Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: results of the ARTESER register

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. ARTEritis of the Rheumatology Spanish Society -Sociedad Española de Reumatología (ARTESER) is a multice...

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Autores: de Miguel, Eugenio, Sanchez-Costa, Jesús T, Estrada, Paula, Muñoz, Alejandro, Valero Martínez, Cristina, Moya Alvarado, Patricia, García-Villanueva, María Jesús, Navarro Angeles, Vanessa A, Lencastre Da Veiga, Carlos Galisteo, Riveros Frutos, Anne, Román Ivorra, Jose A, Arrabal, Selena Labrada, Rocha, Margarida Vasques, Iñiguez, Carlota L, García-Gonzalez, María, Molina-Almeda, Clara, Alcalde, Maria, Juan Mas, Antonio, Gonzalez-Gay, Miguel A, Blanco, Ricardo
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/18652
Acceso en línea:https://hdl.handle.net/20.500.13003/18652
Access Level:acceso abierto
Palabra clave:Temporal Arteries
Giant Cell Arteritis
Positron-Emission Tomography
Female
Humans
Ultrasonography
Retrospective Studies
Ultrasonografía
Humanos
Arterias Temporales
Arteritis de Células Gigantes
Femenino
Estudios Retrospectivos
Tomografía de Emisión de Positrones
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spelling Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: results of the ARTESER registerde Miguel, EugenioSanchez-Costa, Jesús TEstrada, PaulaMuñoz, AlejandroValero Martínez, CristinaMoya Alvarado, PatriciaGarcía-Villanueva, María JesúsNavarro Angeles, Vanessa ALencastre Da Veiga, Carlos GalisteoRiveros Frutos, AnneRomán Ivorra, Jose AArrabal, Selena LabradaRocha, Margarida VasquesIñiguez, Carlota LGarcía-Gonzalez, MaríaMolina-Almeda, ClaraAlcalde, MariaJuan Mas, AntonioGonzalez-Gay, Miguel ABlanco, RicardoTemporal ArteriesGiant Cell ArteritisPositron-Emission TomographyFemaleHumansUltrasonographyRetrospective StudiesUltrasonografíaHumanosArterias TemporalesArteritis de Células GigantesFemeninoEstudios RetrospectivosTomografía de Emisión de PositronesThe 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. 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. 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%. 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.20222022-12-0120222022-12-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.13003/18652reponame:Docusalutinstname:Conselleria de Salut i Consum del Govern de les Illes BalearsInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docusalut.com:20.500.13003/186522026-06-22T12:44:07Z
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: results 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: results 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: results of the ARTESER register
de Miguel, Eugenio
Temporal Arteries
Giant Cell Arteritis
Positron-Emission Tomography
Female
Humans
Ultrasonography
Retrospective Studies
Ultrasonografía
Humanos
Arterias Temporales
Arteritis de Células Gigantes
Femenino
Estudios Retrospectivos
Tomografía de Emisión de Positrones
title_short Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: results 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: results 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: results 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: results 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: results of the ARTESER register
dc.creator.none.fl_str_mv de Miguel, Eugenio
Sanchez-Costa, Jesús T
Estrada, Paula
Muñoz, Alejandro
Valero Martínez, Cristina
Moya Alvarado, Patricia
García-Villanueva, María Jesús
Navarro Angeles, Vanessa A
Lencastre Da Veiga, Carlos Galisteo
Riveros Frutos, Anne
Román Ivorra, Jose A
Arrabal, Selena Labrada
Rocha, Margarida Vasques
Iñiguez, Carlota L
García-Gonzalez, María
Molina-Almeda, Clara
Alcalde, Maria
Juan Mas, Antonio
Gonzalez-Gay, Miguel A
Blanco, Ricardo
author de Miguel, Eugenio
author_facet de Miguel, Eugenio
Sanchez-Costa, Jesús T
Estrada, Paula
Muñoz, Alejandro
Valero Martínez, Cristina
Moya Alvarado, Patricia
García-Villanueva, María Jesús
Navarro Angeles, Vanessa A
Lencastre Da Veiga, Carlos Galisteo
Riveros Frutos, Anne
Román Ivorra, Jose A
Arrabal, Selena Labrada
Rocha, Margarida Vasques
Iñiguez, Carlota L
García-Gonzalez, María
Molina-Almeda, Clara
Alcalde, Maria
Juan Mas, Antonio
Gonzalez-Gay, Miguel A
Blanco, Ricardo
author_role author
author2 Sanchez-Costa, Jesús T
Estrada, Paula
Muñoz, Alejandro
Valero Martínez, Cristina
Moya Alvarado, Patricia
García-Villanueva, María Jesús
Navarro Angeles, Vanessa A
Lencastre Da Veiga, Carlos Galisteo
Riveros Frutos, Anne
Román Ivorra, Jose A
Arrabal, Selena Labrada
Rocha, Margarida Vasques
Iñiguez, Carlota L
García-Gonzalez, María
Molina-Almeda, Clara
Alcalde, Maria
Juan Mas, Antonio
Gonzalez-Gay, Miguel A
Blanco, Ricardo
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Temporal Arteries
Giant Cell Arteritis
Positron-Emission Tomography
Female
Humans
Ultrasonography
Retrospective Studies
Ultrasonografía
Humanos
Arterias Temporales
Arteritis de Células Gigantes
Femenino
Estudios Retrospectivos
Tomografía de Emisión de Positrones
topic Temporal Arteries
Giant Cell Arteritis
Positron-Emission Tomography
Female
Humans
Ultrasonography
Retrospective Studies
Ultrasonografía
Humanos
Arterias Temporales
Arteritis de Células Gigantes
Femenino
Estudios Retrospectivos
Tomografía de Emisión de Positrones
description 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. 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. 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%. 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
2022-12-01
2022
2022-12-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.13003/18652
url https://hdl.handle.net/20.500.13003/18652
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Docusalut
instname:Conselleria de Salut i Consum del Govern de les Illes Balears
instname_str Conselleria de Salut i Consum del Govern de les Illes Balears
reponame_str Docusalut
collection Docusalut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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