A Review of Assignment Criteria for Rheumatoid Arthritis
- 31 December 1989
- journal article
- review article
- Published by Taylor & Francis in Scandinavian Journal of Rheumatology
- Vol. 19 (1), 27-41
- https://doi.org/10.3109/03009749009092619
Abstract
A comparative evaluation of existing assignment criteria for rheumatoid arthritis has been undertaken as a preliminary to exploring how simpler and more efficient standards could be developed. The performances of alternative formulations of individual criteria have been evaluated, and the various criteria have been assessed singly and in combination. The two individual criteria giving rise to the greatest difficulty are morning stiffness and pain and/or tenderness, with its optional formulation. An alternative criterion, pain in at least three sites on squeezing the MCP or MTP joints, performed well. Taken in combination, better epidemiological discrimination was achieved with the threshold for the 1958 ARA criteria midway between ‘definite” and ‘classical” disease, with six criteria fulfilled. Most of the discriminatory power of these criteria stemmed from inclusion of radiographic and serological characteristics, which is scarcely surprising. The Rome criteria for Inactive RA and the New York criteria for RA, which were derived from them, achieved better discrimination, which suggests ways in which improvements in assignment criteria might be approached. The 1987 revision of the ARA criteria achieves disappointingly little, as important difficulties have not been resolved.Keywords
This publication has 13 references indexed in Scilit:
- The american rheumatism association 1987 revised criteria for the classification of rheumatoid arthritisArthritis & Rheumatism, 1988
- Biases in the assessment of diagnostic testsStatistics in Medicine, 1987
- Statistical and Knowledge-Based Approaches to Clinical Decision-Support Systems, with an Application in GastroenterologyJournal of the Royal Statistical Society. Series A (General), 1984
- The Value of the Diagnostic Criteria in Rheumatoid ArthritisScandinavian Journal of Rheumatology, 1983
- Developments in Epidemiological Studies on Rheumatoid ArthritisScandinavian Journal of Rheumatology, 1981
- Rheumatoid Arthritis in a New England TownNew England Journal of Medicine, 1970
- On the diagnostic criteria of active rheumatoid arthritisJournal of Chronic Diseases, 1967
- Clinical AspectsThe Milbank Memorial Fund Quarterly, 1965
- Rheumatoid Arthritis in a Population SampleAnnals Of The Rheumatic Diseases, 1956
- Index for rating diagnostic testsCancer, 1950