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The information provided on this Web site should not be construed as medical instruction. Often clinically based, these thresholds initially seemed like a wonderful way of communicating the effect of a new treatment, that a certain number of patients would experience improvement when treated.


To qualify for an ACR20 score, a person with RA must have at least 20 percent fewer tender joints and at least 20 percent fewer swollen joints. While dichotomous measures sacrifice statistical power and can hide valuable information about treatment response, this does not mean that clinical investigators should avoid defining important dichotomous outcomes like the minimally important clinical improvement or disease activity low enough to be acceptable to patients.



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  1. How can you get an ACR20 score or higher?

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