Abstract：
OBJECTIVE:To evaluate agreement between a rheumatologist visit and a telephone interview by a patient organization member, regarding the diagnosis of rheumatoid arthritis (RA) or spondyloarthropathy (SpA) and the classification criteria for these two conditions. METHOD:Patients underwent a standardized interview and physical examination by hospital-based rheumatologists, who diagnosed RA in 230 cases, SpA in 175, and other conditions (controls) in 195. Members of patient organizations then used a standardized questionnaire to interview the patients by telephone about their diagnosis and about 1987 ACR classification criteria for RA and the ESSG criteria for SpA. RESULTS:Agreement between the two sources of data was poor for the classification criteria but satisfactory for the diagnosis (kappa, 0.84 (0.81-0.87) for RA and 0.78 (0.75-0.81) for SpA). CONCLUSION:Standardized telephone interviews conducted by patient organization members accurately identify the diagnosis made by rheumatologists based on a physical examination and medical record review, whereas agreement is poor regarding classification criteria for RA and SpA.
journal_name
Joint Bone Spinejournal_title
Joint bone spineauthors
Saraux A,Guillemin F,Fardellone P,Guggenbuhl P,Behier JM,Cantagrel A,Euller-Ziegler L,Flipo RM,Juvin R,Le Loet X,Masson C,Sany J,Schaeverbeke T,Coste J,Epidemiology Section, French Society for Rheumatology.doi
10.1016/S1297-319X(03)00092-7subject
Has Abstractpub_date
2004-01-01 00:00:00pages
44-50issue
1eissn
1297-319Xissn
1778-7254pii
S1297319X03000927journal_volume
71pub_type
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