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

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 (ART...

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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, José Andrés, Labrada Arrabal, Selena, Vasques Rocha, Margarida, Iñiguez, Carlota l., García-Gonzalez, María, Molina-Almela, Clara, Alcalde Villar, María, Juan Mas, Antonio, Gonzalez-Gay, Miguel A., Blanco, Ricardo
Formato: artículo
Fecha de publicación:2022
País:España
Recursos:Universidad Católica de Valencia San Vicente Mártir
Repositorio:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
Idioma:inglés
OAI Identifier:oai:riucv.ucv.es:20.500.12466/5120
Acesso em linha:http://hdl.handle.net/20.500.12466/5120
Access Level:acceso abierto
Palavra-chave:3205.09 Reumatología
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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 T.Estrada, PaulaMuñoz, AlejandroValero Martínez, CristinaMoya Alvarado, PatriciaGarcía-Villanueva, María JesúsNavarro Angeles, Vanessa A.Lencastre Da Veiga, Carlos GalisteoRiveros Frutos, AnneRomán Ivorra, José AndrésLabrada Arrabal, SelenaVasques Rocha, MargaridaIñiguez, Carlota l.García-Gonzalez, MaríaMolina-Almela, ClaraAlcalde Villar, MaríaJuan Mas, AntonioGonzalez-Gay, Miguel A.Blanco, Ricardo3205.09 ReumatologíaObjective 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, 1178women (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 cases20252025-01-1420222022-01-0120222022-01-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12466/5120reponame:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártirinstname:Universidad Católica de Valencia San Vicente MártirInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:riucv.ucv.es:20.500.12466/51202026-06-19T08:32:07Z
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
3205.09 Reumatología
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, José Andrés
Labrada Arrabal, Selena
Vasques Rocha, Margarida
Iñiguez, Carlota l.
García-Gonzalez, María
Molina-Almela, Clara
Alcalde Villar, María
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, José Andrés
Labrada Arrabal, Selena
Vasques Rocha, Margarida
Iñiguez, Carlota l.
García-Gonzalez, María
Molina-Almela, Clara
Alcalde Villar, María
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, José Andrés
Labrada Arrabal, Selena
Vasques Rocha, Margarida
Iñiguez, Carlota l.
García-Gonzalez, María
Molina-Almela, Clara
Alcalde Villar, María
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 3205.09 Reumatología
topic 3205.09 Reumatología
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, 1178women (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
2022-01-01
2022
2022-01-01
2025
2025-01-14
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12466/5120
url http://hdl.handle.net/20.500.12466/5120
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-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/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-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
instname:Universidad Católica de Valencia San Vicente Mártir
instname_str Universidad Católica de Valencia San Vicente Mártir
reponame_str RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
collection RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.81155

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