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- W2015626128 abstract "<h3>Objectives</h3> 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. <h3>Design</h3> Prospective, consecutive patient cohort. <h3>Setting</h3> Largest tertiary referred centre hospital managing pancreatic disease in Taiwan. <h3>Participants</h3> 188 patients with AIP and 130 with tissue proofed pancreatic adenocarcinoma were consecutively recruited. <h3>Interventions</h3> 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. <h3>Outcomes</h3> 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. <h3>Results</h3> 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. <h3>Conclusions</h3> 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." @default.
- W2015626128 created "2016-06-24" @default.
- W2015626128 creator A5066874788 @default.
- W2015626128 date "2008-12-10" @default.
- W2015626128 modified "2023-09-26" @default.
- W2015626128 title "Another 10 minute miracle" @default.
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- W2015626128 doi "https://doi.org/10.1136/bmj.a2928" @default.
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