The development and initial validation of the systemic lupus international collaborating clinics/American college of rheumatology damage index for systemic lupus erythematosus

Dafna Gladman; Ellen Ginzler; Charles Goldsmith; Paul Fortin; Matthew Liang; Jorge Sanchez‐Guerrero; Murray Urowitz; Paul Bacon; Stefano Bombardieri; John Hanly; John Jones; Elaine Hay; Deborah Symmons; David Isenberg; Kenneth Kalunion; Peter Maddison; Ola Nived; Gunnar Sturfelt; Michelle Petri; Martin Richter; Michael Snaith; Asad Zoma

doi:10.1002/art.1780390303

journal article Mar 01, 1996

The development and initial validation of the systemic lupus international collaborating clinics/American college of rheumatology damage index for systemic lupus erythematosus

Dafna Gladman Ellen Ginzler Charles Goldsmith Paul Fortin Matthew Liang Jorge Sanchez‐Guerrero Murray Urowitz

Paul Bacon Stefano Bombardieri John Hanly John Jones Elaine Hay Deborah Symmons David Isenberg Kenneth Kalunion Peter Maddison Ola Nived Gunnar Sturfelt Michelle Petri Martin Richter Michael Snaith Asad Zoma

Arthritis & Rheumatism Vol. 39 No. 3 pp. 363-369 · Wiley

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Abstract

AbstractObjective. To develop and perform an initial validation of a damage index for systemic lupus erythematosus (SLE).Methods. A list of items considered to reflect damage in SLE was generated through a nominal group process. A consensus as to which items to be included in an index was reached, together with rules for ascertainment. Each center submitted 2 assessments, 5 years apart, on 2 patients with active and 2 with inactive disease, of whom 1 had increased damage and the other had stable disease. Analysis of variance was used to test the factors physician, time, amount of damage, and activity status.Results. Nineteen physicians completed the damage index on 42 case scenarios. The analysis revealed that the damage index could identify changes in damage seen in patients with both active and inactive disease. Patients who had active disease at both time points had a higher increase in damage. There was good agreement among the physicians on the assessment of damage in these patients.Conclusion. This damage index for SLE records damage occurring in patients with SLE regardless of its cause. The index was demonstrated to have content, face, criterion, and discriminant validity.

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References

9

[1]

10.1097/00002281-199110000-00007

[2]

10.1002/art.1780350606

[3]

Isenberg D "Criteria for assessing disease activity in systemic lupus erythematosus" J Rheumatol (1989)

[4]

Gladman DD "Cross‐cultural validation and reliability of three disease activity indices in SLE" J Rheumatol (1992)

[5]

Gladman D "Sensitivity to change of 3 SLE disease activity indices: international validation (abstract)" Arthritis Rheum (1990)

[6]

Gladman DD "Workshop report: Systemic Lupus International Collaborative Clinics (SLICC): development of a damage index in SLE" J Rheumatol (1992)

[7]

Urowitz MB (1989)

[8]

ARA Glossary Committee (1982)

[9]

Gorgos L "The ACR/SLICC Damage Index in systemic lupus erythematosus (abstract)" Arthritis Rheum (1993)

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Details

Published: Mar 01, 1996
Vol/Issue: 39(3)
Pages: 363-369
License: View

Authors

Jorge Sanchez‐Guerrero

Mount Sinai Hospital/University Health Network University of Toronto, Toronto, Ontario, Canada and Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico City Mexico

M

Murray Urowitz

Toronto Western Hospital University of Toronto Lupus Clinic Toronto Ontario Canada

Lunar and Planetary Institute, 3600 Bay Area Boulevard, Houston, Texas 77058, U.S.A.

Centre for Rheumatology, University College London, London, UK

Cite This Article

Dafna Gladman, Ellen Ginzler, Charles Goldsmith, et al. (1996). The development and initial validation of the systemic lupus international collaborating clinics/American college of rheumatology damage index for systemic lupus erythematosus. Arthritis & Rheumatism, 39(3), 363-369. https://doi.org/10.1002/art.1780390303

The development and initial validation of the systemic lupus international collaborating clinics/American college of rheumatology damage index for systemic lupus erythematosus

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