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A systematic review of the effectiveness of adalimumab

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Glossary<br />

ACR20 A 20% improvement in <strong>the</strong> counts <strong>of</strong><br />

<strong>the</strong> number <strong>of</strong> tender and swollen joints and<br />

at least three items from <strong>the</strong> following:<br />

observer evaluation <strong>of</strong> overall disease activity,<br />

patient evaluation <strong>of</strong> overall disease<br />

activity, patient evaluation <strong>of</strong> pain, a score <strong>of</strong><br />

physical disability, and improvements in blood<br />

acute-phase responses.<br />

ACR50 A 50% improvement in <strong>the</strong><br />

parameters described above.<br />

ACR70 A 70% improvement in <strong>the</strong><br />

parameters described above.<br />

ACR-N A single number that describes <strong>the</strong><br />

percentage <strong>of</strong> improvement from baseline that<br />

a patient experiences; it is derived from <strong>the</strong><br />

same clinical parameters as <strong>the</strong> ACR response.<br />

Details are provided in Appendix 1.<br />

Anti-TNFs Biological agents that block<br />

tumour necrosis factor activity.<br />

Health Technology Assessment 2006; Vol. 10: No. 42<br />

Glossary and list <strong>of</strong> abbreviations<br />

Technical terms and abbreviations are used throughout this report. The meaning is usually clear from<br />

<strong>the</strong> context, but a glossary is provided for <strong>the</strong> non-specialist reader. In some cases, usage differs in <strong>the</strong><br />

literature, but <strong>the</strong> term has a constant meaning throughout this <strong>review</strong>.<br />

© Queen’s Printer and Controller <strong>of</strong> HMSO 2006. All rights reserved.<br />

Cytokines Small peptides that mediate<br />

signals between cells, primarily in a localised<br />

environment.<br />

Health Assessment Questionnaire (HAQ)<br />

Designed to assess <strong>the</strong> physical function <strong>of</strong><br />

patients. Scores range from 0 (no functional<br />

impairment) to 3 (most impaired). Details are<br />

provided in Appendix 1.<br />

Disease Activity Score (DAS) Calculated<br />

using a formula that includes counts for tender<br />

(53 joints) and swollen joints (44 joints), an<br />

evaluation by <strong>the</strong> patient <strong>of</strong> general health and<br />

blood acute-phase responses. Scale 0 (best) to<br />

10 (most active disease).<br />

DAS28 Disease Activity Score 28, similar to<br />

DAS above but using only 28 joints for<br />

assessment. Scale 0 (best) to 10 (most active<br />

disease).<br />

vii

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