How Is Rheumatoid Arthritis Remission Defined?
Utilizes the Simplified Disease Activity Index, which includes the criteria listed above plus a physician global assessment, added together. On a scale from 0 to 10, remission is less than or equal to 3.3.
Patient global assessment refers to how a patient feels they are doing. The physician global assessment refers to how the physician feels the patient is doing.
The Bottom Line
The aforementioned updated definitions have application in clinical trials. Researchers must consider if the definitions also have application in clinical practice.
The American College of Rheumatology classification criteria for determining clinical remission in clinical practice (1981) include:
- Morning stiffness less than or equal to 15 minutes
- No fatigue
- No joint pain
- No joint tenderness or pain on motion
- No soft tissue swelling in joints or tendon sheaths
- Erythrocyte sedimentation rate (a blood test which measures nonspecific inflammation) less than or equal to 30 in females and 20 in males
Rheumatoid Arthritis Researchers Redefine Remission. American College of Rheumatology. February 3, 2011.
Preliminary Criteria for Clinical Remission in Arthritis. Arthritis and Rheumatism. Pinals RS et al., October 1981.