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The american rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis

Frank C. ArnettThe University of Texas Health Science Center at HoustonSteven M. EdworthyFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationD. BlöchSenior Research Associate of Biostatistics in Immunology, Stanford University School of MedicineDennis J. McShaneAssistant Professor of Immunology, Stanford University School of MedicineJames F. FriesFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationNorman S. CooperFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationLouis A. HealeyFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationStephen R. KaplanProfessor of Medicine, Brown University Program in Medicine, Providence, RIMatthew H. LiangFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationHarvinder S. LuthraAssociate Professor of Medicine, Mayo Medical School and Clinic, Rochester, MNThomas A. MedsgerFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationDonald M. MitchellFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationDavid H. NeustadtFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationRobert S. PinalsFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationJane G. SchallerProfessor of Pediatrics, Tufts-New England Medical Center, Boston, MAJohn T. SharpStaff Physician, Tifton Medical Clinic, Tifton, GARonald L. WilderFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationGene G. HunderProfessor of Medicine, Mayo Medical School and Clinic

1988en

ABI

Annotatsiya

The revised criteria for the classification of rheumatoid arthritis (RA) were formulated from a computerized analysis of 262 contemporary, consecutively studied patients with RA and 262 control subjects with rheumatic diseases other than RA (non-RA). The new criteria are as follows: 1) morning stiffness in and around joints lasting at least 1 hour before maximal improvement; 2) soft tissue swelling (arthritis) of 3 or more joint areas observed by a physician; 3) swelling (arthritis) of the proximal interphalangeal, metacarpophalangeal, or wrist joints; 4) symmetric swelling (arthritis); 5) rheumatoid nodules; 6) the presence of rheumatoid factor; and 7) radiographic erosions and/or periarticular osteopenia in hand and/or wrist joints. Criteria 1 through 4 must have been present for at least 6 weeks. Rheumatoid arthritis is defined by the presence of 4 or more criteria, and no further qualifications (classic, definite, or probable) or list of exclusions are required. In addition, a "classification tree" schema is presented which performs equally as well as the traditional (4 of 7) format. The new criteria demonstrated 91-94% sensitivity and 89% specificity for RA when compared with non-RA rheumatic disease control subjects.

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Identifikatorlar

DOI: 10.1002/art.1780310302

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