Systemic sclerosis & Raynaud's

Performance of DETECT Pulmonary Arterial Hypertension Algorithm According to the Hemodynamic Definition of Pulmonary Arterial Hypertension in the 2022 European Society of Cardiology and the European Respiratory Society Guidelines

Arthritis RheumatolPublished Post hoc analysis of the DETECT study

Authors' conclusion

The performance of the DETECT algorithm to screen for PAH in patients with SSc is maintained when PAH is defined according to the 2022 ESC/ERS hemodynamic definition, indicating that DETECT remains applicable to screen for PAH in patients with SSc.

Study context

Population
Patients with systemic sclerosis (SSc) in DETECT
Participants
466 patients
Comparison
DETECT pulmonary arterial hypertension (PAH) algorithm performance with PAH per 2022 European Society of Cardiology (ESC)/European Respiratory Society (ERS) definition vs 2014 definition
Primary endpoint
Performance (sensitivity, specificity) of DETECT PAH algorithm in identifying patients with high risk of PAH per 2022 ESC/ERS definition
Methodological detailsdiagnostic accuracy, descriptive comparison
  • Diagnostic accuracy
  • Descriptive comparison

Primary result

As reported in the abstract

DETECT PAH algorithm performance
GroupSensitivitySpecificity
2022 ESC/ERS definition88.2%50.8%
2014 definition95.8%47.8%

Sensitivity

2022 ESC/ERS definition88.2%
2014 definition95.8%

Specificity

2022 ESC/ERS definition50.8%
2014 definition47.8%

Original publication

Performance of DETECT Pulmonary Arterial Hypertension Algorithm According to the Hemodynamic Definition of Pulmonary Arterial Hypertension in the 2022 European Society of Cardiology and the European Respiratory Society Guidelines. Arthritis Rheumatol. Published 2 April 2024. doi:10.1002/art.42791

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