Rheumatoid arthritis disease activity measures: American College of Rheumatology recommendations for use in clinical practice.
Rheumatoid arthritis disease activity measures: American College of Rheumatology recommendations for use in clinical practice.
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类风湿性关节炎疾病活动性测量：美国风湿病学会建议在临床实践中使用。
DOI：
10.1002/acr.21649
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发表时间：
2012-05
影响因子：
4.7
通讯作者：
Kazi, Salahuddin
中科院分区：
文献类型：
--
作者：
Anderson, Jaclyn;Caplan, Liron;Yazdany, Jinoos;Robbins, Mark L.;Neogi, Tuhina;Michaud, Kaleb;Saag, Kenneth G.;O'Dell, James R.;Kazi, Salahuddin
尽管疾病活动性的系统测量有助于类风湿性关节炎（RA）的临床决策，但目前在美国尚无关于在临床实践中应采用哪些措施的建议。美国风湿病学会 (ACR) 召集了一个工作组 (WG)，全面评估现有 RA 疾病活动性测量的有效性、可行性和可接受性，并得出其在临床实践中使用的建议。类风湿性关节炎临床疾病活动测量工作组对文献进行了系统回顾，以确定 RA 疾病活动测量。使用排除标准、专家咨询小组 (EAP) 的意见以及心理测量分析，创建了一份潜在措施清单。对风湿病学家进行了一项调查，征求意见。工作组将这些调查结果与心理测量分析结合起来得出最终建议。对文献的系统回顾确定了 63 种 RA 疾病活动指标。 EAP 应用排除标准和评级将清单缩小到 14 项以供进一步评估的措施。执业风湿病学家将这 14 项措施中的 9 项评为最有用和可行的。从这 9 项措施中，工作组选择了 6 项具有最佳心理测量特性的措施，纳入 ACR 推荐的 RA 疾病活动措施的最终集合中。我们推荐临床疾病活动指数、28个关节计数的疾病活动评分（红细胞沉降率或C反应蛋白）、患者活动量表（PAS）、PAS-II、3项措施的患者指数数据常规评估和简化疾病活动指数，因为它们准确反映了疾病活动；对变化敏感；很好地区分低、中和高疾病活动状态；有缓解标准；并且在临床环境中可行。
Although the systematic measurement of disease activity facilitates clinical decision making in rheumatoid arthritis (RA), no recommendations currently exist on which measures should be applied in clinical practice in the US. The American College of Rheumatology (ACR) convened a Working Group (WG) to comprehensively evaluate the validity, feasibility, and acceptability of available RA disease activity measures and derive recommendations for their use in clinical practice. The Rheumatoid Arthritis Clinical Disease Activity Measures Working Group conducted a systematic review of the literature to identify RA disease activity measures. Using exclusion criteria, input from an Expert Advisory Panel (EAP), and psychometric analysis, a list of potential measures was created. A survey was administered to rheumatologists soliciting input. The WG used these survey results in conjunction with the psychometric analyses to derive final recommendations. Systematic review of the literature resulted in identification of 63 RA disease activity measures. Application of exclusion criteria and ratings by the EAP narrowed the list to 14 measures for further evaluation. Practicing rheumatologists rated 9 of these 14 measures as most useful and feasible. From these 9 measures, the WG selected 6 with the best psychometric properties for inclusion in the final set of ACR-recommended RA disease activity measures. We recommend the Clinical Disease Activity Index, Disease Activity Score with 28-joint counts (erythrocyte sedimentation rate or C-reactive protein), Patient Activity Scale (PAS), PAS-II, Routine Assessment of Patient Index Data with 3 measures, and Simplified Disease Activity Index because they are accurate reflections of disease activity; are sensitive to change; discriminate well between low, moderate, and high disease activity states; have remission criteria; and are feasible to perform in clinical settings.
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影响因子：
4.9
作者：
Aletaha D;Nell VP;Stamm T;Uffmann M;Pflugbeil S;Machold K;Smolen JS
通讯作者：
Smolen JS
影响因子：
--
作者：
Michaud, K;Messer, J;Wolfe, F
通讯作者：
Wolfe, F
影响因子：
--
作者：
Wolfe, F;Michaud, K;Pincus, T
通讯作者：
Pincus, T
影响因子：
27.4
作者：
Goekoop-Ruiterman, Y. P. M.;de Vries-Bouwstra, J. K.;Dijkmans, B. A. C.
通讯作者：
Dijkmans, B. A. C.
影响因子：
5.5
作者：
Hensor, Elizabeth M. A.;Emery, Paul;Conaghan, Philip G.
通讯作者：
Conaghan, Philip G.