Systematic review and metaanalysis of patient self-report versus trained assessor joint counts in rheumatoid arthritis.

The Journal of Rheumatology
Jennifer L BartonDean Schillinger

Abstract

Patient self-report outcomes and physician-performed joint counts are important measures of disease activity and treatment response. This metaanalysis examines the degree of concordance in joint counts between trained assessors and patients with rheumatoid arthritis (RA). Studies eligible for inclusion met the following criteria: English language; compared patient with trained assessor joint counts; peer-reviewed; and RA diagnosis determined by board-certified or board-eligible specialist or met 1987 American College of Rheumatology criteria. We searched PubMed and Embase to identify articles between 1966 and January 1, 2008. We compared measures of correlation between patients and assessors for either tender/painful or swollen joint counts. We used metaanalysis methods to calculate summary correlation estimates. We retrieved 462 articles and 18 were included. Self-report joint counts were obtained by a text and/or mannequin (picture) format. The summary estimates for the Pearson correlation coefficients for tender joint counts were 0.61 (0.47 lower, 0.75 upper) and for swollen joint counts 0.44 (0.15, 0.73). Summary results for the Spearman correlation coefficients were 0.60 (0.30, 0.90) for tender joint counts and 0.54 (0.35,...Continue Reading

References

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Citations

Sep 13, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Shrividya IyerGavin Taylor-Stokes
Jun 6, 2013·BMC Musculoskeletal Disorders·Kristina Areskoug JosefssonGunvor Gard
Dec 18, 2013·Seminars in Arthritis and Rheumatism·Peter P CheungLyn March
Sep 3, 2014·The Journal of Rheumatology·Andrew E ThompsonJanet E Pope
Feb 18, 2014·The Journal of Rheumatology·Margot J WalterJolanda J Luime
Dec 1, 2014·The Journal of Rheumatology·Maryanne E DijkstraLisette W A van Suijlekom-Smit
Feb 27, 2017·Clinical Rheumatology·Daniel E FurstJacqueline B Palmer
Aug 11, 2020·Expert Review of Clinical Immunology·Sandra G WilliamsSarthak Gupta
Jan 9, 2021·Annals of the Rheumatic Diseases·Cleo RogierAnnette H M van der Helm-van Mil
Jan 7, 2021·Current Rheumatology Reports·Gillian E FitzgeraldNigil Haroon
Jan 30, 2021·Rheumatology Advances in Practice·Sabrina R RaizadaNick Barkham
May 24, 2017·Seminars in Arthritis and Rheumatism·Elizabeth D FerucciMark H Wener
Mar 31, 2011·Current Opinion in Rheumatology

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