Incidence of systemic lupus erythematosus in a population-based cohort using revised 1997 American College of Rheumatology and the 2012 Systemic Lupus International Collaborating Clinics classification criteria

P. Ungprasert, V. Sagar, Cynthia Crowson, Shreyasee Amin, Ashima Makol, F. C. Ernste, Thomas Osborn, K. G. Moder, T. B. Niewold, Hilal D Maradit Kremers, R. Ramsey-Goldman, V. R. Chowdhary

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

In 2012, the Systemic Lupus International Collaborating Clinics (SLICC) group published a new set of classification criteria for systemic lupus erythematosus (SLE). Studies applying these criteria to real-life scenarios have found either equal or greater sensitivity and equal or lower specificity to the 1997 ACR classification criteria (ACR 97). Nonetheless, there are no studies that have used the SLICC 12 criteria to investigate the incidence of lupus. We used the resource of the Rochester Epidemiology Project to identify incident SLE patients in Olmsted County, Minnesota, from 1993 to 2005, who fulfilled the ACR 97 or SLICC 12 criteria. A total of 58 patients met criteria by SLICC 12 and 44 patients met criteria by ACR 97. The adjusted incidence of 4.9 per 100,000 person-years by SLICC 12 was higher than that by ACR 97 (3.7 per 100,000 person-years, p = 0.04). The median duration from the appearance of first criterion to fulfillment of the criteria was shorter for the SLICC 12 than for ACR 97 (3.9 months vs 8.1 months). The higher incidence by SLICC 12 criteria came primarily from the ability to classify patients with renal-limited disease, the expansion of the immunologic criteria and the expansion of neurologic criteria.

Original languageEnglish (US)
Pages (from-to)240-247
Number of pages8
JournalLupus
Volume26
Issue number3
DOIs
StatePublished - 2017

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Systemic Lupus Erythematosus
Incidence
Population
Immune System Diseases
Nervous System
Epidemiology
Kidney

Keywords

  • classification criteria
  • epidemiology
  • Systemic lupus erythematosus

ASJC Scopus subject areas

  • Rheumatology

Cite this

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title = "Incidence of systemic lupus erythematosus in a population-based cohort using revised 1997 American College of Rheumatology and the 2012 Systemic Lupus International Collaborating Clinics classification criteria",
abstract = "In 2012, the Systemic Lupus International Collaborating Clinics (SLICC) group published a new set of classification criteria for systemic lupus erythematosus (SLE). Studies applying these criteria to real-life scenarios have found either equal or greater sensitivity and equal or lower specificity to the 1997 ACR classification criteria (ACR 97). Nonetheless, there are no studies that have used the SLICC 12 criteria to investigate the incidence of lupus. We used the resource of the Rochester Epidemiology Project to identify incident SLE patients in Olmsted County, Minnesota, from 1993 to 2005, who fulfilled the ACR 97 or SLICC 12 criteria. A total of 58 patients met criteria by SLICC 12 and 44 patients met criteria by ACR 97. The adjusted incidence of 4.9 per 100,000 person-years by SLICC 12 was higher than that by ACR 97 (3.7 per 100,000 person-years, p = 0.04). The median duration from the appearance of first criterion to fulfillment of the criteria was shorter for the SLICC 12 than for ACR 97 (3.9 months vs 8.1 months). The higher incidence by SLICC 12 criteria came primarily from the ability to classify patients with renal-limited disease, the expansion of the immunologic criteria and the expansion of neurologic criteria.",
keywords = "classification criteria, epidemiology, Systemic lupus erythematosus",
author = "P. Ungprasert and V. Sagar and Cynthia Crowson and Shreyasee Amin and Ashima Makol and Ernste, {F. C.} and Thomas Osborn and Moder, {K. G.} and Niewold, {T. B.} and {Maradit Kremers}, {Hilal D} and R. Ramsey-Goldman and Chowdhary, {V. R.}",
year = "2017",
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AU - Ungprasert, P.

AU - Sagar, V.

AU - Crowson, Cynthia

AU - Amin, Shreyasee

AU - Makol, Ashima

AU - Ernste, F. C.

AU - Osborn, Thomas

AU - Moder, K. G.

AU - Niewold, T. B.

AU - Maradit Kremers, Hilal D

AU - Ramsey-Goldman, R.

AU - Chowdhary, V. R.

PY - 2017

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