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  • Preliminary clinical criteria had moderate sensitivity but low specificity for detecting osteoporosis in rheumatoid arthritis

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Clinical prediction guide
Preliminary clinical criteria had moderate sensitivity but low specificity for detecting osteoporosis in rheumatoid arthritis

https://doi.org/10.1136/ebm.8.4.128

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    (2002) Ann Rheum Dis 61, 1085. Haugeberg G, Ørstavik RE, Uhlig T, et al.. Clinical decision rules in rheumatoid arthritis: do they identify patients at high risk for osteoporosis? Testing clinical criteria in a population based cohort of patients with rheumatoid arthritis recruited from the Oslo Rheumatoid Arthritis Register.. ;. :. –9.
    OpenUrlAbstract/FREE Full Text

    
 
 QUESTION: In patients with rheumatoid arthritis (RA), what is the accuracy of 3 item criteria based on age, disease activity, and functional status for identifying patients at increased risk of osteoporosis?

    Design

    Clinical decision criteria proposed in a previous study were evaluated using data from a population based cohort of patients (followed for 2 y) with RA recruited from the Oslo RA Register.

    Setting

    Oslo, Norway.

    Patients

    287 patients (mean age 58 y, 82% women) with RA who had a complete data set for hip and spine bone mineral density measurements, Health Assessment Questionnaire (HAQ) (score range 0–3, higher scores indicate worse disability), and C reactive protein (CRP) or erythrocyte sedimentation rate (ESR) at 2 years.

    Description of prediction guide

    Patients with RA who were at high risk of osteoporosis were …

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    Footnotes

    • Sources of funding: in part, 8 Norwegian funding agencies.

    • For correspondence: Dr G Haugeberg, Leeds University, Leeds, UK.glennhaugeberg{at}operamail.com

    • Abstract and commentary also appear in ACP Journal Club.