Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria.

Authors: van der Linden S (1) , Valkenburg HA (2,3) , Cats A (2,3)
Affiliations:
(1) University of Berne, Inselspital (2) Department of Rheumatology, University of Leiden (3) Department of Epidemiology, Erasmus University
Source: Arthritis Rheum. 1984 Apr;27(4):361-8
DOI: 10.1002/art.1780270401 Publication date: 1984 Apr E-Publication date: 2005 Nov Availability: abstract Copyright: Copyright © 1984 American College of Rheumatology
Language: English Countries: Not specified Location: Not specified Correspondence address: van der Linden S. :
Department of Rheumatology, Inselspital, 3010 Berne, Switzerland

Keywords

Article abstract

The New York and the Rome diagnostic criteria for ankylosing spondylitis (AS) and the clinical history screening test for AS were evaluated in relatives of AS patients and in population control subjects. The New York criterion of pain in the (dorso) lumbar spine lacks specificity, and the chest expansion criterion is too insensitive. The Rome criterion of low back pain for more than 3 months is very useful. Our study showed the clinical history screening test for AS to be moderately sensitive, but it might be better in clinical practice. As a modification of the New York criteria, substitution of the Rome pain criterion for the New York pain criterion is proposed.

Find it online