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Ann Rheum Dis. 1983 December; 42(6): 644–647.
PMCID: PMC1001320

Clinical judgment in rheumatoid arthritis. I. Rheumatologists' opinions and the development of 'paper patients'.


Opinions about the importance of various measures of disease activity in rheumatoid arthritis gathered from a survey of 20% of British rheumatologists showed a wide diversity for all clinical variables. 'Paper patients' have been developed as a method of investigating actual clinical decisions rather than expressed opinions. Assessments based on 'paper patients' correlate highly (r = +0.901) with those made on the equivalent real patients when seen in person.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Dixon JS, Pickup ME, Lowe JR, Hallett C, Lee MR, Wright V. Discriminatory indices of response of patients with rheumatoid arthritis treated with D-penicillamine. Ann Rheum Dis. 1980 Aug;39(4):301–311. [PMC free article] [PubMed]
  • Lamont CT, Hennen BK. The use of simulated patients in a certification examination in family medicine. J Med Educ. 1972 Oct;47(10):789–795. [PubMed]

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