title: Performance of the 2010 American College of Rheumatology/European League against Rheumatism (ACR/EULAR) criteria for classification of rheumatoid arthritis in an Indian population: An observational study in a single centre.
abstract: OBJECTIVE
  The 1987 American College of Rheumatology (ACR) criteria were criticised for classifying patients only in the late stage. The 2010 ACR/European League against Rheumatism (ACR/EULAR) classification criteria for rheumatoid arthritis (RA) were thus formulated to recognize the early stage of disease with high sensitivity. This pilot study was designed to estimate and compare the sensitivities of the 1987 ACR and 2010 ACR/EULAR classification criteria for RA.
  
  
  METHODS
  In a tertiary care hospital, the medical records of 97 patients diagnosed with RA were reviewed. Case study forms were filled with relevant clinical data and investigation results after reviewing each medical record. The radiographs of hands were also reviewed. To each case, both the 1987 ACR and the 2010 ACR/EULAR criteria were applied and the results of the classification were noted.
  
  
  RESULTS
  The sensitivity of the 2010 ACR/EULAR criteria was found to be 79.38 per cent [95% confidence interval (CI) = 71.33-87.43%] and the sensitivity of the 1987 ACR criteria was found to be 63.92 per cent (95% CI = 54.36-73.48%). The difference in the sensitivities was significant (P< 0.01). There was a significant rise in sensitivity of the 2010 ACR/EULAR criteria when patients having anti-cyclic citrullinated peptide (CCP) titres were analysed.
  
  
  CONCLUSIONS
  The 2010 ACR/EULAR criteria were found to be more sensitive than the 1987 ACR criteria possibly owing to features of the criteria. Anti-CCP titres were found to increase the sensitivity of the 2010 ACR/EULAR criteria.
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal, India.
authors.forename: Mvv Pavan
authors.initials: MP
authors.lastname: Kedar
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal, India.
authors.forename: Raviraja V
authors.initials: RV
authors.lastname: Acharya
authors.affiliation: Department of Radiology, Kasturba Medical College, Manipal, India.
authors.forename: K
authors.initials: K
authors.lastname: Prakashini
mesh_terms: D000328:Adult; D001172:Arthritis, Rheumatoid / Q000145:classification / Q000188:drug therapy / Q000453:epidemiology* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007194:India; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D010865:Pilot Projects; D012219:Rheumatology; D014481:United States