Fujio Keishi
Department of Allergy and Rheumatology, Graduate School of Medicine, The University of Tokyo.
Nihon Rinsho. 2013 Jul;71(7):1172-7.
The need for early initiation of treatment in rheumatoid arthritis (RA) has been established. The 1987 RA classification criteria are not suitable for this strategy. Therefore, as a collaboration of ACR and EULAR, new classification criteria for RA were published in 2010. Several studies assessed agreement between 1987 and 2010 criteria and the potential source of discordance. This review will describe the current evidence evaluating the 2010 criteria, and show some important questions regarding the criteria.
类风湿关节炎(RA)早期开始治疗的必要性已得到确立。1987年的RA分类标准并不适用于这一策略。因此,作为美国风湿病学会(ACR)和欧洲抗风湿病联盟(EULAR)的合作成果,2010年发布了新的RA分类标准。多项研究评估了1987年和2010年标准之间的一致性以及不一致的潜在根源。本综述将描述评估2010年标准的当前证据,并展示有关该标准的一些重要问题。