Osteoarthritis

2023 EULAR classification criteria for hand osteoarthritis

Ann Rheum DisPublished Classification criteria development study

Authors' conclusion

International experts developed the EULAR criteria to classify overall hand OA, interphalangeal OA and thumb base OA in clinical studies using a rigorous methodology.

Study context

Population
Persons with hand symptoms and no other disease (including psoriasis) or acute injury explaining them
Comparison
EULAR criteria vs 1990 American College of Rheumatology (ACR) criteria
Outcome
Classification criteria for overall hand OA, interphalangeal OA and thumb base OA based on self-reported data and radiographic features
Methodological detailsthree phases, consensus-based decision analysis
  • Three phases
  • Consensus-based decision analysis

Recommendations

As reported in the abstract

Classification criteria

Overall hand osteoarthritis (OA) classified at ≥9 points on a 0-15 scale

9

Cut-off for interphalangeal OA and thumb base OA

8

Further findings

EULAR criteria better sensitivity than ACR criteria in phase 1 data set
Performance of the two criteria sets similar in two external cohorts

Original publication

2023 EULAR classification criteria for hand osteoarthritis. Ann Rheum Dis. Published 21 October 2024. doi:10.1136/ard-2023-225073

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