Dataset Information

Comparison and validation of International Consensus Diagnostic Criteria for diagnosis of autoimmune pancreatitis from pancreatic cancer in a Taiwanese cohort.

ABSTRACT:

Objectives

The International Consensus Diagnostic Criteria (ICDC) designed to diagnosis autoimmune pancreatitis (AIP) has been proposed recently. The diagnostic performance of ICDC has not been previously evaluated in diffuse-type and focal-type AIP, respectively, in comparison with the revised HISORt and Asian criteria in Taiwan.

Design

Prospective, consecutive patient cohort.

Setting

Largest tertiary referred centre hospital managing pancreatic disease in Taiwan.

Participants

188 patients with AIP and 130 with tissue proofed pancreatic adenocarcinoma were consecutively recruited.

Interventions

The ICDC, as well as revised HISORt and Asian criteria, was applied for each participant. Each diagnostic criterion of ICDC was validated with special reference to levels 1 and 2 in diffuse-type and focal-type AIP.

Outcomes

Sensitivity, specificity and accuracy. Each diagnostic criterion of ICDC was validated with special reference to levels 1 and 2 in AIP and focal-type AIP.

Results

The sensitivity, specificity and accuracy of ICDC for all AIP were the best: 89.4%, 100% and 93.7%, respectively, in these three criteria. The sensitivity, specificity and accuracy of ICDC for focal-type AIP (84.9%, 100% and 93.8%) were also the best among these three criteria. The area under the curve of receiver-operator characteristic of ICDC was 0.95 (95% CI 0.92 to 0.97) in all AIP and 0.93 (95% CI 0.88 to 0.97) in focal-type AIP.

Conclusions

The sensitivity, specificity and accuracy of ICDC are higher than the revised HISORt and Asian criteria. The sensitivity, specificity and accuracy of each criterion are higher in diffuse-type AIP compared with focal-type AIP. Under the same specificity, the sensitivity and accuracy of ICDC are higher than other diagnostic criteria in focal-type AIP. ICDC has better diagnostic performance compared with previously proposed diagnostic criteria in diffuse-type and focal-type AIP.

SUBMITTER: Chang MC

PROVIDER: S-EPMC4139642 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature

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Publications

Comparison and validation of International Consensus Diagnostic Criteria for diagnosis of autoimmune pancreatitis from pancreatic cancer in a Taiwanese cohort.

Chang Ming-Chu MC Liang Po-Chin PC Jan I-Shiow IS Yang Ching-Yao CY Tien Yu-Wen YW Wei Shu-Chen SC Wong Jau-Min JM Chang Yu-Ting YT

BMJ open 20140818 8

<h4>Objectives</h4>The International Consensus Diagnostic Criteria (ICDC) designed to diagnosis autoimmune pancreatitis (AIP) has been proposed recently. The diagnostic performance of ICDC has not been previously evaluated in diffuse-type and focal-type AIP, respectively, in comparison with the revised HISORt and Asian criteria in Taiwan.<h4>Design</h4>Prospective, consecutive patient cohort.<h4>Setting</h4>Largest tertiary referred centre hospital managing pancreatic disease in Taiwan.<h4>Parti ...[more]

PMID: 25138812

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Dataset Information

Comparison and validation of International Consensus Diagnostic Criteria for diagnosis of autoimmune pancreatitis from pancreatic cancer in a Taiwanese cohort.

Objectives

Design

Setting

Participants

Interventions

Outcomes

Results

Conclusions

Publications

Comparison and validation of International Consensus Diagnostic Criteria for diagnosis of autoimmune pancreatitis from pancreatic cancer in a Taiwanese cohort.

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