{"doi":"10.1002/art.1780310302","title":"The american rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis","abstract":"The revised criteria for the classification of rheumatoid arthritis (RA) were formulated from a computerized analysis of 262 contemporary, consecutively studied patients with RA and 262 control subjects with rheumatic diseases other than RA (non-RA). The new criteria are as follows: 1) morning stiffness in and around joints lasting at least 1 hour before maximal improvement; 2) soft tissue swelling (arthritis) of 3 or more joint areas observed by a physician; 3) swelling (arthritis) of the proximal interphalangeal, metacarpophalangeal, or wrist joints; 4) symmetric swelling (arthritis); 5) rheumatoid nodules; 6) the presence of rheumatoid factor; and 7) radiographic erosions and/or periarticular osteopenia in hand and/or wrist joints. Criteria 1 through 4 must have been present for at least 6 weeks. Rheumatoid arthritis is defined by the presence of 4 or more criteria, and no further qualifications (classic, definite, or probable) or list of exclusions are required. In addition, a \"classification tree\" schema is presented which performs equally as well as the traditional (4 of 7) format. The new criteria demonstrated 91-94% sensitivity and 89% specificity for RA when compared with non-RA rheumatic disease control subjects.","journal":"Arthritis & Rheumatism","year":1988,"id":6790,"datarank":30.662322684150336,"base_score":9.897670667214562,"endowment":9.897670667214562,"self_citation_contribution":1.4846506000821846,"citation_network_contribution":29.177672084068153,"self_endowment_contribution":1.4846506000821846,"citer_contribution":29.177672084068153,"corpus_percentile":99.5,"corpus_rank":363,"citation_count":19883,"citer_count":189,"citers_with_citation_signal":189,"citers_with_endowment":189,"datacite_reuse_total":0,"is_dataset":false,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"1988-03-01","authors":[{"id":62637,"name":"Steven M. Edworthy","orcid":null,"position":1,"is_corresponding":false},{"id":62638,"name":"Daniel A. Bloch","orcid":null,"position":2,"is_corresponding":false},{"id":31647,"name":"Dennis J. McShane","orcid":null,"position":3,"is_corresponding":false},{"id":62639,"name":"James F. Fries","orcid":null,"position":4,"is_corresponding":false},{"id":62640,"name":"Norman S. Cooper","orcid":null,"position":5,"is_corresponding":false},{"id":62641,"name":"Louis A. Healey","orcid":null,"position":6,"is_corresponding":false},{"id":62642,"name":"Stephen R. Kaplan","orcid":null,"position":7,"is_corresponding":false},{"id":62643,"name":"Matthew H. Liang","orcid":null,"position":8,"is_corresponding":false},{"id":62644,"name":"Harvinder S. Luthra","orcid":null,"position":9,"is_corresponding":false},{"id":31648,"name":"Thomas A. Medsger","orcid":null,"position":10,"is_corresponding":false},{"id":62645,"name":"Donald M. Mitchell","orcid":null,"position":11,"is_corresponding":false},{"id":62646,"name":"David H. Neustadt","orcid":null,"position":12,"is_corresponding":false},{"id":62647,"name":"Robert S. Pinals","orcid":null,"position":13,"is_corresponding":false},{"id":62648,"name":"Jane G. Schaller","orcid":null,"position":14,"is_corresponding":false},{"id":62649,"name":"John T. Sharp","orcid":"0000-0002-7429-9047","position":15,"is_corresponding":false},{"id":62650,"name":"Ronald L. Wilder","orcid":null,"position":16,"is_corresponding":false},{"id":62651,"name":"Gene G. Hunder","orcid":"0000-0002-1246-107X","position":17,"is_corresponding":false},{"id":31635,"name":"D. Blöch","orcid":"0000-0002-4535-5273","position":18,"is_corresponding":false},{"id":31726,"name":"Frank C. Arnett","orcid":null,"position":0,"is_corresponding":true}],"reference_count":18,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-03-01T18:20:47.508186Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}