早期弥漫性皮肤系统性硬化症中压痛和肿胀关节计数及改良Rodnan皮肤评分的可靠性和有效性：来自早期系统性硬化症队列前瞻性登记处的分析
Reliability and Validity of the Tender and Swollen Joint Counts and the Modified Rodnan Skin Score in Early Diffuse Cutaneous Systemic Sclerosis: Analysis from the Prospective Registry of Early Systemic Sclerosis Cohort.
作者信息
Gordon Jessica K, Girish Gandikota, Berrocal Veronica J, Zhang Meng, Hatzis Christopher, Assassi Shervin, Bernstein Elana J, Domsic Robyn T, Hant Faye N, Hinchcliff Monique, Schiopu Elena, Steen Virginia D, Frech Tracy M, Khanna Dinesh
机构信息
From the Department of Rheumatology, and Department of Epidemiology and Biostatistics, Hospital for Special Surgery; Department of Rheumatology, Columbia University, New York, New York; Department of Radiology, and Department of Biostatistics, University of Michigan; University of Michigan Scleroderma Program, Ann Arbor, Michigan; Department of Rheumatology, University of Texas, Houston, Texas; Department of Rheumatology, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Rheumatology, Medical University of South Carolina, Charleston, South Carolina; Department of Rheumatology, Northwestern University, Chicago, Illinois; Department of Rheumatology, Georgetown University, Washington, DC; Department of Rheumatology, University of Utah, Salt Lake City, Utah, USA.
J.K. Gordon, MD, MSc, Department of Rheumatology, Hospital for Special Surgery; G. Girish, MBBS, Department of Radiology, University of Michigan; V.J. Berrocal, MSc, PhD, Department of Biostatistics, University of Michigan; M. Zhang, PhD, Department of Epidemiology and Biostatistics, Hospital for Special Surgery; C. Hatzis, BA, Department of Rheumatology, Hospital for Special Surgery; S. Assassi, MD, MS, Department of Rheumatology, University of Texas; E.J. Bernstein, MD, MSc, Department of Rheumatology, Columbia University; R.T. Domsic, MD, MPH, Department of Rheumatology, University of Pittsburgh; F.N. Hant, DO, Department of Rheumatology, Medical University of South Carolina; M. Hinchcliff, MD, MS, Department of Rheumatology, Northwestern University; E. Schiopu, MD, University of Michigan Scleroderma Program; V.D. Steen, MD, Department of Rheumatology, Georgetown University; T.M. Frech, MD, MS, Department of Rheumatology, University of Utah; D. Khanna, MD, MS, University of Michigan Scleroderma Program.
出版信息
J Rheumatol. 2017 Jun;44(6):791-794. doi: 10.3899/jrheum.160654. Epub 2017 Mar 15.
OBJECTIVE
To determine the inter/intraobserver reliability of the tender and swollen joint counts (TJC, SJC) and the modified Rodnan Skin Score (mRSS) in diffuse cutaneous systemic sclerosis (dcSSc) and to assess content validity of the TJC/SJC.
METHODS
Ten rheumatologists completed the SJC, TJC, and mRSS on 7 patients. Musculoskeletal ultrasound (MSUS) was performed.
RESULTS
Interobserver and intraobserver reliability for the TJC was 0.97 and 0.99, for the SJC was 0.24 and 0.71, and for the mRSS was 0.81 and 0.94, respectively. MSUS abnormalities did not correspond with SJC/TJC.
CONCLUSION
We demonstrate excellent inter- and intraobserver reliability for the mRSS and TJC in dcSSc. However, the SJC and TJC did not correspond to MSUS.
目的
确定弥漫性皮肤型系统性硬化症（dcSSc）中压痛和肿胀关节计数（TJC、SJC）及改良Rodnan皮肤评分（mRSS）的观察者间/观察者内可靠性，并评估TJC/SJC的内容效度。
方法
10名风湿病学家对7例患者进行SJC、TJC和mRSS评估。进行了肌肉骨骼超声（MSUS）检查。
结果
TJC的观察者间可靠性和观察者内可靠性分别为0.97和0.99，SJC分别为0.24和0.71，mRSS分别为0.81和0.94。MSUS异常与SJC/TJC不相符。
结论
我们证明了dcSSc中mRSS和TJC具有出色的观察者间和观察者内可靠性。然而，SJC和TJC与MSUS不相符。
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