Skip to main content

Advertisement

Log in

Validation of the Spanish version of a screening questionnaire for the detection of systemic lupus erythematosus

  • Original Article
  • Published:
Clinical Rheumatology Aims and scope Submit manuscript

Abstract

the aim of this study was to assess the sensitivity, specificity, positive and negative predictive values of the translation of a screening questionnaire for systemic lupus erythematosus (SLE) in Spanish-speaking populations. The questionnaire was applied to secondary-care outpatients in a rheumatology clinic. Sensitivity, specificity, predictive positive and negative values of the instrument, and the best cut-off point to discriminate between SLE patients and other conditions, were determined. Fifty-two subjects answered the questionnaire (21 patients with SLE, 15 with a possible diagnosis of SLE who eventually proved not to have the disease, and 16 healthy volunteers), which can be answered in 2 min. The best cut-off point was three affirmative answers (95% specificity, 84% sensitivity, 80% predictive positive and 96% predictive negative values). The questionnaire can discriminate between SLE cases and other conditions. Sensitivity and specificity are close to those of the original English version. Applying this instrument can help to acquire informed estimates of SLE prevalence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

ANA:

Antinuclear antibody

NPV:

Negative predictive value

PPV:

Positive predictive value

SLE:

Systemic lupus erythematosus

References

  1. Gladman DD, Urowitz MB (1994) Systemic lupus erythematosus. Clinical features. In: Klippel JH, Dieppe PA, (eds) Rheumatology. Hong-Kong, Mosby-Year Book Europe, . 6.2.1–6.2.20

  2. Rooney BK, Silman AJ (1999) Epidemiology of the rheumatic diseases. Curr Opin Rheumatol 11:91

    Article  CAS  PubMed  Google Scholar 

  3. Hochberg MC (1990) Systemic lupus erythematosus. Rheum Dis Clin North Am 16:617–639

    CAS  PubMed  Google Scholar 

  4. Jacobson DL, Gange SJ, Rose NR, Graham NMH (1997) Epidemiology and estimated burden of selected autoimmune diseases in the United States. Clin Immunol Immunopathol 84:223–243

    Article  CAS  PubMed  Google Scholar 

  5. Abadi I, Gonzalez M (1990) Epidemiología del lupus eritematoso sistémico en Venezuela. In: Sánchez A, Dias M, Rodon F, Uribe G, eds. Lupus eritematoso sistémico. Síndrome clínico e inmunológico. Ediciones Acta Médica Colombiana, 17–22

  6. Seminario C, Pessano J (1930) Cuatro casos clínicos de lupus eritematoso agudo. Semin Med (Buenos Aires) 2:721–728

    Google Scholar 

  7. Massardo L, Jacobelli S (1996) The Chilean experience on SLE. Lupus 5:175–177

    CAS  PubMed  Google Scholar 

  8. Iglesias-Gamarra A, Iglesias-Rodriguez A, Iglesias-Rodriguez M, Restrepo-Suarez JF (2001) Lupus en America y el papel de los latinoamericanos. Rev Colombiana Reum 8 www.encolombia.com/medicina/reumatologia/reuma8401junta.htm Accessed 23 November 2002, 10:57 am

    Google Scholar 

  9. Clark-Peralta P (1997) Epidemiología de las enfermedades reumáticas. In: Martínez-Elizondo P, (ed) Introducción a la reumatología, 2nd edn. Sociedad Mexicana de Reumatología AC México, 4–11

  10. Pons-Estebel B, Alarcón-Segovia D (2001) ¿Qué sabemos del lupus en Latinoamérica? Creación de una cohorte multinacional por el Grupo Latinoamericano del Estudio del Lupus (GLADEL). Rev Mex Reumatol 16:105–108

    Google Scholar 

  11. Suarez-Almazor ME, González-López L, Gamez-Nava JI, Belseck E, Kendall CJ, Davis P (1998) Utilization and predictive value of laboratory tests in patients referred to rheumatologists by primary care physicians. J Rheumatol 25:1980–1985

    CAS  PubMed  Google Scholar 

  12. Solomon DH, Shimerling RH, Schur PH, Lew R, Fiskio J, Bates DW (1998) A computed based intervention to reduce unnecessary serologic testing. J Rheumatol 25:2578–2584

    Google Scholar 

  13. Liang MH, Meenan RF, Cathcart ES, Schur PH (1980) A screening strategy for population studies in systemic lupus erythematosus. Arthritis Rheum 23:153–157

    CAS  PubMed  Google Scholar 

  14. Cohen AS, Reynolds WE, Franklin EL (1971) Preliminary criteria for the classification of systemic lupus erythematosus. Bull Rheum Dis 21:643–648

    Google Scholar 

  15. Tan EM, Cohen AS, Fries J et al. (1982) The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 25:1271–1277

    PubMed  Google Scholar 

  16. Tan EM, Feltkamp TEW, Smolen JS et al. (1997) Range of antinuclear antibodies in “healthy” individuals. Arthritis Rheum 40:1601–1611

    CAS  PubMed  Google Scholar 

  17. Kavanaugh A, Russell T, Reveille J, Solomon DH, Homburger HA (2000) Guidelines for clinical use of the antinuclear antibody test and tests for specific autoantibodies to nuclear antigens. Arch Pathol Lab Med 124:71–81

    CAS  PubMed  Google Scholar 

  18. Schur PH (2000) How to interpret autoimmune tests. In: Lahita RG, Chiorazzi N, Reeves WH, eds. Textbook of the autoimmune diseases. Philadelphia, Lippincott Williams & Wilkins,

  19. Portney LG, Watkins MP (1993) Foundations of clinical research. Applications to practice. Norwalk, Conn, Appleton & Lange, 69–86

  20. Greenberg RS, Daniels SR, Flanders WD, Eley JW, Boring JR III (1996) Medical epidemiology, 2nd edn. Norwalk, Conn, Appleton & Lange

  21. Lilienfeld AM, Lilienfeld DE (1987) Fundamentos de epidemiología. Wilmington, Delaware, Addison-Wesley Iberoamericana, 135–138

  22. Sackett DL, Haynes RB, Guyatt GH, Tugwell P (1991) Clinical epidemiology: a basic science for clinical medicine, 2ndedn, Little, Brown & Co, Boston

    Google Scholar 

  23. Dawkins RL, Martinez OP, Freitas EM, Hollingworth PN (1998) Diagnosis of autoimmune disease. In: Rose NR, Mackay IR (eds) The autoimmune diseases, 3rd edn. Academic Press, San Diego

  24. Mackay IR, Rose NR (1998) Autoimmunity yesterday, today and tomorrow. In: Rose NR, Mackay IR (eds) The autoimmune diseases, 3rd edn. USA, Academic Press, San Diego

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Francisco Javier Aceves-Avila.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Aceves-Avila, F.J., Delgadillo-Ruano, M.A., Ramos-Remus, C. et al. Validation of the Spanish version of a screening questionnaire for the detection of systemic lupus erythematosus. Clin Rheumatol 22, 400–404 (2003). https://doi.org/10.1007/s10067-003-0767-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10067-003-0767-5

Keywords

Navigation