Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER register
Objective: The main study objective was to determine how giant cell arteritis (GCA) is diagnosed in our clinical practice and whether the EULAR recommendations have influenced the diagnostic procedures used. Methods: ARTEritis of the Rheumatology Spanish Society -Sociedad Española de Reumatología (A...
| Autores: | , , |
|---|---|
| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | España |
| Recursos: | Universitat Pompeu Fabra |
| Repositorio: | Repositorio Digital de la UPF |
| OAI Identifier: | oai:repositori.upf.edu:10230/56718 |
| Acesso em linha: | http://hdl.handle.net/10230/56718 http://dx.doi.org/10.1136/rmdopen-2022-002507 |
| Access Level: | acceso abierto |
| Palavra-chave: | Giant Cell Arteritis Systemic vasculitis Ultrasonography |
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Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER registerMiguel, Eugenio deLabrada Arrabal, SelenaBlanco, RicardoGiant Cell ArteritisSystemic vasculitisUltrasonographyObjective: The main study objective was to determine how giant cell arteritis (GCA) is diagnosed in our clinical practice and whether the EULAR recommendations have influenced the diagnostic procedures used. Methods: ARTEritis of the Rheumatology Spanish Society -Sociedad Española de Reumatología (ARTESER) is a multicentre observational retrospective study conducted in 26 hospitals with support from the Spanish Society of Rheumatology. All patients diagnosed with GCA between 1 June 2013 and 29 March 2019 were included. The gold standard for the diagnosis of GCA was the judgement of the physician in charge, according to clinical criteria, supported by data available from laboratory tests, imaging studies (ultrasound, positron emission tomography (PET) and MRI/CT angiography) and temporal artery biopsy (TAB) when available. Results: We included 1675 patients with GCA (mean age±SD (76.9±8.1) years, 1178 women (70.3%)). Of these, 776 patients had a positive TAB (46.3%), 503 (30.0%) positive ultrasound, 245 positive PET (14.6%) and 64 positive MRI/CT angiography (3.8%). These percentages changed substantially over the study. From 2013 to 2019, the use of ultrasound in diagnosis grew from 25.8% to 52.9% and PET from 12.3% to 19.6%, while use of TAB decreased from 50.3% to 33.3%. Conclusions: Biopsy was the most widely used diagnostic test for confirming GCA, but use of imaging as a diagnostic tool has grown in recent years. Following publication of the 2018 EULAR recommendations, ultrasound has displaced biopsy as the first-line diagnostic test; TAB was performed in a third and PET in a fifth of cases.BMJ Publishing Group202320232022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/56718http://dx.doi.org/10.1136/rmdopen-2022-002507reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésRMD Open. 2022 Dec;8(2):e002507© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.http://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/567182026-06-12T07:21:37Z |
| dc.title.none.fl_str_mv |
Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER register |
| title |
Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER register |
| spellingShingle |
Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER register Miguel, Eugenio de Giant Cell Arteritis Systemic vasculitis Ultrasonography |
| title_short |
Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER register |
| title_full |
Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER register |
| title_fullStr |
Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER register |
| title_full_unstemmed |
Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER register |
| title_sort |
Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: Rfesults of the ARTESER register |
| dc.creator.none.fl_str_mv |
Miguel, Eugenio de Labrada Arrabal, Selena Blanco, Ricardo |
| author |
Miguel, Eugenio de |
| author_facet |
Miguel, Eugenio de Labrada Arrabal, Selena Blanco, Ricardo |
| author_role |
author |
| author2 |
Labrada Arrabal, Selena Blanco, Ricardo |
| author2_role |
author author |
| dc.subject.none.fl_str_mv |
Giant Cell Arteritis Systemic vasculitis Ultrasonography |
| topic |
Giant Cell Arteritis Systemic vasculitis Ultrasonography |
| description |
Objective: The main study objective was to determine how giant cell arteritis (GCA) is diagnosed in our clinical practice and whether the EULAR recommendations have influenced the diagnostic procedures used. Methods: ARTEritis of the Rheumatology Spanish Society -Sociedad Española de Reumatología (ARTESER) is a multicentre observational retrospective study conducted in 26 hospitals with support from the Spanish Society of Rheumatology. All patients diagnosed with GCA between 1 June 2013 and 29 March 2019 were included. The gold standard for the diagnosis of GCA was the judgement of the physician in charge, according to clinical criteria, supported by data available from laboratory tests, imaging studies (ultrasound, positron emission tomography (PET) and MRI/CT angiography) and temporal artery biopsy (TAB) when available. Results: We included 1675 patients with GCA (mean age±SD (76.9±8.1) years, 1178 women (70.3%)). Of these, 776 patients had a positive TAB (46.3%), 503 (30.0%) positive ultrasound, 245 positive PET (14.6%) and 64 positive MRI/CT angiography (3.8%). These percentages changed substantially over the study. From 2013 to 2019, the use of ultrasound in diagnosis grew from 25.8% to 52.9% and PET from 12.3% to 19.6%, while use of TAB decreased from 50.3% to 33.3%. Conclusions: Biopsy was the most widely used diagnostic test for confirming GCA, but use of imaging as a diagnostic tool has grown in recent years. Following publication of the 2018 EULAR recommendations, ultrasound has displaced biopsy as the first-line diagnostic test; TAB was performed in a third and PET in a fifth of cases. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 2023 2023 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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http://hdl.handle.net/10230/56718 http://dx.doi.org/10.1136/rmdopen-2022-002507 |
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http://hdl.handle.net/10230/56718 http://dx.doi.org/10.1136/rmdopen-2022-002507 |
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Inglés |
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Inglés |
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RMD Open. 2022 Dec;8(2):e002507 |
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http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc/4.0/ |
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openAccess |
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application/pdf application/pdf |
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BMJ Publishing Group |
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BMJ Publishing Group |
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reponame:Repositorio Digital de la UPF instname:Universitat Pompeu Fabra |
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