfilling 1997 ACR, SLICC, or EULAR/ACR classification criteria. We quantified the number of cases uniquely associated with each and the number fulfilling all three. Prevalence and incidence using the EULAR/ACR classification criteria and associated 95% confidence intervals (CI) were calculated.
  
  Results
  
  1,497 cases fulfilled at least one of the three classification criteria, with 1,008 (67.3%) meeting all three classifications, 138 (9.2%) fulfilling only SLICC criteria, 35 (2.3%) fulfilling only ACR criteria and 34 (2.3%) uniquely fulfilling EULAR/ACR criteria. Patients solely satisfying EULAR/ACR criteria had fewer than four manifestations. The majority classified only by the ACR criteria did not meet any of the defined immunologic criteria. Patients fulfilling only SLICC criteria did so based on the presence of features unique to this system. Using the EULAR/ACR classification criteria, age-adjusted overall prevalence and incidence rates of SLE in Manhattan were 59.6 (95%CI:55.9-63.4) and 4.9 (95%CI 4.3-5.5) per 100,000 population, with age-adjusted prevalence and incidence rates highest among non-Hispanic Black females.
  
  Conclusion
  
  Applying the three commonly used classification criteria to a population-based registry identified patients with SLE fulfilling only one validated definition. The most recently developed EULAR/ACR classification criteria revealed similar prevalence and incidence estimates to those previously established for the ACR and SLICC classification schemes.
  
  
• Subjects:
  Female Humans Incidence Lupus Erythematosus, Systemic Prevalence Registries Rheumatology
• Source:
  Arthritis Care Res (Hoboken). 75(5):1007-1016
• Pubmed ID:
  35638708
• Pubmed Central ID:
  PMC11098446
• Document Type:
  Journal Article
• Funding:
  U58 DP002827/DP/NCCDPHP CDC HHSUnited States/ ; U58/DP002827/CC/CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  75
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bf3c644fac94a00737e86c36cd50e0dfe7c7301c266b8a3c5e414b0e6064e6de
• Download URL:
  https://stacks.cdc.gov/view/cdc/156907/cdc_156907_DS1.pdf
• File Type:
  [PDF - 465.32 KB ]