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dc.contributor.authorAspelund, G
dc.contributor.authorGunnarsdottir, S
dc.contributor.authorJonsson, P
dc.contributor.authorJonsson, H
dc.date.accessioned2010-09-27T13:23:20Z
dc.date.available2010-09-27T13:23:20Z
dc.date.issued1996
dc.date.submitted2010-09-27
dc.identifier.citationScand. J. Rheumatol. 1996, 25(1):34-6en
dc.identifier.issn0300-9742
dc.identifier.pmid8774553
dc.identifier.doi10.3109/03009749609082665
dc.identifier.urihttp://hdl.handle.net/2336/111866
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractThe American College of Rheumatology (ACR) classification criteria were used to define the prevalence of clinical hand osteoarthritis (OA) in an elderly population in Iceland. The prevalence of hand OA was 3.3% for men and 6.8% for women, however, 19.6% of the men and 32.0% of the women fulfilled the ACR examination but lacked required symptoms. The prevalence of clinical signs of OA in the interphalangeal joints were similar for both sexes but were much more common in the first carpometacarpal joint of women (31.3% vs. 1.0% in men, p < 0.0001). No differences were observed between former seamen (55% of the men) and nonseamen or between the right and left hand. Intra- and interobserver agreement in diagnosis ranged from 83% to 97%, but only 70% of subjects fulfilling the symptoms criterion fulfilled the same criterion six months later. Our results suggest that the present symptoms criterion of the ACR clinical criteria restricts their use in population surveys, being both insensitive and unstable over time.
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.urlhttp://dx.doi.org/10.3109/03009749609082665en
dc.subject.meshAgeden
dc.subject.meshAged, 80 and overen
dc.subject.meshFemaleen
dc.subject.meshHanden
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshObserver Variationen
dc.subject.meshOsteoarthritisen
dc.subject.meshPrevalenceen
dc.subject.meshRheumatologyen
dc.subject.meshSex Factorsen
dc.subject.meshSocieties, Medicalen
dc.subject.meshUnited Statesen
dc.titleHand osteoarthritis in the elderly. Application of clinical criteriaen
dc.typeArticleen
dc.contributor.departmentDepartment of Rheumatology, Landspítali University Hospital, Iceland.en
dc.identifier.journalScandinavian journal of rheumatologyen
html.description.abstractThe American College of Rheumatology (ACR) classification criteria were used to define the prevalence of clinical hand osteoarthritis (OA) in an elderly population in Iceland. The prevalence of hand OA was 3.3% for men and 6.8% for women, however, 19.6% of the men and 32.0% of the women fulfilled the ACR examination but lacked required symptoms. The prevalence of clinical signs of OA in the interphalangeal joints were similar for both sexes but were much more common in the first carpometacarpal joint of women (31.3% vs. 1.0% in men, p < 0.0001). No differences were observed between former seamen (55% of the men) and nonseamen or between the right and left hand. Intra- and interobserver agreement in diagnosis ranged from 83% to 97%, but only 70% of subjects fulfilling the symptoms criterion fulfilled the same criterion six months later. Our results suggest that the present symptoms criterion of the ACR clinical criteria restricts their use in population surveys, being both insensitive and unstable over time.


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