Pediatric rheumatology

The performance of the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria in childhood-onset systemic lupus erythematosus

LupusPublished Diagnostic accuracy study

Authors' conclusion

The 2019 EULAR/ACR criteria classified patients with higher sensitivity at diagnosis and at the first-year follow-up. However, 2019 EULAR/ACR criteria at last visit demonstrated an equal sensitivity to 2012 SLICC. The specificity performance of 2019 EULAR/ACR could not reach to the level of 1997 ACR, but it was more successful than 2012 SLICC.

Study context

Population
Patients with childhood-onset systemic lupus erythematosus (SLE) (cSLE)82% female
Participants
111 patients
Comparison
2019 EULAR/ACR vs 1997 ACR vs 2012 Systemic Lupus International Collaborating Clinics (SLICC) classification criteria
Outcome
Sensitivity and specificity of the classification criteria
Follow-up
At diagnosis
Methodological detailslongitudinal
  • Longitudinal

Performance

As reported in the abstract

Sensitivity
Test or modelSensitivity
2019 EULAR/ACR93.7%

2019 EULAR/ACR

Sensitivity93.7%
2019 EULAR/ACR had the highest sensitivity at diagnosis
93.7%

Further findings

Sensitivity · last visit

Sensitivity

Specificity

Specificity

Outcome2019 EULAR/ACR1997 ACR2012 SLICC
Sensitivity · first-year follow-up
Sensitivity96%— not stated in the abstract— not stated in the abstract

— not stated in the abstract

Sensitivity — 2019 EULAR/ACR had the highest sensitivity at first-year follow-up
96%

Specificity

Difference not significant

Original publication

The performance of the 2019 EULAR/ACR classification criteria in childhood-onset systemic lupus erythematosus. Lupus. Published 4 March 2025. doi:10.1177/09612033251325321

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