Lupus & antiphospholipid syndrome

Development of the 2023 ACR/EULAR Antiphospholipid Syndrome Classification Criteria, Phase III‐D Report: Multicriteria Decision Analysis

Arthritis Care Res (Hoboken)Published Consensus methodology study

Authors' conclusion

Using MCDA, candidate criteria preliminary weights were determined. Unlike other disease classification systems using a single-aggregate threshold score, separate clinical and laboratory domain thresholds were incorporated into the new APS classification criteria.

Study context

Population
International real-world patients referred for "suspected antiphospholipid syndrome (APS)" with a wide range of APS manifestations20 representative patients ranked
Participants
192 patients
Outcome
Relative weights of candidate criteria and an APS classification threshold score
Methodological detailsmulticriteria decision analysis, consensus-based, 1000Minds software, international, Phase I and II resulted in 27 proposed candidate criteria in laboratory and clinical domains
  • Multicriteria decision analysis
  • Consensus-based
  • 1000Minds software
  • International
  • Phase I and II resulted in 27 proposed candidate criteria in laboratory and clinical domains

Recommendations

As reported in the abstract

Pairwise decisions resolved by multicriteria decision analysis (MCDA)

81

Further findings

Premeeting evaluation of 20 representative patients

Variability in APS assessment

Original publication

Development of the 2023 ACR/EULAR Antiphospholipid Syndrome Classification Criteria, Phase III‐D Report: Multicriteria Decision Analysis. Arthritis Care Res (Hoboken). Published 30 September 2024. doi:10.1002/acr.25415

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