Rheumatoid arthritis

Combination of scavenger receptor-A with anti-cyclic citrullinated peptide antibody for the diagnosis of rheumatoid arthritis

Rheumatology (Oxford)Published Diagnostic accuracy study

Performance · Diagnostic accuracy for RAResult — go to the resultIncrease in sensitivity 13%

Authors' conclusion

SR-A and anti-CCP dual combination could potentially improve early diagnosis of RA

Study context

Population
RA patients, healthy controls and patients with other common rheumatic diseases, from three cohorts
Participants
1,129 patients3 cohorts
Comparison
Scavenger receptor-A (SR-A) and anti-CCP dual combination vs anti-CCP alone for RA diagnosis
Outcome
Diagnostic performance for RA (covariate-adjusted ROC, sensitivity, specificity, clinical association)
Methodological detailsmulticentre, large-scale, pilot study then validation, covariate-adjusted ROC
  • Multicentre
  • Large-scale
  • Pilot study then validation
  • Covariate-adjusted ROC

Performance

Diagnostic accuracy for RA

Increase in sensitivity

13%

By group

SR-A + anti-CCP

Sensitivity
87%
Specificity
90%

anti-CCP

74%

sensitivity

As reported in the abstract

Further findings

Diagnostic accuracy in early RA (subgroup)

increase in sensitivity 7%

Sensitivity

Specificity SR-A + anti-CCP 94%

Clinical association

SR-A and anti-CCP dual combination correlated with ESR, IgM and autoantibodies of RA patients

Original publication

Combination of scavenger receptor-A with anti-cyclic citrullinated peptide antibody for the diagnosis of rheumatoid arthritis. Rheumatology (Oxford). Published 23 May 2024. doi:10.1093/rheumatology/keae297

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