Sjögren's disease & overlap diseases

Added value of the salivary gland ultrasonography OMERACT score in the ACR/EULAR classification criteria for Sjögren's disease

Semin Arthritis RheumPublished Diagnostic accuracy study

Authors' conclusion

The accuracy of the ACR/EULAR classification criteria for predicting the clinical diagnosis of SjD remained excellent after incorporating the SGUS OMERACT score and extends the diagnostic options in patients suspected with SjD.

Study context

Population
Patients visiting the Sjögren Expertise centre, University Medical Center Groningen, for a diagnostic trajectory because of suspicion of Sjögren's disease (SjD)
Participants
419 consecutive patients
Comparison
Salivary gland ultrasonography (SGUS) OMERACT score alone and added to the 2016 ACR/EULAR classification criteria, vs total SGUS Hocevar score, for predicting clinical diagnosis of SjD
Outcome
Accuracy (ROC analysis) to predict clinical diagnosis of SjD
Methodological detailsconsecutive patients, single-centre
  • Consecutive patients
  • Single-centre

Performance

As reported in the abstract

Accuracy to predict clinical diagnosis of SjD
Test or modelAUCSensitivitySpecificity
Highest SGUS OMERACT score0.849— not stated in the abstract— not stated in the abstract
Total SGUS OMERACT score0.868— not stated in the abstract— not stated in the abstract
Total Hocevar score0.864— not stated in the abstract— not stated in the abstract
ACR/EULAR criteria + highest SGUS OMERACT score0.97496.4%86.5%

AUC

Highest SGUS OMERACT score0.849
Total SGUS OMERACT score0.868
Total Hocevar score0.864
ACR/EULAR criteria + highest SGUS OMERACT score0.974

Sensitivity

Highest SGUS OMERACT score— not stated in the abstract
Total SGUS OMERACT score— not stated in the abstract
Total Hocevar score— not stated in the abstract
ACR/EULAR criteria + highest SGUS OMERACT score96.4%

Specificity

Highest SGUS OMERACT score— not stated in the abstract
Total SGUS OMERACT score— not stated in the abstract
Total Hocevar score— not stated in the abstract
ACR/EULAR criteria + highest SGUS OMERACT score86.5%

— not stated in the abstract

Original publication

Added value of the salivary gland ultrasonography OMERACT score in the ACR/EULAR classification criteria for Sjögren's disease. Semin Arthritis Rheum. Published 21 May 2024. doi:10.1016/j.semarthrit.2024.152473

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