American College of Rheumatology provisional criteria for defining clinical inactive disease in select categories of juvenile idiopathic arthritis
Top Cited Papers
Open Access
- 29 June 2011
- journal article
- research article
- Published by Wiley in Arthritis Care & Research
- Vol. 63 (7), 929-936
- https://doi.org/10.1002/acr.20497
Abstract
Objective To prospectively validate the preliminary criteria for clinical inactive disease (CID) in patients with select categories of juvenile idiopathic arthritis (JIA). Methods We used the process for development of classification and response criteria recommended by the American College of Rheumatology Quality of Care Committee. Patient‐visit profiles were extracted from the phase III randomized controlled trial of infliximab in polyarticular‐course JIA (i.e., patients considered to resemble those with select categories of JIA) and sent to an international group of expert physician raters. Using the physician ratings as the gold standard, the sensitivity and specificity were calculated using the preliminary criteria. Modifications to the criteria were made, and these were sent to a larger group of pediatric rheumatologists to determine quantitative, face, and content validity. Results Variables weighted heaviest by physicians when making their judgment were the number of joints with active arthritis, erythrocyte sedimentation rate (ESR), physician's global assessment, and duration of morning stiffness. Three modifications were made: the definition of uveitis, the definition of abnormal ESR, and the addition of morning stiffness. These changes did not alter the accuracy of the preliminary set. Conclusion The modified criteria, termed the “criteria for CID in select categories of JIA,” have excellent feasibility and face, content, criterion, and discriminant validity to detect CID in select categories of JIA. The small changes made to the preliminary criteria set did not alter the area under the receiver operating characteristic curve (0.954) or accuracy (91%), but have increased face and content validity.Keywords
This publication has 25 references indexed in Scilit:
- Defining remission in rheumatoid arthritis: Results of an initial american college of rheumatology/european league against rheumatism consensus conferenceArthritis Care & Research, 2009
- The meaning of clinical remission in polyarticular juvenile idiopathic arthritis: Gene expression profiling in peripheral blood mononuclear cells identifies distinct disease statesArthritis & Rheumatism, 2009
- A severity scoring tool to assess the neurological features of neuronopathic Gaucher diseaseJournal of Inherited Metabolic Disease, 2007
- Development of a provisional core set of response measures for clinical trials of systemic sclerosisAnnals Of The Rheumatic Diseases, 2007
- Development of classification and response criteria for rheumatic diseasesArthritis Care & Research, 2006
- The Pediatric Rheumatology International Trials Organization/American College of Rheumatology provisional criteria for the evaluation of response to therapy in juvenile systemic lupus erythematosus: Prospective validation of the definition of improvementArthritis Care & Research, 2006
- Long-term outcomes and predictors of outcomes for patients with juvenile idiopathic arthritisBest Practice & Research Clinical Rheumatology, 2002
- The Delphi techniqueNursing Standard, 1999
- American college of rheumatology preliminary definition of improvement in rheumatoid arthritisArthritis & Rheumatism, 1995
- Measuring nominal scale agreement among many raters.Psychological Bulletin, 1971