CLINICAL-ASSESSMENT OF DISEASE ACTIVITY IN RHEUMATOID-ARTHRITIS

被引:34
作者
HANSEN, TM [1 ]
KEIDING, S [1 ]
LAURITZEN, SL [1 ]
MANTHORPE, R [1 ]
SORENSEN, SF [1 ]
WIIK, A [1 ]
机构
[1] UNIV COPENHAGEN,INST MATH STAT,COPENHAGEN,DENMARK
关键词
D O I
10.3109/03009747909105345
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A new experimental design was developed to study the value of clinical parameters of disease activity in patients with rheumatoid arthritis. Ten patients with classical rheumatoid arthritis were examined by five senior doctors in a department of medical rheumatology. In spite of an attempt to make the clinical examination as uniform as possible the inter-observer variation among the doctors was greater than the variation among the patients, for the following parameters: joint pain at rest, joint tenderness and joint swelling. An acceptable inter-observer variation in relation to patient variation was found for 1) a combined registration of joint pain at rest or on movement, 2) duration of morning stiffness, 3) grip strength, 4) subjective well-being as indicated on a visual analogue scale, 5) fingertip-palm distance, and 6) maximum flexion-extension in elbows, wrists and knees. The variation from morning to afternoon and from day to day was negligible. It is concluded that registration of elaborated articular scores is useless in the daily routine in rheumatological departments when different doctors examine the patients. © 1979 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
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页码:101 / 105
页数:5
相关论文
共 7 条
[1]  
CAMP AV, 1971, ORTHOPAEDICS OXFORD, V4, P39
[2]  
Kempthorne O., 1952, DESIGN ANAL EXPT
[3]  
LANSBURY J, 1972, ARTHRITIS ALLIED CON, P269
[4]  
Lee P, 1973, Curr Med Res Opin, V1, P427, DOI 10.1185/03007997309111705
[5]  
RITCHIE DM, 1968, Q J MED, V37, P393
[6]   GRAPHIC REPRESENTATION OF PAIN [J].
SCOTT, J ;
HUSKISSON, EC .
PAIN, 1976, 2 (02) :175-184
[7]  
1959, ARTHRITIS RHEUM, V2, P16