A SIMPLIFIED 28-JOINT QUANTITATIVE ARTICULAR INDEX IN RHEUMATOID-ARTHRITIS
A SIMPLIFIED 28-JOINT QUANTITATIVE ARTICULAR INDEX IN RHEUMATOID-ARTHRITIS
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DOI：
10.1002/anr.1780320504
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发表时间：
1989-05-01
影响因子：
--
通讯作者：
PINCUS, T
中科院分区：
文献类型：
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作者：
FUCHS, HA;BROOKS, RH;PINCUS, T
我们描述了一个关节指数，包括只有28个关节：10个近端指间关节的手指，10掌指关节，手腕，肘部，肩膀和膝盖。评估这些关节的肿胀、压痛和活动受限，结果分为异常或正常。28关节指数比传统方法更容易使用，并且似乎在与临床状态的其他测量的相关性方面产生同样多的信息，包括手部X线片评分、美国风湿协会功能分级、握力、步行时间和日常生活活动问卷评分（r = 0.25-0.53，P < 0.001）。简化的关节计数可能有助于在研究和临床风湿病环境中获得定量关节数据。
We describe a joint index that includes only 28 joints: 10 proximal interphalangeal joints of the fingers, 10 metacarpophalangeal joints, and the wrists, elbows, shoulders, and knees. These joints are evaluated for swelling, tenderness, and limited motion, with the findings scored as abnormal or normal. The 28-joint index is considerably easier to use than traditional methods, and appears to yield as much information in terms of correlation with other measures of clinical status, including hand radiograph scores, American Rheumatism Association functional class, grip strength, walking time, and activities of daily living questionnaire scores (r = 0.25-0.53, P < 0.001). Simplified joint counts might facilitate acquisition of quantitative articular data in research and clinical rheumatologic settings.