Systemic sclerosis & Raynaud's

The validity of systemic sclerosis diagnoses in two university hospitals in Finland

Scand J RheumatolPublished Diagnostic accuracy study

Authors' conclusion

These results demonstrate that in these two Finnish university hospitals, the diagnostic validity of a diagnosis of SSc was good if it was diagnosed in the department of rheumatology. For a more specific diagnosis of lcSSc, the most prevalent form of SSc in Finland, the validity was good even when registered in any department.

Study context

Population
Patients with a registered diagnosis of systemic sclerosis (SSc) (ICD-10 code M34) in two Finnish university hospitals, 2008–2018
Participants
385 patients
Outcome
PPV of a registered SSc diagnosis
Methodological detailsretrospective medical record review, two university hospitals
  • Retrospective medical record review
  • Two university hospitals

Performance

As reported in the abstract

PPV, 2013 ACR/EULAR classification criteria required

0.66

PPV, including patients meeting 2001 LeRoy and Medsger criteria for early SSc

0.75

PPV, diagnosis made in rheumatology department

0.78

PPV, diagnosis made in rheumatology, including early SSc

0.90

Further findings

PPV of a registered limited cutaneous SSc (lcSSc) diagnosis

PPV, lcSSc
0.80
PPV, lcSSc, including early SSc
0.95
PPV, lcSSc diagnosed in rheumatology
0.81
PPV, lcSSc diagnosed in rheumatology, including early SSc
0.97

Original publication

The validity of systemic sclerosis diagnoses in two university hospitals in Finland. Scand J Rheumatol. Published 20 April 2022. doi:10.1080/03009742.2022.2056999

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