Table 4

Performance of the EULAR/ACR classification criteria for IIM and existing classification and diagnostic criteria for IIM

Performance
(%)
EULAR/ACR classification criteria for IIM*Bohan and Peter†7 8Tanimoto et al10Targoff et al11Dalakas and Hohlfeld†14ENMC
Hoogendijk et al15
Without muscle biopsyWith muscle biopsy
Mean (95% CI)
 Sensitivity87 (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)
 Specificity82 (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 value90948580959296
 Negative predictive value79859073854357
 Correctly classified86918679914570
Correct classification of IIM per subgroup‡ (%)
 Amyopathic dermatomyositis94602514000
 Dermatomyositis96981009699783
 Hypomyopathic dermatomyositis83100804067020
 Immune-mediated necrotising myopathy100100100100100010
 Inclusion body myositis589497979111
 Juvenile dermatomyositis97961009698586
 Polymyositis79869510085119
  • *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.