Table 1

Sensitivity, specificity and likelihood ratios for IA features

IA featureSensitivitySpecificityPositive LRNegative LRPost-test probability given positive testPost-test probability given negative test
CRP54.172.72.00.625.910.0
ESR66.754.51.50.620.69.7
RF31.6100.0Infinity0.7100.010.8
CCP44.7100.0Infinity0.6100.08.9
Smoker31.680.01.60.921.813.1
Erosive on X-ray18.990.92.10.926.813.6
Swollen joint in H/W86.845.51.60.321.94.9
Any swollen joint86.845.51.60.321.94.9
Tender joint H/W94.718.21.20.317.04.9
Any tender joint97.49.41.10.315.94.7
US GS ⩾1*92.118.21.10.416.67.1
US GS ⩾2*76.363.62.10.427.06.2
US GS 3*47.490.95.20.647.99.3
US PD1*71.181.83.90.440.85.9
US PD ⩾2*50.0100.0Infinity0.5100.08.1
US FT in any finger47.463.61.30.818.712.7
Erosive on US†52.672.71.90.725.410.3
  • Features in bold are included in the diagnostic algorithm shown in fig 1.

  • *A semi-quantitative score as stated in any joint (ie, minimum of one joint).

  • †At least one erosion in any joint.

  • CCP, cyclic citrullinated peptide; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; FT, flexor tenosynovitis; GS, grey scale; H/W, hand or wrist joints; IA, inflammatory arthritis; LR, likelihood ratio; PD, power Doppler; RF, rheumatoid factor; US, ultrasound.