Most visits of most patients with rheumatoid arthritis to most rheumatologists do not include a formal quantitative joint count
- PMID: 16291813
- PMCID: PMC1798189
- DOI: 10.1136/ard.2005.044230
Most visits of most patients with rheumatoid arthritis to most rheumatologists do not include a formal quantitative joint count
Abstract
Objective: To ask rheumatologists about the likelihood of performing a formal joint count at each visit of a patient with rheumatoid arthritis (RA) in standard clinical care.
Method: Direct query of rheumatologists at an international meeting of about 600 rheumatologists from 17 European countries.
Results: Overall, 14% of rheumatologists reported performing a formal joint count at each visit of each patient, and 44% of rheumatologists reported performing a formal joint count at more than 50% of visits of patients with RA. Therefore, 56% of rheumatologists reported performing a joint count at fewer than 50% of visits, including 45% at fewer than 25% of visits. One in eight rheumatologists (13%) reported never performing a formal joint count.
Conclusion: Although the joint count remains the most specific measure for RA, most visits of most patients with RA to most rheumatologists do not include a formal quantitative joint count.
References
-
- Scott D L, Houssien D A. Joint assessment in rheumatoid arthritis. Br J Rheumatol 19963514–18. - PubMed
-
- Fuchs H A, Brooks R H, Callahan L F, Pincus T. A simplified twenty‐eight joint quantitative articular index in rheumatoid arthritis. Arthritis Rheum 198932531–537. - PubMed
-
- Decker J L. American Rheumatism Association nomenclature and classification of arthritis and rheumatism. Arthritis Rheum 1983261029–1032. - PubMed
-
- Prevoo M L L, van't Hof M A, Kuper H H, van Leeuwen M A, van de Putte L B A, van Riel P L C M. Modified disease activity scores that include twenty‐eight‐joint counts: development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum 19953844–48. - PubMed