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Szkudlarek M, Terslev L, Wakefield RJ, Backhaus M, Balint PV, Bruyn GAW, Filippucci E, Gandjbakhch F, Iagnocco A, Mandl P, Möller I, Naredo E, Schmidt WA, d'Agostino MA. Summary Findings of a Systematic Literature Review of the Ultrasound Assessment of Bone Erosions in Rheumatoid Arthritis. J Rheumatol 2015; 43:12-21. [PMID: 26628596 DOI: 10.3899/jrheum.141416] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/27/2015] [Indexed: 12/14/2022]
Abstract
OBJECTIVE Bone erosions in rheumatoid arthritis (RA) have been studied in an increasing amount of research. Both earlier and present classification criteria of RA contain erosions as a significant classification component. Ultrasound (US) can detect bone changes in accessible surfaces. Therefore, the study group performed a systematic literature review of assessment of RA bone erosions with US. METHODS A systematic search of PubMed and Embase was performed. Data on the definitions of RA bone erosions, their size, scoring, relation to synovitis, comparators, and elements of the OMERACT (Outcome Measures in Rheumatology Clinical Trials) filter were collected and analyzed. RESULTS The selection process identified 58 original research papers. The assessed joints were most frequently metacarpophalangeal (MCP; 41 papers), proximal interphalangeal (19 papers), and metatarsophalangeal joints (MTP; 18 papers). The OMERACT definition of RA bone erosion on US was used most often (17 papers). Second and fifth MCP and fifth MTP were recommended as target joints. Conventional radiography was the most frequently used comparator (27 papers), then magnetic resonance imaging (17 papers) and computed tomography (5 papers). Reliability of assessment was presented in 20 papers and sensitivity to change in 11 papers. CONCLUSION This paper presents results of a systematic literature review of bone erosion assessment in RA with US. The survey suggests that US can be a helpful adjunct to the existing methods of imaging bone erosions in RA. It analyzes definitions, scoring systems, used comparators, and elements of the OMERACT filter. It also presents recommendations for a future research agenda based on the results of the review.
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Affiliation(s)
- Marcin Szkudlarek
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Lene Terslev
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Richard J Wakefield
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Marina Backhaus
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Peter V Balint
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - George A W Bruyn
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Emilio Filippucci
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Frederique Gandjbakhch
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Annamaria Iagnocco
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Peter Mandl
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Ingrid Möller
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Esperanza Naredo
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Wolfgang A Schmidt
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
| | - Maria Antonietta d'Agostino
- From the Department of Rheumatology, Copenhagen University Hospital at Køge, Køge; Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds, UK; Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin; Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology, Berlin-Buch, Germany; Third Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Department of Rheumatology, MC Groep, Lelystad, the Netherlands; Clinica Reumatologica, Università Politecnica delle Marche, Jesi, Ancona; Rheumatology Unit, Dipartmento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Université Paris 6-Pierre et Marie Curie, Hôpital La Pitié Salpetrière, Assistance Publique - Hôpitaux de Paris (APHP), Paris; Rheumatology Department, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, Boulogne-Billancourt, France; Division of Rheumatology, University of Vienna, Vienna, Austria; Instituto Poal de Reumatologia-Hospital Platon, Barcelona; Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain.M. Szkudlarek, MD, PhD, Department of Rheumatology, Copenhagen University Hospital at Køge; L. Terslev, MD, PhD, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital at Glostrup; R.J. Wakefield, BM, FRCP, MD, Senior Lecturer and Honorary Consultant Rheumatologist, LIRMM Section of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital; M. Backhaus, Professor, Dr. Med., Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin; P.V. Balint, MD, PhD, FRCP, Third Department of Rheumatology, Nationa
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