Across rheumatic diseases

Development of START, a novel multimedia-based symptom appraisal tool for autoimmune rheumatic diseases

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

A novel multimedia-based symptom appraisal tool for ARDs was developed, which addresses the limitations of existing tools and exhibited promising sensitivity and specificity in detecting patients with known ARDs.

Study context

Population
Established ARD cases, non-ARD patients and healthy controls
Participants
145 / 133 / 155
Comparison
START symptom appraisal tool in ARD cases vs non-ARD controls
  • Autoimmune rheumatic diseases (ARDs)n = 145
  • Non-ARDsn = 133reference
  • Healthy controlsn = 155reference
Outcome
Sensitivity, specificity and test-retest reliability of START in detecting patients with known ARDs
Methodological detailstool development, expert panel consensus, cognitive debriefing interviews, pilot test
  • Tool development
  • Expert panel consensus
  • Cognitive debriefing interviews
  • Pilot test

Performance

As reported in the abstract

Detection of any ARD by START
Test or modelSensitivitySpecificityTest-retest reliability
START86.2%80.9%0.789

START

Sensitivity86.2%
Specificity80.9%
Test-retest reliability0.789

Further findings

Tool development: manifestations reaching expert consensus for content validity

Manifestations identified
59
Reached expert consensus
33
Removed (non-specific or late features)
26
Final items after grouping
19
Patients in cognitive debriefing interviews (CDIs)
36

Original publication

Development of START, a novel multimedia-based symptom appraisal tool for autoimmune rheumatic diseases. Rheumatology (Oxford). Published 25 January 2025. doi:10.1093/rheumatology/keaf040

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