1989
DOI: 10.1002/anr.1780320203
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Lack of correlation between the steinbrocker staging of hand radiographs and the functional health status of individuals with rheumatoid arthritisx

Abstract: We evaluated the correlation between destructive changes seen on hand radiographs and disability in 54 patients with definite or classic rheumatoid arthritis. No statistically significant correlation was found between radiographic findings and patient disability as determined by patient and physician assessment or by the patient's score on the Arthritis Impact Measurement Scales questionnaire. These findings call into question the appropriateness of using hand radiographs as a determinant of disability or as a… Show more

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Cited by 35 publications
(11 citation statements)
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“…It has been suggested that anatomical damage of joints leads to functional declines in long-standing RA; this could be the reason why Larsen-Dale score poorly correlates with pain in early RA [27-30]. …”
Section: Discussionmentioning
confidence: 99%
“…It has been suggested that anatomical damage of joints leads to functional declines in long-standing RA; this could be the reason why Larsen-Dale score poorly correlates with pain in early RA [27-30]. …”
Section: Discussionmentioning
confidence: 99%
“…When the sera were obtained, the patients were further categorized into functional classes (12,13), with classes I and I1 denoting minimal dysfunction, and classes I11 and IV denoting major dysfunction.…”
Section: Methodsmentioning
confidence: 99%
“…Analyses of correlations between radiographic scores for the hands and feet and functional capacity scores have ranged from 0.21 to 0.68. Some of these correlations were statistically significant (1)(2)(3)(4)(5)(6), while others were not (7)(8)(9). Therefore, further analysis of a possible association between radiographic damage and functional disability appeared to be of interest, particularly an examination of whether other variables might provide greater explanation of the variation in functional disability scores than the radiographic scores.…”
mentioning
confidence: 99%