Literature DB >> 1951415

The rheumatoid factor: an analysis of clinical utility.

R H Shmerling1, T L Delbanco.   

Abstract

The rheumatoid factor (RF) is a frequently ordered diagnostic test, yet it possesses significant limitations in sensitivity, specificity, and predictive value. Recognition of these limitations could improve the test's utility by encouraging more selective test ordering and more circumspect interpretation of test results. An analysis of 563 requests for RF from a teaching hospital revealed a positive predictive value of only 24% to 34%. The RF performs best under conditions of moderate pretest likelihood of rheumatoid arthritis, and otherwise has rather limited clinical utility.

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Year:  1991        PMID: 1951415     DOI: 10.1016/0002-9343(91)90190-9

Source DB:  PubMed          Journal:  Am J Med        ISSN: 0002-9343            Impact factor:   4.965


  45 in total

Review 1.  Rheumatology: 2. What laboratory tests are needed?

Authors:  K Shojania
Journal:  CMAJ       Date:  2000-04-18       Impact factor: 8.262

2.  Autoantibodies as predictors of disease.

Authors:  D Leslie; P Lipsky; A L Notkins
Journal:  J Clin Invest       Date:  2001-11       Impact factor: 14.808

3.  Cryoglobulins in nonalcoholic Fatty-liver disease: what is the association?

Authors:  Benjamin C Bryson; Paul Angulo
Journal:  Gastroenterol Hepatol (N Y)       Date:  2012-04

Review 4.  Serologic testing in connective tissue diseases.

Authors:  Dana E Habash-Bseiso; Steven H Yale; Ingrid Glurich; Jerry W Goldberg
Journal:  Clin Med Res       Date:  2005-08

Review 5.  Best practice in primary care pathology: review 6.

Authors:  W S A Smellie; J Forth; J J Coleman; W Irvine; P C Dore; G Handley; D G Williams; P J Galloway; K G Kerr; R Herriot; G P Spickett; T M Reynolds
Journal:  J Clin Pathol       Date:  2006-07-05       Impact factor: 3.411

Review 6.  Laboratory tests in pediatric rheumatology.

Authors:  Manjari Agarwal; Sujata Sawhney
Journal:  Indian J Pediatr       Date:  2010-08-26       Impact factor: 1.967

7.  An unusual case of granulomatous lung disease. A clinical pathology conference held by the Department of Rheumatology at Hospital for Special Surgery.

Authors:  Deborah Alpert; Douglas B Flieder; Doruk Erkan; Anne R Bass
Journal:  HSS J       Date:  2006-09

Review 8.  Anti-citrullinated peptide antibody assays and their role in the diagnosis of rheumatoid arthritis.

Authors:  Rohit Aggarwal; Katherine Liao; Raj Nair; Sarah Ringold; Karen H Costenbader
Journal:  Arthritis Rheum       Date:  2009-11-15

9.  The cytokeratin filament-aggregating protein filaggrin is the target of the so-called "antikeratin antibodies," autoantibodies specific for rheumatoid arthritis.

Authors:  M Simon; E Girbal; M Sebbag; V Gomès-Daudrix; C Vincent; G Salama; G Serre
Journal:  J Clin Invest       Date:  1993-09       Impact factor: 14.808

10.  62-year-old woman with fever, dyspnea, pleuritic chest pain, and weight loss.

Authors:  Brandon P Verdoorn; Furman S McDonald
Journal:  Mayo Clin Proc       Date:  2011-02       Impact factor: 7.616

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