在已建立的临床队列中，评估在脊柱关节炎国际学会（ASAS）中轴和外周脊柱关节炎分类中的表现：与 Amor 和欧洲脊柱关节炎研究组（ESSG）标准的比较。
Performance of the assessment in Spondyloarthritis International Society classification for axial and peripheral spondyloarthritis in an established clinical cohort: comparison with criteria sets of Amor and the European Spondylarthropathy Study Group.
机构信息
Rheumatology B Department, Hôpital Cochin, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
出版信息
J Rheumatol. 2012 Apr;39(4):816-21. doi: 10.3899/jrheum.111088. Epub 2012 Feb 15.
OBJECTIVE
To evaluate the performance of the Assessment in Spondyloarthritis International Society (ASAS) criteria (axial or peripheral) against the Amor and European Spondylarthropathy Study Group criteria in established spondyloarthritis (SpA).
METHODS
Rheumatologist-diagnosed patients with SpA were retrospectively classified according to the different criteria sets. Clinical characteristics of patients fulfilling all 3 criteria were compared with those who did not, by nonparametric statistics.
RESULTS
ASAS classified 90% of the 231 patients, with 169 (73%) fulfilling all 3 criteria sets. Multivariate analysis showed the 62 patients not fulfilling all criteria sets were older at symptom onset (p < 0.001) and less likely to have inflammatory back pain (p < 0.001), peripheral arthritis (p < 0.001), or elevated C-reactive protein levels (p = 0.034).
CONCLUSION
ASAS criteria can be used in established disease.
目的
评估评估强直性脊柱炎国际协会（ASAS）标准（轴性或外周性）与 Amor 和欧洲脊柱关节炎研究组标准在已确诊的强直性脊柱炎（SpA）中的表现。
方法
根据不同的标准集，回顾性地对风湿病学家诊断的 SpA 患者进行分类。通过非参数统计，比较符合所有 3 个标准的患者与不符合所有 3 个标准的患者的临床特征。
结果
ASAS 对 231 名患者进行了分类，其中 169 名（73%）符合所有 3 个标准集。多变量分析显示，不符合所有标准集的 62 名患者在症状出现时年龄更大（p < 0.001），且更不可能有炎症性背痛（p < 0.001）、外周关节炎（p < 0.001）或 C 反应蛋白水平升高（p = 0.034）。
结论
ASAS 标准可用于已确诊的疾病。
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