TY - JOUR
T1 - Ultrasound definition of tendon damage in patients with rheumatoid arthritis. Results of a OMERACT consensus-based ultrasound score focussing on the diagnostic reliability
AU - Bruyn, George A W
AU - Hanova, Petra
AU - Iagnocco, Annamaria
AU - d'Agostino, Maria Antonietta
AU - Möller, Ingrid
AU - Terslev, Lene
AU - Backhaus, Marina
AU - Balint, Peter V.
AU - Filippucci, Emilio
AU - Baudoin, Paul
AU - van Vugt, Richard
AU - Pineda, Carlos
AU - Wakefield, Richard
AU - Garrido, Jesus
AU - Pecha, Ondrej
AU - Naredo, Esperanza
AU - OMERACT Ultrasound Task Force
AU - Aydin, Sibel
AU - Bachta, Artur
AU - Collado, Paz
AU - Estrach, Cristina
AU - Freeston, Jane E.
AU - Gandjbakhch, Frederique
AU - Gutierrez, Marwin
AU - Hammer, Hilde B.
AU - Ikeda, Kei
AU - Joshua, Frederick
AU - Jousse-Joulin, Sandrine
AU - Kane, David
AU - Keen, Helen I.
AU - Koski, Juhani M.
AU - Mandl, Peter
AU - Karim, Zunaid
AU - Schmidt, Wolfgang A.
AU - Swen, Nanno
AU - Conaghan, Philip G.
PY - 2014/11
Y1 - 2014/11
N2 - Objective: To develop the first ultrasound scoring system of tendon damage in rheumatoid arthritis (RA) and assess its intraobserver and interobserver reliability. Methods: We conducted a Delphi study on ultrasound-defined tendon damage and ultrasound scoring system of tendon damage in RA among 35 international rheumatologists with experience in musculoskeletal ultrasound. Twelve patients with RA were included and assessed twice by 12 rheumatologists-sonographers. Ultrasound examination for tendon damage in B mode of five wrist extensor compartments (extensor carpi radialis brevis and longus; extensor pollicis longus; extensor digitorum communis; extensor digiti minimi; extensor carpi ulnaris) and one ankle tendon (tibialis posterior) was performed blindly, independently and bilaterally in each patient. Intraobserver and interobserver reliability were calculated by κ coefficients. Results: A three-grade semiquantitative scoring system was agreed for scoring tendon damage in B mode. The mean intraobserver reliability for tendon damage scoring was excellent (κ value 0.91). The mean interobserver reliability assessment showed good (κ values (κ value 0.75). The most reliable were the extensor digiti minimi, the extensor carpi ulnaris, and the tibialis posterior tendons. Conclusions: Ultrasound is a reproducible tool for evaluating tendon damage in RA. This study strongly supports a new reliable ultrasound scoring system for tendon damage.
AB - Objective: To develop the first ultrasound scoring system of tendon damage in rheumatoid arthritis (RA) and assess its intraobserver and interobserver reliability. Methods: We conducted a Delphi study on ultrasound-defined tendon damage and ultrasound scoring system of tendon damage in RA among 35 international rheumatologists with experience in musculoskeletal ultrasound. Twelve patients with RA were included and assessed twice by 12 rheumatologists-sonographers. Ultrasound examination for tendon damage in B mode of five wrist extensor compartments (extensor carpi radialis brevis and longus; extensor pollicis longus; extensor digitorum communis; extensor digiti minimi; extensor carpi ulnaris) and one ankle tendon (tibialis posterior) was performed blindly, independently and bilaterally in each patient. Intraobserver and interobserver reliability were calculated by κ coefficients. Results: A three-grade semiquantitative scoring system was agreed for scoring tendon damage in B mode. The mean intraobserver reliability for tendon damage scoring was excellent (κ value 0.91). The mean interobserver reliability assessment showed good (κ values (κ value 0.75). The most reliable were the extensor digiti minimi, the extensor carpi ulnaris, and the tibialis posterior tendons. Conclusions: Ultrasound is a reproducible tool for evaluating tendon damage in RA. This study strongly supports a new reliable ultrasound scoring system for tendon damage.
UR - http://www.scopus.com/inward/record.url?scp=84882493793&partnerID=8YFLogxK
U2 - 10.1136/annrheumdis-2013-203596
DO - 10.1136/annrheumdis-2013-203596
M3 - Article
C2 - 23940212
AN - SCOPUS:84882493793
VL - 73
SP - 1929
EP - 1934
JO - Annals of the Rheumatic Diseases
JF - Annals of the Rheumatic Diseases
SN - 0003-4967
IS - 11
ER -