Clinical practice guidelines for reporting nail fold videocapillaroscopy: a Delphi consensus on behalf of the Italian Society of Rheumatology study group on capillaroscopy
Year: 2025
Type: article
Abstract: OBJECTIVES: In clinical practice, standardised reporting of nailfold videocapillaroscopy (NVC) findings is lacking, making the interpretation and comparison of results difficult. We aimed to achieve a national consensus on how to describe NVC findings in routine clinical practice. METHODS: A web-based Delphi consensus study was conducted among members of the Study Group on Capillaroscopy and Microcirculation in Rheumatic Diseases of the Italian Society of Rheumatology (CAPSIR). The study was based on items derived from a previous systematic review and international consensus by the EULAR Study Group on Microcirculation in Rheumatic Diseases (SG_MC/RD). RESULTS: A total of 40 items were proposed during the Delphi process, which was completed by 52 participants from different Italian regions. An agreement was reached on 23 items covering different aspects of the NVC examination: general aspects (2 items), description of the fingers examined (3 items), possible confounding factors (2 items), device description (2 items), image quality (1 item) and details of the NVC examination (13 items). Sixteen of these were considered mandatory for inclusion in the NVC practice report, and 7 were considered optional. CONCLUSIONS: The proposed NVC checklist covers 23 relevant issues in clinical practice, including 16 mandatory items grouped into five categories. This national consensus will improve the reproducibility and generalisability of NVC reporting in daily clinical practice. Furthermore, the outcomes of this NVC consensus process will inform the next European web-based Delphi consensus study, to be conducted among the member countries of the EULAR SG_MC/RD.
Authors: Francesca Ingegnoli, Debora Pireddu, Elena Platania, Rossella De Angelis, Alessia Alunno, Alarico Ariani, Simone Barsotti, Veronica Batani, Laura Belloli, Alessandra Bezzi, Silvia Laura Bosello, Fabio Cacciapaglia, Stefania Laura Calvisi, Nicoletta Carlo-Stella, Francesco Carubbi, Ilaria Cavazzana, Veronica Codullo, Michele Colaci, Martina Cornalba, Giovanna Cuomo, Ginevra De Marchi, Alessandra Della Rossa, Marco Di Battista, Evy Di Ruscio, Paola Faggioli, Marta Favero, Roberta Foti, Francesco Girelli, Dilia Giuggioli, Serena Guiducci, Emanuele Gotelli, Vittorio Grosso, Elvis Hysa, Annamaria Iuliano, Francesca Lalli, Lorenzo Leveghi, Emiliano Marasco, Gianna Mennillo, Gianluca Moroncini, Greta Pellegrino, Carlo Perricone, Carmen Pizzorni, Emanuela Praino, Laura Quarta, Véronique Laure Ramoni, Leonardo Santo, Carlotta Schenone, Marco Sebastiani, Lucia Serafino, Teodora Serban, Paolo Stobbione, Alberto Sulli, Simona Truglia, Vanessa Smith, Maurizio Cutolo, Valeria Riccieri
Institutions: University of Milan, Sapienza University of Rome, Marche Polytechnic University, University of L'Aquila, San Salvatore Hospital, Ospedale di Parma, Ospedale Versilia, Azienda USL Toscana Nord Ovest, IRCCS Ospedale San Raffaele, Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Ospedale Infermi di Rimini, Università Cattolica del Sacro Cuore, Agostino Gemelli University Polyclinic, Ospedale Generale Regionale Francesco Miulli, University of Bari Aldo Moro, Casa di Cura Città di Roma, Italian Institute of Telemedicine, Istituto di Montecatone, Ospedale di Riabilitazione, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, University of Brescia, University of Pavia, Policlinico San Matteo Fondazione, University of Catania, University of Campania "Luigi Vanvitelli", Azienda sanitaria universitaria Friuli Centrale, University of Pisa, Aziende Socio Sanitarie Territoriale Ovest Milanese, Ca' Foncello Hospital, Azienda Ospedaliero Universitaria Policlinico "G.Rodolico - San Marco", Ospedale G.B. Morgagni - L.Pierantoni, University of Modena and Reggio Emilia, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Ospedale Policlinico San Martino, University of Genoa, Ospedale Michele e Pietro Ferrero - Verduno, Azienda Ospedaliera San Camillo-Forlanini, University of Perugia, Ospedale Santa Chiara, Bambino Gesù Children's Hospital, Ospedale San Carlo, IRCCS Ospedale Galeazzi - Sant'Ambrogio, University of Salento, Ospedale Maggiore di Lodi, University of Parma, Azienda Unità Sanitaria Locale Piacenza, Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo, Ghent University Hospital, Ghent University, VIB-UGent Center for Inflammation Research
Language: English
Subfield: Pathology and Forensic Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Funders: Fondazione IRCCS Policlinico San Matteo, Università degli Studi di Milano, Ospedale Pediatrico Bambino Gesù, Fonds Wetenschappelijk Onderzoek, Universitair Ziekenhuis Gent, Universiteit Gent, Università degli Studi di Firenze, Università di Catania, Università degli Studi di Pavia, Università degli Studi di Parma, Universita degli Studi di Bari Aldo Moro, Università Cattolica del Sacro Cuore, Università degli Studi di Brescia, Università di Pisa, Università degli Studi di Perugia, Vlaamse regering, Dipartimento di Medicina Sperimentale e Clinica, Università degli Studi di Firenze
OpenAlex ID: W7124290822