A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

The validity of systemic sclerosis diagnoses in two university hospitals in Finland




TekijätPaltta Johanna, Kortelainen Saara, Käyrä Matti, Pirilä Laura, Huhtakangas Johanna, Palomäki Antti

KustantajaTaylor and Francis [Commercial Publisher]

Julkaisuvuosi2023

JournalScandinavian Journal of Rheumatology

Tietokannassa oleva lehden nimiSCANDINAVIAN JOURNAL OF RHEUMATOLOGY

Lehden akronyymiSCAND J RHEUMATOL

Sivujen määrä4

ISSN0300-9742

eISSN1502-7732

DOIhttps://doi.org/10.1080/03009742.2022.2056999

Verkko-osoitehttps://www.tandfonline.com/doi/full/10.1080/03009742.2022.2056999

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/175177585


Tiivistelmä

Objective: This study aimed to determine the validity of systemic sclerosis (SSc) diagnoses in Finnish university hospitals.

Method: Electronic medical records for 385 patients with a registered diagnosis of SSc (ICD-10 code M34) in two Finnish university hospitals from 2008 to 2018 were reviewed to assess whether each patient's diagnosis was correct.

Results: The positive predictive value (PPV) of a diagnosis of SSc was 0.66 when fulfilment of the 2013 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for SSc was required; the PPV was 0.75 if patients meeting the 2001 LeRoy and Medsger classification criteria for early SSc were also included. When a diagnosis of SSc was made in a department of rheumatology, the PPV was 0.78, and 0.90 when including patients with early SSc. For the more specific diagnosis of limited cutaneous SSc (lcSSc), the PPV was 0.80, and 0.95 when including early SSc. For an lcSSc diagnosis made in rheumatology, the PPV was 0.81, and 0.97 with early SSc included.

Conclusion: These results demonstrate that in these two Finnish university hospitals, the diagnostic validity of a diagnosis of SSc was good if it was diagnosed in the department of rheumatology. For a more specific diagnosis of lcSSc, the most prevalent form of SSc in Finland, the validity was good even when registered in any department.


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Last updated on 2024-26-11 at 15:09