International consensus criteria for the diagnosis of Raynaud's phenomenon.
International consensus criteria for the diagnosis of Raynaud's phenomenon.
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DOI：
10.1016/j.jaut.2014.01.020
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发表时间：
2014-02
影响因子：
12.8
通讯作者：
Gershwin ME
中科院分区：
文献类型：
--
作者：
Maverakis E;Patel F;Kronenberg DG;Chung L;Fiorentino D;Allanore Y;Guiducci S;Hesselstrand R;Hummers LK;Duong C;Kahaleh B;Macgregor A;Matucci-Cerinic M;Wollheim FA;Mayes MD;Gershwin ME
血管收缩伴随着皮肤颜色的变化是对寒冷的正常生理反应。这种正常生理学和雷诺现象（RP）之间的区别尚未得到很好的表征。在第九届国际自身免疫大会的预期中，来自9个不同研究所和4个不同国家的12名RP专家组成的小组聚集在一起进行德尔菲练习，以建立新的RP诊断标准。在雷诺氏相关研究中被高度引用的手稿的相关研究人员使用Web of Science确定并邀请参加。通过在线SurveyMonkey软件工具向参与者进行每个阶段的调查。参与者使用1（极不适当）至9（极适当）的量表评估陈述的适当程度。在第二阶段中，小组参与者被要求对第一轮中被评分为RP诊断“不确定”的重写项目、具有显著分歧的项目（分歧指数> 1）以及小组建议的新项目进行排名。使用对称性校正的百分位数间范围（IPRAS）方法分析结果。然后，使用小组成员“同意”的“适当”诊断标准开发了诊断RP的3步方法。在最后阶段，专家组收到了新制定的诊断标准，并被要求根据以前的模型对其进行评级。经过德尔菲法的前两次迭代，12名专家组成的专家组一致认为，36个项目是“适当的”，12个项目“不确定”的适当性，13个项目是“不适当的”，用于RP的诊断标准。通过专家委员会，我们开发了诊断RP的3步法和诊断原发性RP的5个额外标准。该委员会达成一致意见，认为拟议的标准是“适当和准确的”，供医生使用，以诊断患者的RP。
Vasoconstriction accompanied by changes in skin color is a normal physiologic response to cold. The distinction between this normal physiology and Raynaud’s phenomenon (RP) has yet to be well characterized. In anticipation of the 9th International Congress on Autoimmunity, a panel of 12 RP experts from 9 different institutes and four different countries were assembled for a Delphi exercise to establish new diagnostic criteria for RP. Relevant investigators with highly cited manuscripts in Raynaud’s-related research were identified using the Web of Science and invited to participate. Surveys at each stage were administered to participants via the on-line SurveyMonkey software tool. The participants evaluated the level of appropriateness of statements using a scale of 1 (extremely inappropriate) through 9 (extremely appropriate). In the second stage, panel participants were asked to rank rewritten items from the first round that were scored as “uncertain” for the diagnosis of RP, items with significant disagreement (Disagreement Index > 1), and new items suggested by the panel. Results were analyzed using the Interpercentile Range Adjusted for Symmetry (IPRAS) method. A 3-Step Approach to diagnose RP was then developed using items the panelists “agreed” were “appropriate” diagnostic criteria. In the final stage, the panel was presented with the newly developed diagnostic criteria and asked to rate them against previous models. Following the first two iterations of the Delphi exercise, the panel of 12 experts agreed that 36 of the items were “appropriate,” 12 items had “uncertain” appropriateness, and 13 items were “inappropriate” to use in the diagnostic criteria of RP. Using an expert committee, we developed a 3-Step Approach for the diagnosis of RP and 5 additional criteria for the diagnosis of primary RP. The committee came to an agreement that the proposed criteria were “appropriate and accurate” for use by physicians to diagnose patients with RP.
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影响因子：
27.4
作者：
BELCH, JJF
通讯作者：
BELCH, JJF
影响因子：
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作者：
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通讯作者：
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通讯作者：
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作者：
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