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日本某单一机构对国际眼部结节病研讨会修订诊断标准的验证研究。

A Validation Study of the Revised Diagnostic Criteria from the International Workshop on Ocular Sarcoidosis at a Single Institute in Japan.

作者信息

Handa-Miyauchi Mari, Takase Hiroshi, Tanaka Miyuki, Akiyama Masako, Ohno-Matsui Kyoko, Mochizuki Manabu

机构信息

Department of Ophthalmology & Visual Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Department of Ophthalmology, Tokyo Metropolitan Health and Medical Treatment Corporation, Tama-Hokubu Medical Center, Tokyo, Japan.

出版信息

Ocul Immunol Inflamm. 2021 Nov 17;29(7-8):1501-1506. doi: 10.1080/09273948.2020.1758159. Epub 2020 May 29.

Abstract

: To validate the revised criteria of the International Workshop on Ocular Sarcoidosis (IWOS) for the diagnosis of ocular sarcoidosis (OS).: A retrospective chart review study was performed on 323 patients including 51 patients with biopsy-proven sarcoidosis and 272 patients with other uveitis entities. Data on intraocular signs and systemic investigations were collected, and sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and the Youden index were calculated.: All intraocular signs and most systemic investigations showed high diagnostic parameters. Sensitivity, specificity, PPV, and NPV of the revised IWOS criteria were 1.000, 0.930, 0.728, and 1.000, respectively. Presumed or probable OS showed lower sensitivity and higher specificity when compared with the best Youden index.: The revised IWOS criteria are useful in Japanese patients, but could possibly be improved by modifying the criterion of presumed or probable OS.

摘要

验证国际眼部结节病研讨会(IWOS)修订后的眼部结节病(OS)诊断标准。

对323例患者进行回顾性病历审查研究,其中包括51例经活检证实的结节病患者和272例患有其他葡萄膜炎的患者。收集眼内体征和全身检查的数据,并计算敏感性、特异性、阳性预测值(PPV)、阴性预测值(NPV)和尤登指数。

所有眼内体征和大多数全身检查均显示出较高的诊断参数。修订后的IWOS标准的敏感性、特异性、PPV和NPV分别为1.000、0.930、0.728和1.000。与最佳尤登指数相比,疑似或可能的OS敏感性较低,特异性较高。

修订后的IWOS标准对日本患者有用,但可能通过修改疑似或可能的OS标准来进一步改进。

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