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Pan-American League of Associations for Rheumatology (PANLAR) capillaroscopy study group consensus for the format and content of the report in capillaroscopy in rheumatology

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Abstract

Objective

The aim of this work was to produce a consensus-based report for capillaroscopy in rheumatology to be used in daily clinical practice.

Methods

A written Delphi questionnaire regarding capillaroscopy report was developed from a literature review and expert consensus. The Delphi questionnaire was sent to an international panel including 25 rheumatologists experts in capillaroscopy, asking them to rate their level of agreement or disagreement with each statement. The exercise consisted of three online rounds and a face-to-face (live meeting) that took place in the PANLAR 2018 congress held in Buenos Aires, Argentina.

Results

The participants to the first, second, third, and face-to-face round were 22, 21, 21, and 16 rheumatologists, respectively. Fifty-five items were discussed in the first round, 58 in the second, 22 in the third, and 9 in the face-to-face meeting. At the end of the exercise, 46 recommendations for the capillaroscopy report in rheumatology reached a consensus.

Conclusion

This is the first consensus-based report in capillaroscopy. It will be useful in daily clinical practice and to address the effort of the standardization in the technique.

Key Points

• The current lack of consensus for the capillaroscopy report makes difficult the interpretation of findings as well as follow-up of rheumatic diseases.

• This study produced the first international consensus for the format and content of the naifold capillaroscopy report in rheumatology.

• The report is an integral part of the capillaroscopy examination and its use in a homogeneous form can help in the correct interpretation of findings in daily practice.

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Author information

Authors and Affiliations

  1. Division of Musculoskeletal and Rheumatic Disorders, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Calzada Mexico-Xochimilco 289, Colonia Arenal de Guadalupe, CP 143898, Mexico City, Mexico

    Chiara Bertolazzi & Marwin Gutiérrez

  2. Departament of Rheumatology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico

    Angélica Vargas Guerrero

  3. Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico

    Tatiana Sofía Rodríguez-Reyna & Gabriela Hernández-Molina

  4. Sociomedical Research Unit, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico

    Hugo Sandoval

  5. Rheumatology Service, Hospital General de México Dr. Eduardo Liceaga, SSA, Mexico City, Mexico

    Everardo Álvarez-Hernández

  6. Department of Rheumatology, Hospital Nacional de Clínicas, National University of Córdoba, Córdoba City, Argentina

    Marcelo José Audisio

  7. Rheumatology Service, Hospital Nacional Alberto Sabgoal Sologuren, Lima, Peru

    Eduardo Cabello

  8. Reumatology Section, Santa Fe de Bogotá Foundation, Los Andes University, Bogotá, Colombia

    Paola Coral-Alvarado

  9. Rheumatology Section, Hospital del Seguro Social Universitario, Universidad San Francisco Xavier, Sucre, Chuquisaca, Bolivia

    Ericka Díaz & Blanca Herrera

  10. Division of Rheumatology, Hospital Rivadavia, Buenos Aires, Argentina

    Virginia Duringan, Marta N. Mamani, Félix Enrique-Romanini & María Sormani de Fonseca

  11. Unidad de Reumatologia, Centro de Excelencia en Reumatología, Lima, Peru

    Karinna Espejo

  12. Department of Rheumatology, Hospital Dr. Darío Fernández Fierro, Mexico City, Mexico

    Selma Gallegos

  13. Department of Rheumatology, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil

    Cristiane Kayser

  14. Rheumatology Department, Lagomaggiore’s Hospital, Mendoza, Argentina

    María Eugenia Lara

  15. Department of Rheumatology, Espíritu Santo University, Guayaquil, Ecuador

    Genessis Maldonado

  16. Division of Rheumatology, Hospital Alemán, Buenos Aires, Argentina

    Alejandro Nitsche

  17. Clinical Research Department, Rheumatology and Rehabilitation Center, Guayaquil, Ecuador

    Carlos Ríos-Acosta

  18. Rheumatology Department, Hospital Universitário Pedro Ernesto, State University of Rio de Janeiro, Rio de Janeiro, Brazil

    Verónica Silva Vilela

  19. Rheumatology Service, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico

    Miguel Angel Villarreal-Alarcón

Authors
  1. Chiara Bertolazzi
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  2. Angélica Vargas Guerrero
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  3. Tatiana Sofía Rodríguez-Reyna
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  4. Hugo Sandoval
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  5. Everardo Álvarez-Hernández
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  6. Marcelo José Audisio
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  7. Eduardo Cabello
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  8. Paola Coral-Alvarado
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  9. Ericka Díaz
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  10. Virginia Duringan
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  11. Karinna Espejo
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  12. Selma Gallegos
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  13. Gabriela Hernández-Molina
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  14. Blanca Herrera
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  15. Cristiane Kayser
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  16. María Eugenia Lara
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  17. Genessis Maldonado
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  18. Marta N. Mamani
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  19. Alejandro Nitsche
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  20. Carlos Ríos-Acosta
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  21. Félix Enrique-Romanini
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  22. María Sormani de Fonseca
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  23. Verónica Silva Vilela
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  24. Miguel Angel Villarreal-Alarcón
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  25. Marwin Gutiérrez
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Consortia

on behalf of the PANLAR Capillaroscopy Study Group (GECAP)

Corresponding author

Correspondence to Marwin Gutiérrez.

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Supplementary file 4

Proposed format for the capillaroscopy report in the daily practice. (PDF 89 kb)

Supplementary file 5

Proposed format for the capillaroscopy report in the daily practice (Spanish version). (PDF 92 kb)

Supplementary file 6

Proposed format for the capillaroscopy report in the daily practice (Portuguese version). (PDF 90 kb)

Supplementary file 7

Proposed format for the capillaroscopy report in the daily practice (Portuguese version). (PDF 90 kb)

Supplementary file 8

Proposed format for the capillaroscopy report in the daily practice (Portuguese version). (PDF 90 kb)

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Bertolazzi, C., Vargas Guerrero, A., Rodríguez-Reyna, T.S. et al. Pan-American League of Associations for Rheumatology (PANLAR) capillaroscopy study group consensus for the format and content of the report in capillaroscopy in rheumatology. Clin Rheumatol 38, 2327–2337 (2019). https://doi.org/10.1007/s10067-019-04610-5

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