Development of radiographic classification criteria for hand osteoarthritis: a methodological report (Phase 2).
Development of radiographic classification criteria for hand osteoarthritis: a methodological report (Phase 2).
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DOI：
10.1136/rmdopen-2021-002024
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发表时间：
2022-03
期刊：
影响因子：
6.2
通讯作者：
Kloppenburg M
中科院分区：
文献类型：
--
作者：
Haugen IK;Felson D;Abhishek A;Berenbaum F;Edwards JJ;Herrero Beaumont G;Hermann-Eriksen M;Hill CL;Ishimori M;Jonsson H;Karjalainen T;Leung YY;Maheu E;Mallen CD;Moe RH;Ramonda R;Ritschl V;Stamm TA;Szekanecz Z;van der Giesen FJ;Ritt MJPF;Wittoek R;Kjeken I;Osteras N;van de Stadt LA;Englund M;Dziedzic KS;Marshall M;Bierma-Zeinstra S;Hansen P;Greibrokk E;Smeets W;Kloppenburg M
在开发新的手骨关节炎（OA）分类标准的第1阶段中，在有手诉的人群中确定了与手OA相关的特征。射线照相发现可以更好地区分手OA和对照患者，而不是临床检查结果。第2阶段的目的是就特征和重量达成共识，并将其重量包括在三个放射学标准组中，包括整个手动OA，phalengeal OA和拇指碱基OA。
召集了多学科的国际专家小组。患者小插曲用于识别与手OA一致的重要特征。使用1000minds软件实施的基于共识的决策分析方法来确定最重要的特征及其相对重要性影响症状可能是手动OA引起的。重复分析指间和拇指基碱OA。测试了所提出的标准集的可靠性和有效性。
专家们同意，应将标准集应用于疼痛，疼痛，僵硬或僵硬的手动关节的人群中，而不是其他疾病或急性损伤。在这种情况下，五个其他标准被认为是重要的：年龄，晨性僵硬，射线照相骨髓，放射学关节空间狭窄以及症状和射线照相发现之间的一致性。可靠性和有效性非常好。
在确定患者是否由于手动OA而出现症状时，放射线照相特征被认为是至关重要的。第2阶段基于共识的决策分析方法补充了阶段1的数据驱动结果，这将构成最终分类标准集的基础。
In Phase 1 of developing new hand osteoarthritis (OA) classification criteria, features associated with hand OA were identified in a population with hand complaints. Radiographic findings could better discriminate patients with hand OA and controls than clinical examination findings. The objective of Phase 2 was to achieve consensus on the features and their weights to be included in three radiographic criteria sets of overall hand OA, interphalangeal OA and thumb base OA. Multidisciplinary, international expert panels were convened. Patient vignettes were used to identify important features consistent with hand OA. A consensus-based decision analysis approach implemented using 1000minds software was applied to identify the most important features and their relative importance influencing the likelihood of symptoms being due to hand OA. Analyses were repeated for interphalangeal and thumb base OA. The reliability and validity of the proposed criteria sets were tested. The experts agreed that the criteria sets should be applied in a population with pain, aching or stiffness in hand joint(s) not explained by another disease or acute injury. In this setting, five additional criteria were considered important: age, morning stiffness, radiographic osteophytes, radiographic joint space narrowing and concordance between symptoms and radiographic findings. The reliability and validity were very good. Radiographic features were considered critical when determining whether a patient had symptoms due to hand OA. The consensus-based decision analysis approach in Phase 2 complemented the data-driven results from Phase 1, which will form the basis of the final classification criteria sets.
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影响因子：
7.2
作者：
Johnson, Sindhu R.;Naden, Raymond P.;Khanna, Dinesh
通讯作者：
Khanna, Dinesh
影响因子：
6.2
作者：
Haugen, Ida K.;Felson, David T.;Kloppenburg, Margreet
通讯作者：
Kloppenburg, Margreet
影响因子：
27.4
作者：
Aletaha, Daniel;Neogi, Tuhina;Hawker, Gillian
通讯作者：
Hawker, Gillian
影响因子：
5.5
作者：
Rider, Lisa G.;Ruperto, Nicolino;Aggarwal, Rohit
通讯作者：
Aggarwal, Rohit
影响因子：
4.7
作者：
Taylor WJ;Fransen J;Jansen TL;Dalbeth N;Schumacher HR;Brown M;Louthrenoo W;Vazquez-Mellado J;Eliseev M;McCarthy G;Stamp LK;Perez-Ruiz F;Sivera F;Ea HK;Gerritsen M;Scire C;Cavagna L;Lin C;Chou YY;Tausche AK;Vargas-Santos AB;Janssen M;Chen JH;Slot O;Cimmino MA;Uhlig T;Neogi T
通讯作者：
Neogi T