风湿病专家面诊与外行访员电话调查在类风湿关节炎和脊柱关节炎筛查方面的一致性。

Agreement between rheumatologist visit and lay interviewer telephone survey for screening for rheumatoid arthritis and spondyloarthropathy.

作者信息

Saraux Alain, Guillemin Francis, Fardellone Patrice, Guggenbuhl Pascal, Behier Jehan Michel, Cantagrel Alain, Euller-Ziegler Liana, Flipo René Marc, Juvin Robert, Le Loet Xavier, Masson Charles, Sany Jacques, Schaeverbeke Thierry, Coste Joel

机构信息

Rheumatology Department, Hôpital de la Cavale Blanche, CHU Brest, 29609 Brest cedex, France.

出版信息

Joint Bone Spine. 2004 Jan;71(1):44-50. doi: 10.1016/S1297-319X(03)00092-7.

DOI:10.1016/S1297-319X(03)00092-7

PMID:14769520

Abstract

OBJECTIVE

To evaluate agreement between a rheumatologist visit and a telephone interview by a patient organization member, regarding the diagnosis of rheumatoid arthritis (RA) or spondyloarthropathy (SpA) and the classification criteria for these two conditions.

METHOD

Patients underwent a standardized interview and physical examination by hospital-based rheumatologists, who diagnosed RA in 230 cases, SpA in 175, and other conditions (controls) in 195. Members of patient organizations then used a standardized questionnaire to interview the patients by telephone about their diagnosis and about 1987 ACR classification criteria for RA and the ESSG criteria for SpA.

RESULTS

Agreement between the two sources of data was poor for the classification criteria but satisfactory for the diagnosis (kappa, 0.84 (0.81-0.87) for RA and 0.78 (0.75-0.81) for SpA).

CONCLUSION

Standardized telephone interviews conducted by patient organization members accurately identify the diagnosis made by rheumatologists based on a physical examination and medical record review, whereas agreement is poor regarding classification criteria for RA and SpA.

摘要