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Published in: Arthritis Research & Therapy 4/2011

01-08-2011 | Letter

Response to 'Pain persists in DAS28 rheumatoid arthritis remission but not in ACR/EULAR remission: a longitudinal observational study'

Authors: Kazuki Yoshida, Kazuo Matsui, Hiroto Nakano, Hideto Oshikawa, Masako Utsunomiya, Tatsuo Kobayashi, Makiko Kimura, Gautam A Deshpande, Mitsumasa Kishimoto

Published in: Arthritis Research & Therapy | Issue 4/2011

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Excerpt

We read with interest the report by Lee and colleagues in the June issue of Arthritis Research & Therapy [1]. The study compared the Disease Activity Score in 28 joints calculated by using C-reactive protein (DAS28-CRP) versus American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) remission in terms of residual pain. The authors stated that DAS28-CRP remission criteria allowed for persistence of pain in more than 10% of patients, whereas there were very few complaints of pain among patients in ACR/EULAR remission. This is a very important finding as it clearly demonstrated incompetence of the DAS28-CRP remission criteria in defining remission that is meaningful for patients, thus encouraging transition to new ACR/EULAR remission criteria. …
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Literature
1.
go back to reference Lee YC, Cui J, Lu B, Frits ML, Iannaccone CK, Shadick NA, Weinblatt ME, Solomon DH: Pain persists in DAS28 rheumatoid arthritis remission but not in ACR/EULAR remission: a longitudinal observational study. Arthritis Res Ther. 2011, 13: R83-10.1186/ar3353.PubMedCentralCrossRefPubMed Lee YC, Cui J, Lu B, Frits ML, Iannaccone CK, Shadick NA, Weinblatt ME, Solomon DH: Pain persists in DAS28 rheumatoid arthritis remission but not in ACR/EULAR remission: a longitudinal observational study. Arthritis Res Ther. 2011, 13: R83-10.1186/ar3353.PubMedCentralCrossRefPubMed
2.
go back to reference Wells G, Becker J-C, Teng J, Dougados M, Schiff M, Smolen J, Aletaha D, van Riel PLCM: Validation of the 28-joint Disease Activity Score (DAS28) and European League Against Rheumatism response criteria based on C-reactive protein against disease progression in patients with rheumatoid arthritis, and comparison with the DAS28 based on erythrocyte sedimentation rate. Ann Rheum Dis. 2009, 68: 954-960. 10.1136/ard.2007.084459.PubMedCentralCrossRefPubMed Wells G, Becker J-C, Teng J, Dougados M, Schiff M, Smolen J, Aletaha D, van Riel PLCM: Validation of the 28-joint Disease Activity Score (DAS28) and European League Against Rheumatism response criteria based on C-reactive protein against disease progression in patients with rheumatoid arthritis, and comparison with the DAS28 based on erythrocyte sedimentation rate. Ann Rheum Dis. 2009, 68: 954-960. 10.1136/ard.2007.084459.PubMedCentralCrossRefPubMed
3.
go back to reference Inoue E, Yamanaka H, Hara M, Tomatsu T, Kamatani N: Comparison of Disease Activity Score (DAS)28-erythrocyte sedimentation rate and DAS28-C-reactive protein threshold values. Ann Rheum Dis. 2007, 66: 407-409. 10.1136/ard.2006.054205.PubMedCentralCrossRefPubMed Inoue E, Yamanaka H, Hara M, Tomatsu T, Kamatani N: Comparison of Disease Activity Score (DAS)28-erythrocyte sedimentation rate and DAS28-C-reactive protein threshold values. Ann Rheum Dis. 2007, 66: 407-409. 10.1136/ard.2006.054205.PubMedCentralCrossRefPubMed
Metadata
Title
Response to 'Pain persists in DAS28 rheumatoid arthritis remission but not in ACR/EULAR remission: a longitudinal observational study'
Authors
Kazuki Yoshida
Kazuo Matsui
Hiroto Nakano
Hideto Oshikawa
Masako Utsunomiya
Tatsuo Kobayashi
Makiko Kimura
Gautam A Deshpande
Mitsumasa Kishimoto
Publication date
01-08-2011
Publisher
BioMed Central
Published in
Arthritis Research & Therapy / Issue 4/2011
Electronic ISSN: 1478-6362
DOI
https://doi.org/10.1186/ar3393

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