OMERACT International Consensus for Ultrasound Definitions of Tenosynovitis in Juvenile Idiopathic Arthritis: Systematic Literature Review and Delphi Process - Université de Versailles Saint-Quentin-en-Yvelines Access content directly
Journal Articles Arthritis Care & Research = Arthritis Care and Research Year : 2023

OMERACT International Consensus for Ultrasound Definitions of Tenosynovitis in Juvenile Idiopathic Arthritis: Systematic Literature Review and Delphi Process

Paz Collado
María Victoria Martire
  • Function : Author
Stefano Lanni
Orazio de Lucia
Peter Balint
  • Function : Author
Severine Guillaume‐czitrom
  • Function : Author
Cristina Hernandez‐diaz
  • Function : Author
Nina Krafft Sande
  • Function : Author
Silvia Magni‐manzoni
Clara Malattia
Linda Rossi‐semerano
Johannes Roth
  • Function : Author
Tracy Ting
  • Function : Author
Patricia Vega‐fernandez
Daniel Windschall
  • Function : Author
Esperanza Naredo
  • Function : Author

Abstract

Objective Synovitis and tenosynovitis are present in juvenile idiopathic arthritis (JIA), both as joint pain and/or inflammation, making them difficult to detect on physical examination. Although ultrasonography (US) allows for discrimination of the 2 entities, only definitions and scoring of synovitis in children have been established. This study was undertaken to produce consensus‐based US definitions of tenosynovitis in JIA. Methods A systematic literature search was performed. Selection criteria included studies focused on US definition and scoring systems for tenosynovitis in children, as well as US metric properties. Through a 2‐step Delphi process, a panel of international US experts developed definitions for tenosynovitis components (step 1) and validated them by testing their applicability on US images of tenosynovitis in several age groups (step 2). A 5‐point Likert scale was used to rate the level of agreement. Results A total of 14 studies were identified. Most used the US definitions developed for adults to define tenosynovitis in children. Construct validity was reported in 86% of articles using physical examination as a comparator. Few studies reported US reliability and responsiveness in JIA. In step 1, experts reached a strong group agreement (>86%) by applying adult definitions in children after one round. After 4 rounds of step 2, the final definitions were validated on all tendons and at all locations, except for biceps tenosynovitis in children <4 years old. Conclusion The study shows that the definition of tenosynovitis used in adults is applicable to children with minimal modifications agreed upon through a Delphi process. Further studies are required to confirm our results.

Domains

Health
Fichier principal
Vignette du fichier
Arthritis Care Research - 2023 - Collado - OMERACT International Consensus for Ultrasound Definitions of Tenosynovitis in.pdf (521.19 Ko) Télécharger le fichier
Origin Publication funded by an institution

Dates and versions

hal-04551336 , version 1 (18-04-2024)

Identifiers

Cite

Paz Collado, María Victoria Martire, Stefano Lanni, Orazio de Lucia, Peter Balint, et al.. OMERACT International Consensus for Ultrasound Definitions of Tenosynovitis in Juvenile Idiopathic Arthritis: Systematic Literature Review and Delphi Process. Arthritis Care & Research = Arthritis Care and Research, 2023, 75 (11), pp.2277-2284. ⟨10.1002/acr.25159⟩. ⟨hal-04551336⟩
4 View
4 Download

Altmetric

Share

Gmail Mastodon Facebook X LinkedIn More