Rheumatology 2000; 39: 579-580
© 2000 British Society for Rheumatology
Editorials |
Impact of rheumatoid arthritis on physical function during the first five years. No longer a question mark?
Division of Internal Medicine, Department of Rheumatology, University Hospital Maastricht, PO Box 5800, 6202 AZ Maastricht, The Netherlands and Limburg University Centre, Diepenbeek, Belgium
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The preservation of physical function is one of the most important issues in the long-term outcome in rheumatoid arthritis (RA) patients. This is acknowledged by the rheumatology community, which includes it in the core set of assessments to be included in clinical trials [1]. Moreover, demonstrating preserved physical function (as well as retarded structural damage) is a prerequisite for proving that a drug has disease-controlling capacity [2]. We are, however, badly informed about the effect of RA on physical function. One of the problems is knowing how to measure physical function. In the older literature the functional grade was used [3], but this is a very crude measure and its sensitivity in the
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