Applying the ACR/EULAR systemic sclerosis classification criteria to the Spanish scleroderma registry cohort

April 12, 2016

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Applying the ACR/EULAR systemic sclerosis classification criteria to the Spanish scleroderma registry cohort

Publicated to:JOURNAL OF RHEUMATOLOGY. 42 (12): 2327-2331 - 2015-12-01 42(12), DOI: 10.3899/jrheum.150144

Authors: Sáez-Comet L, Simeón-Aznar CP, Pérez-Conesa M, Vallejo-Rodríguez C, Tolosa-Vilella C, Iniesta-Arandia N, Colunga-Argüelles D, Egurbide-Arberas MV, Ortego-Centeno N, Vargas-Hitos JA, Freire-Dapena M, Rubio-Rivas M, Ríos-Blanco JJ, Trapiella-Martínez L, Fonollosa-Pla V, RESCLE Investigators

Affiliations

Complejo Hosp Univ Vigo, Dept Internal Med, Vigo, Pontevedra, Spain Complexo Hospitalario Universitario de Vigo - Author

Complejo Hospitalario Universitario de Granada - Author

Corp Sanitaria Univ ParcTauli, Dept Internal Med, Barcelona, Spain - Author

Department of Internal Medicine - Author

Hosp Cabuenes, Dept Internal Med, Gijon, Asturias, Spain Hospital de Cabuenes - Author

Hosp Clin Barcelona, Inst Clin Med & Dermatol, Dept Autoimmune Dis, Barcelona, Spain Hospital Clinic de Barcelona University of Barcelona - Author

Hosp La Paz, Dept Internal Med, Madrid, Spain Hospital Universitario La Paz - Author

Hosp Univ Bellvitge, Dept Internal Med, Barcelona, Spain Catalan Health Institute Bellvitge University Hospital University of Barcelona - Author

Hosp Univ Cent Asturias, Dept Internal Med, Oviedo, Spain Central University Hospital Asturias - Author

Hosp Univ Cruces, Dept Internal Med, Baracaldo, Vizcaya, Spain Hospital Universitario Cruces - Author

Hosp Univ Miguel Servet, Dept Internal Med, Zaragoza, Spain. Miguel Servet University Hospital - Author

Hosp Univ Miguel Servet, Dept Internal Med, Zaragoza, Spain Miguel Servet University Hospital - Author

Hosp Univ San Cecilio, Dept Internal Med, Granada, Spain Hospital Universitario San Cecilio - Author

Hosp Univ Virgen de las Nieves, Dept Internal Med, Granada, Spain Hospital Universitario Virgen de las Nieves - Author

Hosp Valle De Hebron, Dept Internal Med, Barcelona, Spain Hospital Universitari Vall d'Hebron - Author

Hospital Clínic - Author

Hospital de Cabuenes - Author

Hospital Miguel Servet - Author

Hospital Universitari de Bellvitge - Author

Hospital Universitari Vall d'Hebron - Author

Hospital Universitario Central de Asturias - Author

Hospital Universitario Cruces - Author

Hospital Universitario La Paz - Author

Hospital Universitario San Cecilio - Author

Abstract

To compare American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for systemic sclerosis (SSc) with previous American Rheumatology Association (ARA) criteria.This was a cross-sectional multicenter study comparing sensitivity of both criteria in the cutaneous subsets in the Spanish scleroderma registry (RESCLE) cohort.In 1222 patients with SSc, the most prevalent items were Raynaud phenomenon (95%), skin thickening (91%), and abnormal capillaroscopy (89%). ARA criteria classified as SSc 63.5% of all patients, and 63%, 100%, 11.2%, and 0% in the limited, diffuse, sine, and pre-SSc subsets, respectively. ACR/EULAR criteria classified 87.5% of all patients and 98.5%, 100%, 41.8%, and 15.9% in the same subsets, respectively.ACR/EULAR criteria are more sensitive than ARA criteria, especially in limited, sine, and pre-SSc subsets.

Keywords

classification criteriaAdultAmerican college of rheumatology european league against rheumatism classificationAmerican rheumatology association classificationArticleCapillaroscopyClassification criteriaCross-sectional studyDisease classificationDisease registryFemaleHumanMajor clinical studyMalePriority journalRaynaud phenomenonSclerodermaSpaniardSystemic sclerosis

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Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal JOURNAL OF RHEUMATOLOGY due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2015, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Rheumatology.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 3.32, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-02, the following number of citations:

WoS: 13
Scopus: 14
Europe PMC: 9

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This work has been carried out with international collaboration, specifically with researchers from: Granada.

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Applying the ACR/EULAR systemic sclerosis classification criteria to the Spanish scleroderma registry cohort

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Abstract

Keywords

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

Impact and social visibility

Leadership analysis of institutional authors