The Rheumatologist
COVID-19 News
  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed
  • Home
  • Conditions
    • Rheumatoid Arthritis
    • SLE (Lupus)
    • Crystal Arthritis
      • Gout Resource Center
    • Spondyloarthritis
    • Osteoarthritis
    • Soft Tissue Pain
    • Scleroderma
    • Vasculitis
    • Systemic Inflammatory Syndromes
    • Guidelines
  • Resource Centers
    • Ankylosing Spondylitis Resource Center
    • Gout Resource Center
    • Rheumatoid Arthritis Resource Center
    • Systemic Lupus Erythematosus Resource Center
  • Drug Updates
    • Biologics & Biosimilars
    • DMARDs & Immunosuppressives
    • Topical Drugs
    • Analgesics
    • Safety
    • Pharma Co. News
  • Professional Topics
    • Ethics
    • Legal
    • Legislation & Advocacy
    • Career Development
      • Certification
      • Education & Training
    • Awards
    • Profiles
    • President’s Perspective
    • Rheuminations
  • Practice Management
    • Billing/Coding
    • Quality Assurance/Improvement
    • Workforce
    • Facility
    • Patient Perspective
    • Electronic Health Records
    • Apps
    • Information Technology
    • From the College
    • Multimedia
      • Audio
      • Video
  • Resources
    • Issue Archives
    • ACR Convergence
      • Systemic Lupus Erythematosus Resource Center
      • Rheumatoid Arthritis Resource Center
      • Gout Resource Center
      • Abstracts
      • Meeting Reports
      • ACR Convergence Home
    • American College of Rheumatology
    • ACR ExamRheum
    • Research Reviews
    • ACR Journals
      • Arthritis & Rheumatology
      • Arthritis Care & Research
      • ACR Open Rheumatology
    • Rheumatology Image Library
    • Treatment Guidelines
    • Rheumatology Research Foundation
    • Events
  • About Us
    • Mission/Vision
    • Meet the Authors
    • Meet the Editors
    • Contribute to The Rheumatologist
    • Subscription
    • Contact
  • Advertise
  • Search
You are here: Home / Articles / ACR Issues sJIA Recommendations, SSc Classification Criteria

ACR Issues sJIA Recommendations, SSc Classification Criteria

October 1, 2013 • By Kathy Holliman

  • Tweet
  • Email
Print-Friendly Version / Save PDF

Items assigned points in the scoring system are:

You Might Also Like
  • New Osteoarthritis Recommendations and Classification Criteria for Sjögren’s Syndrome and Polymyalgia Rheumatica
  • ACR, EULAR Approve New Classification Criteria for Primary Sjögren’s Syndrome
  • New Classification Criteria for SLE: Proposed ACR/EULAR Criteria aim for high sensitivity & specificity
Explore This Issue
October 2013
Also By This Author
  • 2014 ACR/ARHP Annual Meeting: Innate Immunity at the Core of Rheumatic Disease
  • Skin thickening of the fingers;
  • Fingertip lesions;
  • Telangiectasia;
  • Abnormal nailfold capillaries;
  • Pulmonary arterial hypertension and/or interstitial lung disease;
  • Raynaud’s phenomenon; and
  • Scleroderma-related autoantibodies (antitopoisomerase I, anticentromere, anti–RNA polymerase III).

The scoring system (see Table 1), kept to a maximum of 19 possible points with weights confined to single digits, should simplify its use, particularly given that similar systems are used for other rheumatic diseases, such as rheumatoid arthritis. Dr. Pope anticipates the creation of application software that will make the scoring system easier to use when classifying patients with SSc.

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

According to Dr. Pope, clinicians may wonder why certain items were not included in the list of classification criteria. Many were excluded because they were considered redundant, she says. For example, scleroderma renal crisis was excluded. “It is very specific but rare, so patients are usually classified by other features,” she says.

Some gastrointestinal features, such as lower esophageal dysphagia, dilated esophagus, and gastric antral vascular extasia, which are common in SSc and somewhat specific, were also considered redundant, “as other features are usually present to include these patients in the classification,” she says.

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

Cost of potential treatment and effect of the new criteria on insurance coverage were not part of the ACR/EULAR decision making or research in drafting this document. Dr. Pope noted that more patients potentially will be correctly classified with SSc and get access to medications that are indicated for certain organ system involvement. “There will be more overlap in the new criteria with clinical judgment where, previously, some patients were labeled with SSc but did not meet the former criteria.”


Kathy Holliman is a medical journalist based in New Jersey.

References

  1. Ringold S, Weiss PF, Beukelman T, et al. 2013 update of the 2011 American College of Rheumatology recommendations for the treatment of juvenile idiopathic arthritis: Recommendations for the medical treatment of children with systemic juvenile idiopathic arthritis and tuberculosis screening among children receiving biologic medications. Arthritis Care Res. 2013;65: 1551-1563.
  2. van den Hoogen F, Khanna D, Fransen J, et al. 2013 classification criteria for systemic sclerosis: An American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 2013;65:2737-2747.

Pages: 1 2 3 4 5 | Single Page

Filed Under: Conditions, Scleroderma, Systemic Inflammatory Syndromes Tagged With: AC&R, recommendation, sJIA, SSc, systemic juvenile idiopathic arthritis, Systemic sclerosisIssue: October 2013

You Might Also Like:
  • New Osteoarthritis Recommendations and Classification Criteria for Sjögren’s Syndrome and Polymyalgia Rheumatica
  • ACR, EULAR Approve New Classification Criteria for Primary Sjögren’s Syndrome
  • New Classification Criteria for SLE: Proposed ACR/EULAR Criteria aim for high sensitivity & specificity
  • The ACR, EULAR Partner to Refine Classification System, Develop New SLE Criteria

Meeting Abstracts

Browse and search abstracts from the ACR Convergence and ACR/ARP Annual Meetings going back to 2012.

Visit the Abstracts site »

Rheumatology Research Foundation

The Foundation is the largest private funding source for rheumatology research and training in the U.S.

Learn more »

Simple Tasks

Learn more about the ACR’s public awareness campaign and how you can get involved. Help increase visibility of rheumatic diseases and decrease the number of people left untreated.

Visit the Simple Tasks site »

The Rheumatologist newsmagazine reports on issues and trends in the management and treatment of rheumatic diseases. The Rheumatologist reaches 11,500 rheumatologists, internists, orthopedic surgeons, nurse practitioners, physician assistants, nurses, and other healthcare professionals who practice, research, or teach in the field of rheumatology.

About Us / Contact Us / Advertise / Privacy Policy / Terms of Use

  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed

Copyright © 2006–2021 American College of Rheumatology. All rights reserved.

ISSN 1931-3268 (print)
ISSN 1931-3209 (online)

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.