Vasculitis & polymyalgia rheumatica

Modification of 2022 ACR/EULAR anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis classification criteria in a Japanese cohort (J-CANVAS)

Clin Exp RheumatolPublished Diagnostic accuracy study

Authors' conclusion

The modified criteria improved the accuracy of AAV classification in Japanese patients.

Study context

Population
Japanese patients with microscopic polyangiitis (MPA), granulomatosis with polyangiitis (GPA) and eosinophilic granulomatosis with polyangiitis (EGPA) in the J-CANVAS registry
Comparison
Modified 2022 ACR/EULAR AAV classification criteria vs original 2022 ACR/EULAR criteria
Outcome
Classification accuracy (sensitivity and specificity) for MPA, GPA and EGPA
Methodological detailsmulticentre, retrospective cohort
  • Multicentre
  • Retrospective cohort

Performance

As reported in the abstract

Sensitivity and specificity for MPA, GPA and EGPA
Test or modelSensitivity, MPASensitivity, GPASensitivity, EGPASpecificity, MPASpecificity, GPASpecificity, EGPA
2022 ACR/EULAR criteria96.1%48.5%84.6%70.0%95.9%98.0%
Modified criteria90.7%83.8%96.2%86.7%99.0%95.8%

Sensitivity, MPA

2022 ACR/EULAR criteria96.1%
Modified criteria90.7%

Sensitivity, GPA

2022 ACR/EULAR criteria48.5%
Modified criteria83.8%

Sensitivity, EGPA

2022 ACR/EULAR criteria84.6%
Modified criteria96.2%

Specificity, MPA

2022 ACR/EULAR criteria70.0%
Modified criteria86.7%

Specificity, GPA

2022 ACR/EULAR criteria95.9%
Modified criteria99.0%

Specificity, EGPA

2022 ACR/EULAR criteria98.0%
Modified criteria95.8%

Original publication

Modification of 2022 ACR/EULAR ANCA-associated vasculitis classification criteria in a Japanese cohort (J-CANVAS). Clin Exp Rheumatol. Published 7 July 2025. doi:10.55563/clinexprheumatol/5naes7

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