A Comparison of Two Methods of Assessing Disease Activity in the Joints

Dwyer, Kathleen; Coty, Mary Beth; Smith, Craig A.; Dulemba, Shane E.; Wallston, Kenneth A.

doi:10.1097/00006199-200107000-00005

Cited by 13 publications

(3 citation statements)

References 14 publications

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“…All correlations were expected to be both positive and significant. Although highly variable correlations between the TJC and these variables were found in previous studies, moderate correlations were expected since they are all measures of disease activity 9,14,34,35,36,37,38 .…”

Section: External Construct Validitymentioning

confidence: 65%

Validating the 28-Tender Joint Count Using Item Response Theory

Siemons¹,

Klooster²,

Taal³

et al. 2011

J Rheumatol

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Section: External Construct Validitymentioning

confidence: 65%

Validating the 28-Tender Joint Count Using Item Response Theory

Siemons¹,

Klooster²,

Taal³

et al. 2011

J Rheumatol

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“…En nuestra revisión de la literatura encontramos que lo que no está definido claramente y tiene gran variabilidad, es cómo examinar cada una de las articulaciones para dolor o edema, que son los elementos principales para establecer la actividad de la AR (8). Por ejemplo, no está claro cuál debe ser la posición del paciente y de la articulación que se va a examinar, cómo palpar y qué presión realizar sobre ella.…”

Section: Resultsunclassified

“…A falta de un método estandarizado y poco reproducible para examinar las articulaciones con el fin de establecer la actividad de la AR, el objetivo de esta propuesta, es visibilizar el problema y tratar de hacer el ejercicio de proponer un método para resolver el problema basado en la revisión de la evidencia que previamente hemos realizado y publicado (8).…”

Section: Materials Y Métodounclassified

Necesidad De Una Estandarización De Las Técnicas Del Examen Articular Para El Seguimiento De Los Pacientes Con Artritis Reumatoide

Medina¹

2022

Global Rheumatology

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La artritis reumatoide se caracteriza por inflamación articular y dolor al examen físico, lo que conduce a destrucción articular, limitación del movimiento, funcionalidad, calidad de vida y aumento del riesgo de muerte. Para determinar la actividad de la artritis reumatoide, se requiere un examen físico de las articulaciones, que se evalúa examinando cada articulación. Sin embargo, la exploración articular no está estandarizada y su técnica es variable y poco reproducible. Además, existe desacuerdo entre los examinadores conjuntos.

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Physical articular examination in the activity of rheumatoid arthritis: a systematic review of the literature

et al. 2018

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To summarize evidence concerning the articular examination needed to determine rheumatoid arthritis (RA) activity (follow-up or control) via a systematic review. A search of Medline, Embase, Lilacs, SciELO, the Web of Science, the National Technical Reports Library, and the reference lists of relevant studies through March 2017 was conducted using a systematic methodology to identify studies of patients with RA older than 18 years in which a detailed description of the physical examination or a description of the components of the articular examination was provided. Of 8322 references, 74 studies were included according to the selection criteria, and 6 references were ultimately included at the end of the review. Most of the included studies (n = 5) were associated with a moderate risk of bias. There was great variability among the studies and the articular examination methods used. Some studies presented the examination with a complete specification of the technique (n = 2), the consensus of rheumatologists (n = 2), or training through audiovisual materials and face-to-face courses (n = 2), but none of the studies explicitly showed the technique by which the physical examination was performed. Despite the importance of the clinical evaluation and physical examination of patients with RA for diagnosis, prognosis, clinimetrics, and follow-up, evidence concerning how to perform the articular examination is scarce.

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A Comparison of Two Methods of Assessing Disease Activity in the Joints

Abstract: For most research purposes, measures such as self-report joint counts have sufficient validity to be used in place of more costly clinician assessment of joint counts.

Cited by 13 publications

References 14 publications

Validating the 28-Tender Joint Count Using Item Response Theory

Validating the 28-Tender Joint Count Using Item Response Theory

Necesidad De Una Estandarización De Las Técnicas Del Examen Articular Para El Seguimiento De Los Pacientes Con Artritis Reumatoide

Physical articular examination in the activity of rheumatoid arthritis: a systematic review of the literature

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