Clegg et al reported response criteria for patients being treated for psoriatic arthritis. These can help to monitor a patient over time and to gauge the effectiveness of an intervention. The authors are from multiple Veterans Administration medical centers in the United States.
Measures:
(1) patient assessment on a scale from 1 to 5 (lower better)
(2) physician assessment on a scale from 1 to 5 (lower better)
(3) percent change in joint pain and/or tenderness
(4) percent change in joint swelling
Measure |
Better |
No Change |
Worse |
patient self- assessment |
decrease 1 point |
no change |
increase 1 point |
physician assessment |
decrease 1 point |
no change |
increase 1 point |
joint pain and/or tenderness |
decrease 30% or more |
decrease 29% to increase 29% |
increase 30% or more |
joint swelling |
decrease 30% or more |
decrease 29% to increase 29% |
increase 30% or more |
Treatment response was defined as:
(1) better in 2 or more measures
(2) better in joint pain and/or tenderness or in joint swelling
(3) none of the measures worse
Purpose: To identify a patient who is responding to therapy for psoriatic arthritis using the criteria of Clegg et al.
Specialty: Immunology/Rheumatology
Objective: laboratory tests, other testing, severity, prognosis, stage, response to therapy
ICD-10: L40.5, M07, M09.0,