ABHISHEK ABHISHEK ABHISHEK.ABHISHEK@NOTTINGHAM.AC.UK
Clinical Professor
The 2023 ACR/EULAR classification criteria for calcium pyrophosphate deposition disease
Abhishek, Abhishek; Tedeschi, Sara K.; Pascart, Tristan; Latourte, Augustin; Dalbeth, Nicola; Neogi, Tuhina; Fuller, Amy; Rosenthal, Ann; Becce, Fabio; Bardin, Thomas; Ea, Hang Korng; Filippou, Georgios; Fitzgerald, John; Iagnocco, Annamaria; Lioté, Frédéric; McCarthy, Geraldine M.; Ramonda, Roberta; Richette, Pascal; Sivera, Francisca; Andres, Mariano; Cipolletta, Edoardo; Doherty, Michael; Pascual, Eliseo; Perez-Ruiz, Fernando; So, Alexander; Jansen, Tim L.; Kohler, Minna J.; Stamp, Lisa K.; Yinh, Janeth; Adinolfi, Antonella; Arad, Uri; Aung, Thanda; Benillouche, Eva; Bortoluzzi, Alessandra; Dau, Jonathan; Maningding, Ernest; Fang, Meika; Figus, Fabiana; Filippucci, Emilio; Haslett, Janine; Janssen, Matthijs; Kaldas, Marian; Kimoto, Maryann; Leamy, Kelly; Navarro, Geraldine M.; Sarzi-Puttini, Piercarlo; Scirè, Carlo; Silvagni, Ettore; Sirotti, Silvia; Stack, John; Truong, Linh; Xie, Chen; Yokose, Chio; Hendry, Alison; Terkeltaub, Robert; Taylor, William J.; Choi, Hyon K.
Authors
Sara K. Tedeschi
Tristan Pascart
Augustin Latourte
Nicola Dalbeth
Tuhina Neogi
AMY FULLER Amy.Fuller@nottingham.ac.uk
Research Fellow
Ann Rosenthal
Fabio Becce
Thomas Bardin
Hang Korng Ea
Georgios Filippou
John Fitzgerald
Annamaria Iagnocco
Frédéric Lioté
Geraldine M. McCarthy
Roberta Ramonda
Pascal Richette
Francisca Sivera
Mariano Andres
Edoardo Cipolletta
Michael Doherty
Eliseo Pascual
Fernando Perez-Ruiz
Alexander So
Tim L. Jansen
Minna J. Kohler
Lisa K. Stamp
Janeth Yinh
Antonella Adinolfi
Uri Arad
Thanda Aung
Eva Benillouche
Alessandra Bortoluzzi
Jonathan Dau
Ernest Maningding
Meika Fang
Fabiana Figus
Emilio Filippucci
Janine Haslett
Matthijs Janssen
Marian Kaldas
Maryann Kimoto
Kelly Leamy
Geraldine M. Navarro
Piercarlo Sarzi-Puttini
Carlo Scirè
Ettore Silvagni
Silvia Sirotti
John Stack
Linh Truong
Chen Xie
Chio Yokose
Alison Hendry
Robert Terkeltaub
William J. Taylor
Hyon K. Choi
Abstract
Objective Calcium pyrophosphate deposition (CPPD) disease is prevalent and has diverse presentations, but there are no validated classification criteria for this symptomatic arthritis. The American College of Rheumatology (ACR) and EULAR have developed the first-ever validated classification criteria for symptomatic CPPD disease.
Methods Supported by the ACR and EULAR, a multinational group of investigators followed established methodology to develop these disease classification criteria. The group generated lists of candidate items and refined their definitions, collected de-identified patient profiles, evaluated strengths of associations between candidate items and CPPD disease, developed a classification criteria framework, and used multi-criterion decision analysis to define criteria weights and a classification threshold score. The criteria were validated in an independent cohort.
Results Among patients with joint pain, swelling, or tenderness (entry criterion) whose symptoms are not fully explained by an alternative disease (exclusion criterion), the presence of crowned dens syndrome or calcium pyrophosphate crystals in synovial fluid are sufficient to classify a patient as having CPPD disease. In the absence of these findings, a score>56 points using weighted criteria, comprising clinical features, associated metabolic disorders, and results of laboratory and imaging investigations, can be used to classify as CPPD disease. These criteria had a sensitivity of 92.2% and specificity of 87.9% in the derivation cohort (190 CPPD cases, 148 mimickers), whereas sensitivity was 99.2% and specificity was 92.5% in the validation cohort (251 CPPD cases, 162 mimickers).
Conclusion The 2023 ACR/EULAR CPPD disease classification criteria have excellent performance characteristics and will facilitate research in this field.
Citation
Abhishek, A., Tedeschi, S. K., Pascart, T., Latourte, A., Dalbeth, N., Neogi, T., …Choi, H. K. (2023). The 2023 ACR/EULAR classification criteria for calcium pyrophosphate deposition disease. Annals of the Rheumatic Diseases, 82(10), 1248-1257. https://doi.org/10.1136/ard-2023-224575
Journal Article Type | Article |
---|---|
Acceptance Date | Jun 14, 2023 |
Online Publication Date | Jul 26, 2023 |
Publication Date | Sep 19, 2023 |
Deposit Date | Jul 26, 2023 |
Publicly Available Date | Jul 26, 2023 |
Journal | Annals of the Rheumatic Diseases |
Print ISSN | 0003-4967 |
Electronic ISSN | 1468-2060 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 82 |
Issue | 10 |
Pages | 1248-1257 |
DOI | https://doi.org/10.1136/ard-2023-224575 |
Keywords | General Biochemistry, Genetics and Molecular Biology; Immunology; Immunology and Allergy; Rheumatology |
Public URL | https://nottingham-repository.worktribe.com/output/23479529 |
Publisher URL | https://ard.bmj.com/content/82/10/1248 |
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