Reliability of joint count assessment in rheumatoid arthritis: a systematic literature review.
Identifieur interne : 001650 ( Ncbi/Merge ); précédent : 001649; suivant : 001651Reliability of joint count assessment in rheumatoid arthritis: a systematic literature review.
Auteurs : Peter P. Cheung [Australie] ; Laure Gossec [France] ; Anselm Mak [Singapour] ; Lyn March [Australie]Source :
- Seminars in arthritis and rheumatism [ 1532-866X ] ; 2014.
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- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
Joint counts are central to the assessment of rheumatoid arthritis (RA) but reliability is an issue.
DOI: 10.1016/j.semarthrit.2013.11.003
PubMed: 24332117
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<affiliation wicri:level="1"><nlm:affiliation>Division of Rheumatology, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Rheumatology, University of Sydney, Institute of Bone and Joint Research, Royal North Shore Hospital, St Leonards, Australia. Electronic address: peter_cheung@nuhs.edu.sg.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Division of Rheumatology, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Rheumatology, University of Sydney, Institute of Bone and Joint Research, Royal North Shore Hospital, St Leonards</wicri:regionArea>
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<author><name sortKey="Gossec, Laure" sort="Gossec, Laure" uniqKey="Gossec L" first="Laure" last="Gossec">Laure Gossec</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Rheumatology, UPMC Univ Paris 06, GRC-UPMC 08 (EEMOIS), AP-HP, Pitié-Salpêtrière Hospital, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Rheumatology, UPMC Univ Paris 06, GRC-UPMC 08 (EEMOIS), AP-HP, Pitié-Salpêtrière Hospital, Paris</wicri:regionArea>
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<affiliation wicri:level="4"><nlm:affiliation>Division of Rheumatology, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</nlm:affiliation>
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<wicri:regionArea>Division of Rheumatology, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
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<author><name sortKey="March, Lyn" sort="March, Lyn" uniqKey="March L" first="Lyn" last="March">Lyn March</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Rheumatology, University of Sydney, Institute of Bone and Joint Research, Royal North Shore Hospital, St Leonards, Australia.</nlm:affiliation>
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<wicri:regionArea>Department of Rheumatology, University of Sydney, Institute of Bone and Joint Research, Royal North Shore Hospital, St Leonards</wicri:regionArea>
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<series><title level="j">Seminars in arthritis and rheumatism</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arthritis, Rheumatoid (diagnosis)</term>
<term>Humans</term>
<term>Joints</term>
<term>Observer Variation</term>
<term>Reproducibility of Results</term>
<term>Self Report</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Articulations</term>
<term>Autorapport</term>
<term>Biais de l'observateur</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Polyarthrite rhumatoïde (diagnostic)</term>
<term>Reproductibilité des résultats</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Arthritis, Rheumatoid</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Polyarthrite rhumatoïde</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Joints</term>
<term>Observer Variation</term>
<term>Reproducibility of Results</term>
<term>Self Report</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Articulations</term>
<term>Autorapport</term>
<term>Biais de l'observateur</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
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<front><div type="abstract" xml:lang="en">Joint counts are central to the assessment of rheumatoid arthritis (RA) but reliability is an issue.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24332117</PMID>
<DateCreated><Year>2014</Year>
<Month>06</Month>
<Day>20</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>02</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>06</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-866X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>43</Volume>
<Issue>6</Issue>
<PubDate><Year>2014</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Seminars in arthritis and rheumatism</Title>
<ISOAbbreviation>Semin. Arthritis Rheum.</ISOAbbreviation>
</Journal>
<ArticleTitle>Reliability of joint count assessment in rheumatoid arthritis: a systematic literature review.</ArticleTitle>
<Pagination><MedlinePgn>721-9</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.semarthrit.2013.11.003</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0049-0172(13)00246-1</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Joint counts are central to the assessment of rheumatoid arthritis (RA) but reliability is an issue.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To evaluate the reliability and agreement of joint counts (intra-observer and inter-observer) by health care professionals (physicians, nurses, and metrologists) and patients in RA, and the impact of training and standardization on joint count reliability through a systematic literature review.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Articles reporting joint count reliability or agreement in RA in PubMed, EMBase, and the Cochrane library between 1960 and 2012 were selected. Data were extracted regarding tender joint counts (TJCs) and swollen joint counts (SJCs) derived by physicians, metrologists, or patients for intra-observer and inter-observer reliability. In addition, methods and effects of training or standardization were extracted. Statistics expressing reliability such as intraclass correlation coefficients (ICCs) were extracted. Data analysis was primarily descriptive due to high heterogeneity.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-eight studies on health care professionals (HCP) and 20 studies on patients were included. Intra-observer reliability for TJCs and SJCs was good for HCPs and patients (range of ICC: 0.49-0.98). Inter-observer reliability between HCPs for TJCs was higher than for SJCs (range of ICC: 0.64-0.88 vs. 0.29-0.98). Patient inter-observer reliability with HCPs as comparators was better for TJCs (range of ICC: 0.31-0.91) compared to SJCs (0.16-0.64). Nine studies (7 with HCPs and 2 with patients) evaluated consensus or training, with improvement in reliability of TJCs but conflicting evidence for SJCs.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Intra- and inter-observer reliability was high for TJCs for HCPs and patients: among all groups, reliability was better for TJCs than SJCs. Inter-observer reliability of SJCs was poorer for patients than HCPs. Data were inconclusive regarding the potential for training to improve SJC reliability. Overall, the results support further evaluation for patient-reported joint counts as an outcome measure.</AbstractText>
<CopyrightInformation>© 2013 Published by Elsevier Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cheung</LastName>
<ForeName>Peter P</ForeName>
<Initials>PP</Initials>
<AffiliationInfo><Affiliation>Division of Rheumatology, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Rheumatology, University of Sydney, Institute of Bone and Joint Research, Royal North Shore Hospital, St Leonards, Australia. Electronic address: peter_cheung@nuhs.edu.sg.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gossec</LastName>
<ForeName>Laure</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology, UPMC Univ Paris 06, GRC-UPMC 08 (EEMOIS), AP-HP, Pitié-Salpêtrière Hospital, Paris, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Mak</LastName>
<ForeName>Anselm</ForeName>
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<AffiliationInfo><Affiliation>Division of Rheumatology, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>March</LastName>
<ForeName>Lyn</ForeName>
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<AffiliationInfo><Affiliation>Department of Rheumatology, University of Sydney, Institute of Bone and Joint Research, Royal North Shore Hospital, St Leonards, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016454">Review</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>11</Month>
<Day>13</Day>
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<MedlineJournalInfo><Country>United States</Country>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D001172" MajorTopicYN="N">Arthritis, Rheumatoid</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D007596" MajorTopicYN="Y">Joints</DescriptorName>
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<MeshHeading><DescriptorName UI="D015588" MajorTopicYN="N">Observer Variation</DescriptorName>
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<MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Clinical examination</Keyword>
<Keyword MajorTopicYN="N">Health care professional and patient joint counts</Keyword>
<Keyword MajorTopicYN="N">Reliability</Keyword>
<Keyword MajorTopicYN="N">Reproducibility</Keyword>
<Keyword MajorTopicYN="N">Rheumatoid arthritis</Keyword>
<Keyword MajorTopicYN="N">Synovitis</Keyword>
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