title: Proposed classification criteria of psoriatic arthritis. A preliminary study in 260 patients.
abstract: Psoriatic arthritis probably owes to its radioclinical presentation its position as the most controversial and poorly understood of all major chronic inflammatory joint diseases. Differentiating psoriatic arthritis from ankylosing spondylitis and rheumatoid arthritis remains difficult.
  
  
  OBJECTIVE
  To conduct a statistical analysis aimed at identifying clinical, radiological, and laboratory criteria for classifying psoriatic arthritis.
  
  
  METHODS
  260 patients were studied retrospectively, including 100 cases with psoriatic arthritis and 160 controls with ankylosing spondylitis meeting Amor's criteria (n = 80) or with rheumatoid arthritis meeting American College of Rheumatology criteria (n = 80). Mean disease duration was five years. Thirty-nine variables were recorded for each patient. Multiple logistic regression and discriminant analysis were used to select the classification criteria.
  
  
  RESULTS
  Each of the two statistical methods selected the same nine criteria. After assigning a weighting coefficient to each of these criteria, sensitivity and specificity were better with the multiple logistic regression model (95% and 98%, respectively) than with the discriminant analysis model.
  
  
  CONCLUSIONS
  Our classification criteria require further evaluation in multicenter prospective studies.
authors.affiliation: Rheumatology Department, Purpan Teaching Hospital, Toulouse, France.
authors.forename: B
authors.initials: B
authors.lastname: Fournié
authors.forename: L
authors.initials: L
authors.lastname: Crognier
authors.forename: C
authors.initials: C
authors.lastname: Arnaud
authors.forename: L
authors.initials: L
authors.lastname: Zabraniecki
authors.forename: V
authors.initials: V
authors.lastname: Lascaux-Lefebvre
authors.forename: V
authors.initials: V
authors.lastname: Marc
authors.forename: E
authors.initials: E
authors.lastname: Ginesty
authors.forename: V
authors.initials: V
authors.lastname: Andrieu
authors.forename: C
authors.initials: C
authors.lastname: Dromer
authors.forename: A
authors.initials: A
authors.lastname: Fournié
mesh_terms: D000328:Adult; D015535:Arthritis, Psoriatic / Q000145:classification* / Q000175:diagnosis*; D001172:Arthritis, Rheumatoid / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013167:Spondylitis, Ankylosing / Q000175:diagnosis; D011795:Surveys and Questionnaires