Table 4.3Function

StudyPatient groupUseClinical features
1 case-series19
Level 3
Early IAPredictive for referral and RA diagnosisPredictive: limitations when clenching the hands completely to a fist (referral LR 6.1, p=0.013, diagnosis LR 10.3, p=0.001) as well as limitations of finger flexion (data not given)
Not predictive: general questions on every day function
1 case-series23
Level II
Very early persistent IACommon features presentPositive squeeze test of the MCP joints (68%)
1 case-series25
Level Ib
Early IADistinguish IA from non-IA conditions (features GPs and RNs* deemed most important)Not distinguish: loss of function and reduced range of movement
*

RNs = rheumatology nurses

From: 4, Referral, diagnosis and investigations

Cover of Rheumatoid Arthritis
Rheumatoid Arthritis: National Clinical Guideline for Management and Treatment in Adults.
NICE Clinical Guidelines, No. 79.
National Collaborating Centre for Chronic Conditions (UK).
Copyright © 2009, Royal College of Physicians of London.

All rights reserved. No part of this publication may be reproduced in any form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication) without the written permission of the copyright owner. Applications for the copyright owner’s written permission to reproduce any part of this publication should be addressed to the publisher.

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.