Performance (%) | EULAR/ACR classification criteria for IIM* | Bohan and Peter†7 8 | Tanimoto et al10 | Targoff et al†11 | Dalakas and Hohlfeld†14 | ENMC Hoogendijk et al†15 | |
Without muscle biopsy | With muscle biopsy | ||||||
Mean (95% CI) | |||||||
Sensitivity | 87 (84 to 90) | 93 (89 to 95) | 98 (96 to 99) | 96 (94 to 97) | 93 (90 to 95) | 6 (5 to 8) | 52 (48 to 55) |
Specificity | 82 (77 to 87) | 88 (83 to 93) | 55 (50 to 61) | 31 (25 to 37) | 89 (84 to 92) | 99 (98 to 100) | 97 (95 to 98) |
Mean | |||||||
Positive predictive value | 90 | 94 | 85 | 80 | 95 | 92 | 96 |
Negative predictive value | 79 | 85 | 90 | 73 | 85 | 43 | 57 |
Correctly classified | 86 | 91 | 86 | 79 | 91 | 45 | 70 |
Correct classification of IIM per subgroup‡ (%) | |||||||
Amyopathic dermatomyositis | 94 | 60 | 25 | 14 | 0 | 0 | 0 |
Dermatomyositis | 96 | 98 | 100 | 96 | 99 | 7 | 83 |
Hypomyopathic dermatomyositis | 83 | 100 | 80 | 40 | 67 | 0 | 20 |
Immune-mediated necrotising myopathy | 100 | 100 | 100 | 100 | 100 | 0 | 10 |
Inclusion body myositis | 58 | 94 | 97 | 97 | 91 | 1 | 1 |
Juvenile dermatomyositis | 97 | 96 | 100 | 96 | 98 | 5 | 86 |
Polymyositis | 79 | 86 | 95 | 100 | 85 | 11 | 9 |
*Cut-off for probability: 55%.
†Definite and probable polymyositis and dermatomyositis.
‡Classification as idiopathic inflammatory myopathy per subgroup out of total number of cases per subgroup, expressed as mean.
ACR, American College of Rheumatology; ENMC, European Neuromuscular Centre; EULAR, European League Against Rheumatism; IIM, idiopathic inflammatory myopathies.