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LetterLetter

Comparative Analysis of Different Specific Indices of Hand Impairment in Systemic Sclerosis

FRANCESCA INGEGNOLI, PATRIZIA BORACCHI, FEDERICO AMBROGI and PIER LUIGI MERONI
The Journal of Rheumatology October 2010, 37 (10) 2192-2193; DOI: https://doi.org/10.3899/jrheum.100260
FRANCESCA INGEGNOLI
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  • For correspondence: francesca.ingegnoli@unimi.it
PATRIZIA BORACCHI
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FEDERICO AMBROGI
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PIER LUIGI MERONI
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    Table 1.

    Overview of the main findings of the cluster analysis based on similarity of the patients’ clinical profiles. The frequency distribution of the various characteristics of the clusters are shown. Pulmonary involvement was defined as the presence of bibasilar fibrosis on standard chest radiographs or high-resolution computed tomography scans and/or pulmonary arterial hypertension detected by means of color Doppler echocardiography and confirmed by right-heart catheterization; esophageal involvement as barium radiography hypomotility; cardiac involvement as the presence of pericarditis, arrhythmia, or left ventricular congestive heart failure; renal involvement as malignant hypertension and/or rapidly progressive renal failure; hand involvement was defined as the presence of arthralgia, arthritis, flexion contractures, and/or digital ulcers. Data are percentages.

    FeatureGroup A: Minor Extent of Organ Involvement, N = 61Cluster B: Major Extent of Organ Involvement, N = 19Complete Case Series, N = 80
    dcSSc87925
    lcSSc922175
    Hand involvement
      Arthralgias446349
      Arthritis101110
      Digital ulcers416346
      Flexion contractures137428
    Heart involvement107926
    Lung involvement
      Bibasilar fibrosis349549
      Pulmonary arterial hypertension106323
    Esophagus involvement628969
    • dcSSc: diffuse cutaneous systemic sclerosis; lcSSc: limited cutaneous systemic sclerosis.

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    Table 2.

    Discriminating capacity of the hand function indices in relation to the 2 patient groups with minor and major extent of organ involvement.

    ModelC-Index (95% CI)Best Cutoff for Classifying Major Extent of Organ InvolvementSensitivitySpecificity
    HAI0.80 (0.66–0.91)≤ 2.67979
    HAMIS0.81 (0.69–0.91)≥ 4.56389
    FTP0.73 (0.60–0.87)≥ 1.55882
    HAI + FTP0.84 (0.73–0.93)HAI ≤ 2.5, FTP ≥ 17480
    FTP + HAMIS0.82 (0.71–0.92)HAMIS ≥ 2.5, FTP ≥ 17971
    HAI + HAMIS0.83 (0.72–0.94)HAI ≤ 2.5, HAMIS ≥ 2.57985
    HAI + HAMIS + FTP0.85 (0.74–0.95)HAMIS ≥ 4.5, HAI ≤ 2.6, FTP ≥ 0.58479
    • HAI: Hand Anatomic Index; HAMIS: Hand Mobility in Scleroderma; FTP: finger-to-palm distance.

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The Journal of Rheumatology
Vol. 37, Issue 10
1 Oct 2010
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Comparative Analysis of Different Specific Indices of Hand Impairment in Systemic Sclerosis
FRANCESCA INGEGNOLI, PATRIZIA BORACCHI, FEDERICO AMBROGI, PIER LUIGI MERONI
The Journal of Rheumatology Oct 2010, 37 (10) 2192-2193; DOI: 10.3899/jrheum.100260

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Comparative Analysis of Different Specific Indices of Hand Impairment in Systemic Sclerosis
FRANCESCA INGEGNOLI, PATRIZIA BORACCHI, FEDERICO AMBROGI, PIER LUIGI MERONI
The Journal of Rheumatology Oct 2010, 37 (10) 2192-2193; DOI: 10.3899/jrheum.100260
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