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The american rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis

Arnett, Frank C., Edworthy, Steven M., Bloch, Daniel A., Mcshane, Dennis J., Fries, James F., Cooper, Norman S., Healey, Louis A., Kaplan, Stephen R., Liang, Matthew H., Luthra, Harvinder S., Medsger, Thomas A., Mitchell, Donald M., Neustadt, David H., Pinals, Robert S., Schaller, Jane G., Sharp, John T., Wilder, Ronald L., Hunder, Gene G.·1988·Arthritis & Rheumatism

Abstract

The revised criteria for the classification of rheumatoid arthritis (RA) were formulated from a computerized analysis of 262 contemporary, consecutively studied patients with RA and 262 control subjects with rheumatic diseases other than RA (non‐RA). The new criteria are as follows: 1) morning stiffness in and around joints lasting at least 1 hour before maximal improvement; 2) soft tissue swelling (arthritis) of 3 or more joint areas observed by a physician; 3) swelling (arthritis) of the proximal interphalangeal, metacarpophalangeal, or wrist joints; 4) symmetric swelling (arthritis); 5) rheumatoid nodules; 6) the presence of rheumatoid factor; and 7) radiographic erosions and/or periarticular osteopenia in hand and/or wrist joints. Criteria 1 through 4 must have been present for at least 6 weeks. Rheumatoid arthritis is defined by the presence of 4 or more criteria, and no further qualifications (classic, definite, or probable) or list of exclusions are required. In addition, a “classification tree” schema is presented which performs equally as well as the traditional (4 of 7) format. The new criteria demonstrated 91–94% sensitivity and 89% specificity for RA when compared with non‐RA rheumatic disease control subjects.

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Metadata

Authors
Arnett, F. C., Edworthy, S. M., Bloch, D. A., Mcshane, D. J., Fries, J. F., Cooper, N. S., Healey, L. A., Kaplan, S. R., Liang, M. H., Luthra, H. S., Medsger, T. A., Mitchell, D. M., Neustadt, D. H., Pinals, R. S., Schaller, J. G., Sharp, J. T., Wilder, R. L., & Hunder, G. G.
Venue
Arthritis & Rheumatism
Publisher
Wiley
Published
1988-03
Volume
31
Issue
3
Pages
315-324
ISSN
  • 0004-3591 (ISSN-L)
  • 1529-0131
OpenAlex
W2152348310
Cited by
19,752
References
9
FWCI
108.64
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The american rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis. https://app.cochat.ai/papers/10.1002/art.1780310302
The paper
Arnett, F. C., Edworthy, S. M., Bloch, D. A., Mcshane, D. J., Fries, J. F., Cooper, N. S., Healey, L. A., Kaplan, S. R., Liang, M. H., Luthra, H. S., Medsger, T. A., Mitchell, D. M., Neustadt, D. H., Pinals, R. S., Schaller, J. G., Sharp, J. T., Wilder, R. L., & Hunder, G. G. (1988). The american rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis & Rheumatism. https://doi.org/10.1002/art.1780310302

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.