Table 2.

Diagnostic value of the 3 criteria sets (unmodified ACR 1987, modified ACR 1987 criteria, and more than 6 points on the ACR/EULAR score), and of the best combination of items in the Brittany cohort in the overall population, in the subgroup meeting the 3 conditions for ACR/EULAR scoring (synovitis, no better alternative diagnosis, and no radiographic erosion typical for RA), and in the overall population classified according to the full ACR/EULAR tree.

CriteriaSubgroupsSensitivity, % (95% CI)Specificity, % (95% CI)Positive Predictive Value, (95% CI)Negative Predictive Value, (95% CI)AUC*
ACR 1987 criteria, ≥ 4Overall64/100, 64 (53.7–73.2)136/170, 80 (73.0–85.6)64/98, 65.3 (54.9–74.4)136/172, 79.1 (72.1–84.71)0.81
Conditions met50/78, 64.1 (52.4–74.4)43/65, 66.1 (53.2–77.1)50/72, 69.4 (58.4–79.5)43/71, 60.6 (48.2–71.7)0.74
Full tree61/100, 61 (50.7–70.4)151/170, 88.8 (82.9–92.9)61/88, 69.3 (58.4–78.5)143/182, 78.6 (71.8–84.1)
ACR 1987 criteria with Liao 2 modification, ≥ 3Overall69/100, 69 (58.9–77.7)136/170, 80 (73.3–85.6)69/98, 70.4 (60.2–78.9)136/172, 79.1 (72.1–84.7)0.81
Conditions met67/78, 85.9 (75.7–92.4)36/65, 55.4 (42.6–67.5)67/96, 69.8 (59.5–78.5)36/47, 76.6 (61.6–87.2)0.77
Full tree72/100, 72 (61.9–80.3)144/170, 84.7 (78.2–89.6)78/112, 69.6 (60.1–77.8)136/158, 86.1 (79.5–90.9)
ACR 1987 criteria with Liao 1 modification, ≥ 4Overall84/100, 84 (75.0–90.3)112/170, 65.9 (58.2–72.9)84/142, 59.1 (50.6–67.2)112/128, 87.5 (80.2–92.5)0.83
Conditions met54/78, 69.2 (57.6–78.9)43/65, 66.1 (53.2–77.1)54/76, 71.0 (59.3–80.6)43/67, 64.2 (51.5–75.3)0.77
Full tree65/100, 65 (54.7–74.1)143/170, 84.1 (77.5–89.1)65/92, 70.6 (60.1–79.4)143/178, 80.3 (73.6–85.8)
ACR/EULAR score ≥ 6Overall58/100, 58 (47.7–67.7)143/170, 85.9 (79.5–90.6)58/82, 70.7 (59.5–79.9)146/188, 77.6 (70.9–83.3)0.83
Conditions met40/78, 51.3 (39.8–62.7)53/65, 81.5 (69.6–89.7)40/52, 76.9 (62.8–87)53/91, 58.2 (47.4–68.3)0.78
Full tree51/100, 51 (40.9–61.1)153/170, 90 (84.2–93.9)51/68, 75 (84.2–93.9)153/202, 75.7 (69.1–81.4)
Best combination of items in the Brittany cohort ≥ 5Overall62/100, 62 (51.7–71.4)145/170, 85.3 (78.9–90.1)62/87, 71.3 (60.4–80.2)145/183, 79.2 (72.5–84.7)0.84
Conditions met50/78, 64.1 (52.4–74.4)53/65, 81.8 (69.6–89.7)50/62, 80.6 (68.2–89.2)53/81, 65.4 (53.9–75.4)0.83**
Full tree61/100, 61 (50.7–70.4)153/170, 90 (84.2–93.9)61/88, 69.3 (58.4–78.5)153/192, 79.7 (73.2–84.9)
  • * Area under the curve of the receiver operating characteristic curves when conditions were met.

  • ** p , 0.05 versus ACR/EULAR score.