CriteriaScore
Target population (who should be tested?): patients who
1) have at least one joint with definite clinical synovitis (swelling)*
2) with the synovitis not better explained by another disease
Classification criteria for RA (score-based algorithm: add score of categories A through D; a score of ≥ 6 out of 10 is needed for classification of a patient as having definite RA)
A. Joint involvement§
One large joint||0
Two to 10 large joints1
One to three small joints (with or without involvement of large joints)¶2
Four to 10 small joints (with or without involvement of large joints)3
> 10 joints (at least one small joint)**5
B. Serology (at least one test result is needed for classification)††
Negative RF and negative ACPA0
Low positive RF or low positive ACPA2
High positive RF or high positive ACPA3
C. Acute phase reactants (at least one test result is needed for classification)‡‡
Normal CRP and normal ESR0
Abnormal CRP or normal ESR1
D. Duration of symptoms§§
< six weeks0
≥ six weeks1