PT  - JOURNAL ARTICLE
AU  - Dasgupta, Bhaskar
AU  - Cimmino, Marco A
AU  - Maradit-Kremers, Hilal
AU  - Schmidt, Wolfgang A
AU  - Schirmer, Michael
AU  - Salvarani, Carlo
AU  - Bachta, Artur
AU  - Dejaco, Christian
AU  - Duftner, Christina
AU  - Jensen, Hanne Slott
AU  - Duhaut, Pierre
AU  - Poór, Gyula
AU  - Kaposi, Novák Pál
AU  - Mandl, Peter
AU  - Balint, Peter V
AU  - Schmidt, Zsuzsa
AU  - Iagnocco, Annamaria
AU  - Nannini, Carlotta
AU  - Cantini, Fabrizio
AU  - Macchioni, Pierluigi
AU  - Pipitone, Nicolò
AU  - Amo, Montserrat Del
AU  - Espígol-Frigolé, Georgina
AU  - Cid, Maria C
AU  - Martínez-Taboada, Víctor M
AU  - Nordborg, Elisabeth
AU  - Direskeneli, Haner
AU  - Aydin, Sibel Zehra
AU  - Ahmed, Khalid
AU  - Hazleman, Brian
AU  - Silverman, Barbara
AU  - Pease, Colin
AU  - Wakefield, Richard J
AU  - Luqmani, Raashid
AU  - Abril, Andy
AU  - Michet, Clement J
AU  - Marcus, Ralph
AU  - Gonter, Neil J
AU  - Maz, Mehrdad
AU  - Carter, Rickey E
AU  - Crowson, Cynthia S
AU  - Matteson, Eric L
TI  - 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative
AID  - 10.1136/annrheumdis-2011-200329
DP  - 2012 Apr 01
TA  - Annals of the Rheumatic Diseases
PG  - 484--492
VI  - 71
IP  - 4
4099  - http://ard.bmj.com/content/71/4/484.short
4100  - http://ard.bmj.com/content/71/4/484.full
SO  - Ann Rheum Dis2012 Apr 01; 71
AB  - The objective of this study was to develop EULAR/ACR classification criteria for polymyalgia rheumatica (PMR). Candidate criteria were evaluated in a 6-month prospective cohort study of 125 patients with new onset PMR and 169 non-PMR comparison subjects with conditions mimicking PMR. A scoring algorithm was developed based on morning stiffness >45 minutes (2 points), hip pain/limited range of motion (1 point), absence of RF and/or ACPA (2 points), and absence of peripheral joint pain (1 point). A score ≥4 had 68% sensitivity and 78% specificity for discriminating all comparison subjects from PMR. The specificity was higher (88%) for discriminating shoulder conditions from PMR and lower (65%) for discriminating RA from PMR. Adding ultrasound, a score ≥5 had increased sensitivity to 66% and specificity to 81%. According to these provisional classification criteria, patients ≥50 years old presenting with bilateral shoulder pain, not better explained by an alternative pathology, can be classified as having PMR in the presence of morning stiffness>45 minutes, elevated CRP and/or ESR and new hip pain. These criteria are not meant for diagnostic purposes.