Reliability Exercise for the Polymyalgia Rheumatica Classification Criteria Study: The Oranjewoud Ultrasound Substudy
Open Access
- 14 June 2009
- journal article
- research article
- Published by Hindawi Limited in International Journal of Rheumatology
- Vol. 2009, 1-5
- https://doi.org/10.1155/2009/738931
Abstract
Objective. A study supported by the EULAR and the ACR being conducted to establish classification criteria for polymyalgia rheumatica (PMR) will include ultrasound examination of the shoulders and hips. Ultrasound (US) depicts glenohumeral joint effusion, biceps tenosynovitis, subdeltoid bursitis, hip joint synovitis, and trochanteric bursitis in PMR. These findings may aid in distinguishing PMR from other diseases. The purpose of this study was to assess standards and US interreader agreement of participants in the PMR classification criteria study.Methods. Sixteen physicians in four groups examined shoulders and hips of 4 patients and 4 healthy adults with ultrasound. Overall agreement and interobserver agreement were calculated.Results. The overall agreement (OA) between groups was 87%. The OA for healthy shoulders was 88.8%, for healthy hips 100%, for shoulders with pathology 85.2%, and 74.3% for hips with pathology, respectively.Conclusion. There was a high degree of agreement found for the examination of healthy shoulders and pathologic hips. Agreement was moderate for pathologic shoulders and perfect for healthy hips. US of shoulder and hips performed by different examiners is a reliable and feasible tool for assessment of PMR related disease pathology and can be incorporated into a classification criteria study.Keywords
Funding Information
- American College of Rheumatology Research and Education Foundation
This publication has 10 references indexed in Scilit:
- Developing classification criteria for polymyalgia rheumatica: comparison of views from an expert panel and wider survey.2007
- The OMERACT Ultrasound Group: status of current activities and research directions.2007
- Inflammatory changes of hip synovial structures in polymyalgia rheumatica.2005
- Interobserver reliability of rheumatologists performing musculoskeletal ultrasonography: results from a EULAR "Train the trainers" courseAnnals Of The Rheumatic Diseases, 2005
- Evidence for synovitis in active polymyalgia rheumatica: sonographic study in a large series of patients.2002
- Guidelines for musculoskeletal ultrasound in rheumatologyAnnals Of The Rheumatic Diseases, 2001
- Shoulder ultrasonography in the diagnosis of polymyalgia rheumatica: a case-control study.2001
- Ultrasonography of the glenohumeral joints--a helpful instrument in differentiation in elderly onset rheumatoid arthritis and polymyalgia rheumatica.Rheumatology International, 2000
- Shoulder involvement in rheumatic diseases. Sonographic findings.1999
- ULTRASONOGRAPHIC EVIDENCE OF SYNOVITIS IN AXIAL JOINTS IN PATIENTS WITH POLYMYALGIA RHEUMATICARheumatology, 1992