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What are the assessments in rheumatic arthritis?

Updated: 8/18/2019
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Assessment

The assessment of persons with RA requires a number of observations measures. There is not one single way to asses or get an impression of disease activity and prognosis.

The most accepted outcome measures used in clinical trials are derived from OMERACT 1 Conference (J Rheumatol 1994 21 (supplement 41) 86-9). These include the American College of Rheumatology Core Outcome measures.

Pain - visual analogue scale

Function - Health Assessment Questionnaire

Number of tender joints

Number of swollen joints

Patients global assessment - visual analogue scale

Physician's global assessment -visual analogue scale.

CRP or ESR

Improvement can be documented and an ACR 20% improvement incorporates 20% of tender and swollen joints and 3 of the 5 remaining core outcome measures. Outcome measures at 50% improvement can be similarly estimated. A minimum improvement on a DMARD would be 20% and an acceptable improvement may be 50%. There are separate criteria for remission, which is unfortunately uncommon.

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