Skip to main content

Main menu

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • COVID-19 and Rheumatology
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • Privacy/GDPR Policy
    • Accessibility
  • Contact Us
  • JRheum Supplements
  • Services

User menu

  • My Cart
  • Log In

Search

  • Advanced search
The Journal of Rheumatology
  • JRheum Supplements
  • Services
  • My Cart
  • Log In
The Journal of Rheumatology

Advanced Search

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • COVID-19 and Rheumatology
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • Privacy/GDPR Policy
    • Accessibility
  • Contact Us
  • Follow jrheum on Twitter
  • Visit jrheum on Facebook
  • Follow jrheum on LinkedIn
  • Follow jrheum on YouTube
  • Follow jrheum on Instagram
  • Follow jrheum on RSS
Research ArticleArticle

Validity and Reliability Problems with Patient Global as a Component of the ACR/EULAR Remission Criteria as Used in Clinical Practice

KARIM R. MASRI, TIMOTHY S. SHAVER, SHADI H. SHAHOURI, SHIRLEY WANG, JAMES D. ANDERSON, RUTH E. BUSCH, KALEB MICHAUD, TED R. MIKULS, LIRON CAPLAN and FREDERICK WOLFE
The Journal of Rheumatology June 2012, 39 (6) 1139-1145; DOI: https://doi.org/10.3899/jrheum.111543
KARIM R. MASRI
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
TIMOTHY S. SHAVER
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
SHADI H. SHAHOURI
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
SHIRLEY WANG
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
JAMES D. ANDERSON
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
RUTH E. BUSCH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
KALEB MICHAUD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
TED R. MIKULS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
LIRON CAPLAN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
FREDERICK WOLFE
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: fwolfe@arthritis-research.org
  • Article
  • Figures & Data
  • Info & Metrics
  • References
  • PDF
  • eLetters
PreviousNext
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1.

    The relation between patient global health assessment and fatigue (left) and pain (right) according to physician (MD) global activity status. The vertical line separates patients in ACR/EULAR remission (left of line) from those not in remission. A small amount of random noise is added to the data points to improve visibility by minimizing overlap. VAS: visual analog scale; HAQ: Health Assessment Questionnaire.

  • Figure 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2.

    The relation between the levels of physician global activity and patient global health assessment for all patients (right panel) and for the subset of patients for whom erythrocyte sedimentation rate (ESR) was available (left panel). A small amount of vertical random noise is added to the physician global activity points to improve visibility by minimizing overlap. The vertical line separates patients in ACR/EULAR remission (left of line) from those not in remission. RA: rheumatoid arthritis.

Tables

  • Figures
    • View popup
    Table 1.

    Comparison between American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) remission-positive and remission-negative patients who satisfy ACR/EULAR swollen and tender joint criteria (≤ 1), but differ concerning the patient global criterion (≤ 1). Data are mean (SD) unless otherwise indicated.

    VariableACR (Global > 1) Remission (−), n = 60 (77.9%)ACR (Global ≤ 1) Remission (+), n = 17 (22.1%)p
    Age, yrs59.1 (12.5)63.9 (18.8)0.226
    Sex, % male45.835.30.443
    Global severity (0–10)3.3 (1.9)0.4 (0.4)< 0.001
    Pain (0–10)3.2 (1.9)1.6 (2.3)0.004
    Fatigue (0–10)4.3 (2.4)1.4 (1.6)< 0.001
    HAQ-II (0–3)0.8 (0.7)0.3 (0.3)0.002
    MD global activity (0–10)0.86 (0.5)0.94 (0.8)0.632
    MD 28 tender joint count0.25 (0.4)0.00 (0.0)0.021
    MD 28 swollen joint count0.13 (0.3)0.06 (0.2)0.089
    MD global activity = 0 (%)77.622.40.096
    ACR/EULAR AE-4 remission (%)0.076.5—
    • HAQ-II: Health Assessment Questionnaire functional disability assessment; AE-4: ACR/EULAR-4 variable criteria.

    • View popup
    Table 2.

    Effect of predictor variables on risk of high patient global score and failure to satisfy American College of Rheumatology/European League Against Rheumatism remission criteria.

    VariableOR (95% CI)p
    Painful joints and nonarticular regions (0–44)1.49 (1.10, 2.28)0.005
    Painful joints (0–28)1.49 (1.05, 2.30)0.018
    Painful nonarticular regions (0–16)3.25 (1.03, 27.30)0.040
    Specific painful regions
      Hands and wrists5.63 (1.15, 55.06)0.028
      Low back6.95 (1.06, ∞)0.041
      Shoulders4.36 (0.57, 199.65)0.250
      Elbows2.00 (0.26, ∞)0.553
      Hip1.55 (0.18, ∞)0.721
      Upper back1.55 (0.18, ∞)0.721
      Knees1.39 (0.36, 6.64)0.848
      Feet1.28 (0.33, 6.16)0.955
      Buttocks0.69 (0.05, ∞)1.000
      Groin1.77 (0.19, 86.81)1.000
      Jaw0.28 (0.007, ∞)1.000
      Neck1.45 (0.15, 73.04)1.000
    ESR ≥ 20 (male), ≥ 30 (female)0.40 (0.03, ∞)1.000*
    VAS fatigue (0–10)2.19 (1.45, 3.77)0.000
    VAS pain (0–10)1.68 (1.18, 2.58)0.002
    HAQ-II disability (0–3)9.33 (2.22, 54.42)0.001
    • ↵* n = 33. ESR: erythrocyte sedimentation rate; VAS: visual analog scale; HAQ-II: Health Assessment Questionnaire functional disability assessment.

    • View popup
    Table 3.

    Primary and contributing factors influencing the patient severity score.

    FactorMost Important Factor, %Contributing Factor, %Not a Contributing Factor, %
    Pain38.259.740.3
    Functional limitations25.052.048.1
    Fatigue26.559.740.3
    Mood2.914.385.7
    Medication side effects1.515.684.4
    Cost of medical care2.911.788.3
    Work disability1.511.788.3
    Other1.53.996.1
PreviousNext
Back to top

In this issue

The Journal of Rheumatology
Vol. 39, Issue 6
1 Jun 2012
  • Table of Contents
  • Table of Contents (PDF)
  • Index by Author
  • Editorial Board (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about The Journal of Rheumatology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Validity and Reliability Problems with Patient Global as a Component of the ACR/EULAR Remission Criteria as Used in Clinical Practice
(Your Name) has forwarded a page to you from The Journal of Rheumatology
(Your Name) thought you would like to see this page from the The Journal of Rheumatology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Validity and Reliability Problems with Patient Global as a Component of the ACR/EULAR Remission Criteria as Used in Clinical Practice
KARIM R. MASRI, TIMOTHY S. SHAVER, SHADI H. SHAHOURI, SHIRLEY WANG, JAMES D. ANDERSON, RUTH E. BUSCH, KALEB MICHAUD, TED R. MIKULS, LIRON CAPLAN, FREDERICK WOLFE
The Journal of Rheumatology Jun 2012, 39 (6) 1139-1145; DOI: 10.3899/jrheum.111543

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

 Request Permissions

Share
Validity and Reliability Problems with Patient Global as a Component of the ACR/EULAR Remission Criteria as Used in Clinical Practice
KARIM R. MASRI, TIMOTHY S. SHAVER, SHADI H. SHAHOURI, SHIRLEY WANG, JAMES D. ANDERSON, RUTH E. BUSCH, KALEB MICHAUD, TED R. MIKULS, LIRON CAPLAN, FREDERICK WOLFE
The Journal of Rheumatology Jun 2012, 39 (6) 1139-1145; DOI: 10.3899/jrheum.111543
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
    • Abstract
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • References
  • PDF
  • eLetters

Related Articles

Cited By...

More in this TOC Section

  • Pain Mechanisms Associated With Disease Activity in Patients With Rheumatoid Arthritis Treated With Disease-Modifying Antirheumatic Drugs: A Regression Tree Analysis
  • Immunosuppressive Therapies in Ear, Nose, and Throat Involvement in Antineutrophil Cytoplasmic Antibody–Associated Vasculitis: Results From a Multicenter Retrospective Cohort Study
  • Work-Related Issues and Physical and Psychological Burden in Canadian Patients With Axial Spondyloarthritis: Results From the International Map of Axial Spondyloarthritis
Show more Articles

Similar Articles

Content

  • First Release
  • Current
  • Archives
  • Collections
  • Audiovisual Rheum
  • COVID-19 and Rheumatology

Resources

  • Guide for Authors
  • Submit Manuscript
  • Author Payment
  • Reviewers
  • Advertisers
  • Classified Ads
  • Reprints and Translations
  • Permissions
  • Meetings
  • FAQ
  • Policies

Subscribers

  • Subscription Information
  • Purchase Subscription
  • Your Account
  • Terms and Conditions

More

  • About Us
  • Contact Us
  • My Alerts
  • My Folders
  • Privacy/GDPR Policy
  • RSS Feeds
The Journal of Rheumatology
The content of this site is intended for health care professionals.
Copyright © 2022 by The Journal of Rheumatology Publishing Co. Ltd.
Print ISSN: 0315-162X; Online ISSN: 1499-2752
Powered by HighWire