Application of the 1982 revised criteria for the classification of systemic lupus erythematosus on a cohort of 346 Norwegian patients with connective tissue disease

Scand J Rheumatol. 1999;28(2):81-7. doi: 10.1080/030097499442531.

Abstract

By reviewing patient's records, we evaluated the sensitivity and specificity of the 1982 revised classification criteria for systemic lupus erythematosus on a cohort of 346 Norwegian patients with connective tissue disease, seen at a rheumatology referral center in the period 1986-95. The patients with CTD other than SLE were used as controls. The number of the 1982 revised classification criteria for SLE fulfilled by each individual patient was calculated. Fifty-five of the 76 SLE patients (72%) met four or more criteria for SLE, giving a low sensitivity of 72%. Twenty-three of the 270 patients with CTD other than SLE (9%) met four or more criteria for SLE, giving an acceptable specificity of 91%. Applying the "revised/revised 1997 ACR criteria for SLE" the sensitivity would have increased to 78% and the specificity reduced to 89%. The sample of SLE patients was characterized by mild disease with a low proportion of severe internal manifestations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age of Onset
  • Aged
  • Aged, 80 and over
  • Child
  • Cohort Studies
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Lupus Erythematosus, Systemic / classification*
  • Lupus Erythematosus, Systemic / diagnosis
  • Lupus Erythematosus, Systemic / epidemiology
  • Male
  • Middle Aged
  • Norway / epidemiology
  • Prospective Studies
  • Sensitivity and Specificity
  • Seroepidemiologic Studies