{"id":"https://openalex.org/W2032462916","doi":"https://doi.org/10.1002/art.24282","title":"Perception of improvement in patients with rheumatoid arthritis varies with disease activity levels at baseline","display_name":"Perception of improvement in patients with rheumatoid arthritis varies with disease activity levels at baseline","publication_year":2009,"publication_date":"2009-02-26","ids":{"openalex":"https://openalex.org/W2032462916","doi":"https://doi.org/10.1002/art.24282","mag":"2032462916","pmid":"https://pubmed.ncbi.nlm.nih.gov/19248136","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2957836"},"language":"en","primary_location":{"id":"doi:10.1002/art.24282","doi":"https://doi.org/10.1002/art.24282","is_oa":false,"landing_page_url":"https://doi.org/10.1002/art.24282","pdf_url":null,"source":{"id":"https://openalex.org/S13698240","display_name":"Arthritis Care & Research","issn_l":"0893-7524","issn":["0893-7524","1529-0123","2151-464X","2151-4658"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthritis Care &amp; Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2957836","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061411814","display_name":"Daniel Aletaha","orcid":"https://orcid.org/0000-0003-2108-0030","observed_orcids":["https://orcid.org/0000-0003-2108-0030"]},"institutions":[{"id":"https://openalex.org/I76134821","display_name":"Medical University of Vienna","ror":"https://ror.org/05n3x4p02","country_code":"AT","type":"education","lineage":["https://openalex.org/I76134821"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"D. Aletaha","raw_affiliation_strings":["Department of Internal Medicine 3, Medical University of Vienna, Vienna, Austria. daniel.aletaha@meduniwien.ac.at","Department of Internal Medicine 3, Medical University of Vienna, Vienna, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine 3, Medical University of Vienna, Vienna, Austria. daniel.aletaha@meduniwien.ac.at","institution_ids":["https://openalex.org/I76134821"]},{"raw_affiliation_string":"Department of Internal Medicine 3, Medical University of Vienna, Vienna, Austria","institution_ids":["https://openalex.org/I76134821"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022420084","display_name":"Julia Funovits","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I76134821","display_name":"Medical University of Vienna","ror":"https://ror.org/05n3x4p02","country_code":"AT","type":"education","lineage":["https://openalex.org/I76134821"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"J. Funovits","raw_affiliation_strings":["Medical University of Vienna, Vienna, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical University of Vienna, Vienna, Austria","institution_ids":["https://openalex.org/I76134821"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052860753","display_name":"Michael M. Ward","orcid":"https://orcid.org/0000-0003-1857-9367","observed_orcids":["https://orcid.org/0000-0003-1857-9367"]},"institutions":[{"id":"https://openalex.org/I4210087962","display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","ror":"https://ror.org/006zn3t30","country_code":"US","type":"facility","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210087962"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M. M. Ward","raw_affiliation_strings":["National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland","institution_ids":["https://openalex.org/I4210087962"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111657027","display_name":"Josef S Smolen","orcid":"https://orcid.org/0000-0002-8899-9087","observed_orcids":["https://orcid.org/0000-0002-8899-9087"]},"institutions":[{"id":"https://openalex.org/I4210089076","display_name":"Klinik Hietzing","ror":"https://ror.org/00621wh10","country_code":"AT","type":"healthcare","lineage":["https://openalex.org/I4210089076","https://openalex.org/I4210117134"]},{"id":"https://openalex.org/I76134821","display_name":"Medical University of Vienna","ror":"https://ror.org/05n3x4p02","country_code":"AT","type":"education","lineage":["https://openalex.org/I76134821"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"J. S. Smolen","raw_affiliation_strings":["Medical University of Vienna and Hietzing Hospital, Vienna, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical University of Vienna and Hietzing Hospital, Vienna, Austria","institution_ids":["https://openalex.org/I4210089076","https://openalex.org/I76134821"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035671675","display_name":"Tore Kristian Kvien","orcid":"https://orcid.org/0000-0002-8441-3093","observed_orcids":["https://orcid.org/0000-0002-8441-3093"]},"institutions":[{"id":"https://openalex.org/I4210117451","display_name":"Diakonhjemmet Hospital","ror":"https://ror.org/02jvh3a15","country_code":"NO","type":"healthcare","lineage":["https://openalex.org/I4210117451"]}],"countries":["NO"],"is_corresponding":false,"raw_author_name":"T. K. Kvien","raw_affiliation_strings":["Diakonhiemet Hospital, Oslo, Norway"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Diakonhiemet Hospital, Oslo, Norway","institution_ids":["https://openalex.org/I4210117451"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4640,"currency":"USD","value_usd":4640},"apc_paid":null,"fwci":2.3463,"has_fulltext":false,"cited_by_count":79,"citation_normalized_percentile":{"value":0.87240671,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"61","issue":"3","first_page":"313","last_page":"320"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10200","display_name":"Rheumatoid Arthritis Research and Therapies","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10200","display_name":"Rheumatoid Arthritis Research and Therapies","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11616","display_name":"Autoimmune and Inflammatory Disorders Research","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/rheumatoid-arthritis","display_name":"rheumatoid arthritis","score":1.0},{"id":"https://openalex.org/keywords/disease-activity","display_name":"disease activity","score":0.8080000281333923},{"id":"https://openalex.org/keywords/baseline-disease-activity","display_name":"baseline disease activity","score":0.7229999899864197},{"id":"https://openalex.org/keywords/das28","display_name":"DAS28","score":0.9309999942779541},{"id":"https://openalex.org/keywords/sdai","display_name":"SDAI","score":0.8960000276565552},{"id":"https://openalex.org/keywords/clinical-disease-activity-index","display_name":"Clinical Disease Activity Index","score":0.9879999756813049},{"id":"https://openalex.org/keywords/treatment-response","display_name":"treatment response","score":0.6140000224113464}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9270515441894531},{"id":"https://openalex.org/C2777575956","wikidata":"https://www.wikidata.org/wiki/Q187255","display_name":"Rheumatoid arthritis","level":2,"score":0.8184199929237366},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6994138360023499},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6856438517570496},{"id":"https://openalex.org/C198451711","wikidata":"https://www.wikidata.org/wiki/Q327657","display_name":"Rheumatology","level":2,"score":0.5892238616943359},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.49334636330604553},{"id":"https://openalex.org/C2776232647","wikidata":"https://www.wikidata.org/wiki/Q702883","display_name":"Rheumatoid factor","level":3,"score":0.455544650554657},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3519298732280731}],"mesh":[{"descriptor_ui":"D000203","descriptor_name":"Activities of Daily Living","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001172","descriptor_name":"Arthritis, Rheumatoid","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D001172","descriptor_name":"Arthritis, Rheumatoid","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009664","descriptor_name":"Norway","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010465","descriptor_name":"Perception","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018501","descriptor_name":"Antirheumatic Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1002/art.24282","doi":"https://doi.org/10.1002/art.24282","is_oa":false,"landing_page_url":"https://doi.org/10.1002/art.24282","pdf_url":null,"source":{"id":"https://openalex.org/S13698240","display_name":"Arthritis Care & Research","issn_l":"0893-7524","issn":["0893-7524","1529-0123","2151-464X","2151-4658"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthritis Care &amp; Research","raw_type":"journal-article"},{"id":"pmid:19248136","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19248136","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthritis and rheumatism","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:2957836","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2957836","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Arthritis Rheum","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:2957836","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2957836","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Arthritis Rheum","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G1120722310","display_name":"Outcomes in Rheumatic Diseases","funder_award_id":"ZIAAR041153","funder_id":"https://openalex.org/F4320337362","funder_display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337362","display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","ror":"https://ror.org/006zn3t30"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W53352406","https://openalex.org/W96987653","https://openalex.org/W1588610010","https://openalex.org/W1903233379","https://openalex.org/W1978928194","https://openalex.org/W2007409332","https://openalex.org/W2033299724","https://openalex.org/W2037659027","https://openalex.org/W2041388322","https://openalex.org/W2046672458","https://openalex.org/W2047400624","https://openalex.org/W2048462515","https://openalex.org/W2055904490","https://openalex.org/W2061120890","https://openalex.org/W2082627748","https://openalex.org/W2098919737","https://openalex.org/W2099680326","https://openalex.org/W2104482697","https://openalex.org/W2110177517","https://openalex.org/W2117642771","https://openalex.org/W2134171514","https://openalex.org/W2143835145","https://openalex.org/W2156996668","https://openalex.org/W2159106700","https://openalex.org/W2395739132","https://openalex.org/W2411915231","https://openalex.org/W2414252266","https://openalex.org/W2418910192"],"related_works":["https://openalex.org/W2005869754","https://openalex.org/W2131168761","https://openalex.org/W3093760500","https://openalex.org/W3032088618","https://openalex.org/W2130723416","https://openalex.org/W2168635462","https://openalex.org/W2061120890","https://openalex.org/W3211518073","https://openalex.org/W2318093985","https://openalex.org/W3021398338"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"analyze":[2],"the":[3,89,92,98,104,111,119,129,177,198,257],"minimum":[4],"clinically":[5],"important":[6],"improvement":[7,26,153,244],"(MCII)":[8],"of":[9,51,60,100,121,124,147,243,245,248],"disease":[10,30,126,138,223,229,246,258],"activity":[11,127,139,230,247,259],"measures":[12],"in":[13,228],"rheumatoid":[14,47],"arthritis":[15],"(RA)":[16],"using":[17],"patient-derived":[18],"anchors,":[19],"and":[20,110,117,140,151,159,180,191,197,215],"to":[21,87,233,237],"assess":[22],"whether":[23,64],"criteria":[24,154],"for":[25,91,171,176,203],"differ":[27],"with":[28,136,250],"baseline":[29,125],"activity.":[31],"METHODS:":[32],"We":[33,80],"used":[34,81],"data":[35],"from":[36],"a":[37],"Norwegian":[38],"observational":[39],"database":[40],"comprising":[41],"1,050":[42],"patients":[43,62,134,249],"(73%":[44],"women,":[45],"65%":[46],"factor-positive,":[48],"mean":[49,164,199],"duration":[50],"RA":[52,251],"7.7":[53],"years).":[54],"At":[55],"3":[56,174],"months":[57,175],"after":[58,173],"initiation":[59],"therapy,":[61],"indicated":[63],"their":[65],"condition":[66],"had":[67,69,74,77],"improved,":[68,71],"considerably":[70,78,253],"was":[72],"unchanged,":[73],"worsened,":[75],"or":[76],"worsened.":[79],"receiver":[82],"operating":[83],"characteristic":[84],"curve":[85],"analysis":[86],"determine":[88],"MCII":[90,172,235],"Disease":[93,106,113],"Activity":[94,107,114],"Score":[95],"based":[96],"on":[97,128,256],"assessment":[99],"28":[101],"joints":[102],"(DAS28),":[103],"Simplified":[105],"Index":[108,115],"(SDAI),":[109],"Clinical":[112],"(CDAI),":[116],"analyzed":[118],"effects":[120],"different":[122,254],"levels":[123],"MCII.":[130],"RESULTS:":[131],"On":[132],"average,":[133],"started":[135],"high":[137],"improved":[141],"significantly":[142],"during":[143],"treatment":[144],"(American":[145],"College":[146],"Rheumatology":[148],"20%,":[149],"50%,":[150],"70%":[152],"responses":[155,205],"were":[156,182,206,231],"37%,":[157],"17%,":[158],"5%,":[160],"respectively).":[161],"The":[162,241],"overall":[163],"(95%":[165,184,188,193,200,208,212,217],"confidence":[166],"interval":[167],"[95%":[168],"CI])":[169],"thresholds":[170,202],"DAS28,":[178],"SDAI,":[179],"CDAI":[181],"1.20":[183],"CI":[185,189,194,209,213,218],"1.18-1.22),":[186],"10.95":[187],"10.69-11.20),":[190],"10.76":[192],"10.49-11.04),":[195],"respectively,":[196],"CI)":[201],"major":[204],"1.82":[207],"1.80-1.83),":[210],"15.82":[211],"15.65-16.00),":[214],"15.00":[216],"14.82-15.18),":[219],"respectively.":[220],"With":[221],"increasing":[222],"activity,":[224],"much":[225],"higher":[226],"changes":[227],"needed":[232],"achieve":[234],"according":[236],"patient":[238],"judgment.":[239],"CONCLUSION:":[240],"perception":[242],"is":[252],"depending":[255],"level":[260],"at":[261],"which":[262],"they":[263],"start.":[264]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":13},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":7},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":6},{"year":2013,"cited_by_count":4},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
