The American college of rheumatology criteria for the classification and reporting of osteoarthritis of the hip

Roy D Altman, G. Alarcón, D. Appelrouth, D. Bloch, D. Borenstein, K. Brandt, C. Brown, T. D. Cooke, W. Daniel, D. Feldman, R. Greenwald, M. Hochberg, D. Howell, R. Ike, P. Kapila, D. Kaplan, W. Koopman, C. Marino, E. McDonald, D. J. McShaneT. Medsger, B. Michel, W. A. Murphy, T. Osial, R. Ramsey-Goldman, B. Rothschild, F. Wolfe

Research output: Contribution to journalArticle

1289 Citations (Scopus)

Abstract

Clinical criteria for the classification of patients with hip pain associated with osteoarthritis (OA) were developed through a multicenter study. Data from 201 patients who had experienced hip pain for most days of the prior month were analyzed. The comparison group of patients had other causes of hip pain, such as rheumatoid arthritis or spondylarthropathy. Variables from the medical history, physical examination, laboratory tests, and radiographs were used to develop different sets of criteria to serve different investigative purposes. Multivariate methods included the traditional "number of criteria present" format and "classification tree" techniques. Clinical criteria: A classification tree was developed, without radiographs, for clinical and laboratory criteria or for clinical criteria alone. A patient was classified as having hip OA if pain was present in combination with either 1) hip internal rotation ≥15°, pain present on internal rotation of the hip, morning stiffness of the hip for ≤60 minutes, and age >50 years, or 2) hip internal rotation

Original languageEnglish (US)
Pages (from-to)505-514
Number of pages10
JournalArthritis and Rheumatism
Volume34
Issue number5
StatePublished - May 1991

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Hip Osteoarthritis
Rheumatology
Hip
Pain
Spondylarthropathies
Osteoarthritis
Multicenter Studies
Physical Examination
Rheumatoid Arthritis

ASJC Scopus subject areas

  • Immunology
  • Rheumatology

Cite this

Altman, R. D., Alarcón, G., Appelrouth, D., Bloch, D., Borenstein, D., Brandt, K., ... Wolfe, F. (1991). The American college of rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis and Rheumatism, 34(5), 505-514.

The American college of rheumatology criteria for the classification and reporting of osteoarthritis of the hip. / Altman, Roy D; Alarcón, G.; Appelrouth, D.; Bloch, D.; Borenstein, D.; Brandt, K.; Brown, C.; Cooke, T. D.; Daniel, W.; Feldman, D.; Greenwald, R.; Hochberg, M.; Howell, D.; Ike, R.; Kapila, P.; Kaplan, D.; Koopman, W.; Marino, C.; McDonald, E.; McShane, D. J.; Medsger, T.; Michel, B.; Murphy, W. A.; Osial, T.; Ramsey-Goldman, R.; Rothschild, B.; Wolfe, F.

In: Arthritis and Rheumatism, Vol. 34, No. 5, 05.1991, p. 505-514.

Research output: Contribution to journalArticle

Altman, RD, Alarcón, G, Appelrouth, D, Bloch, D, Borenstein, D, Brandt, K, Brown, C, Cooke, TD, Daniel, W, Feldman, D, Greenwald, R, Hochberg, M, Howell, D, Ike, R, Kapila, P, Kaplan, D, Koopman, W, Marino, C, McDonald, E, McShane, DJ, Medsger, T, Michel, B, Murphy, WA, Osial, T, Ramsey-Goldman, R, Rothschild, B & Wolfe, F 1991, 'The American college of rheumatology criteria for the classification and reporting of osteoarthritis of the hip', Arthritis and Rheumatism, vol. 34, no. 5, pp. 505-514.
Altman RD, Alarcón G, Appelrouth D, Bloch D, Borenstein D, Brandt K et al. The American college of rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis and Rheumatism. 1991 May;34(5):505-514.
Altman, Roy D ; Alarcón, G. ; Appelrouth, D. ; Bloch, D. ; Borenstein, D. ; Brandt, K. ; Brown, C. ; Cooke, T. D. ; Daniel, W. ; Feldman, D. ; Greenwald, R. ; Hochberg, M. ; Howell, D. ; Ike, R. ; Kapila, P. ; Kaplan, D. ; Koopman, W. ; Marino, C. ; McDonald, E. ; McShane, D. J. ; Medsger, T. ; Michel, B. ; Murphy, W. A. ; Osial, T. ; Ramsey-Goldman, R. ; Rothschild, B. ; Wolfe, F. / The American college of rheumatology criteria for the classification and reporting of osteoarthritis of the hip. In: Arthritis and Rheumatism. 1991 ; Vol. 34, No. 5. pp. 505-514.
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