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- [4] Swollen and tender joint counts are rated of highest value and patient functional status and erythrocyte sedimentation rate (ESR) of lowest value by 363 US rheumatologists to assess results of clinical trials in patients with rheumatoid arthritis (RA), but clinical trial data indicate that placebo improvement is highest for joint counts and lowest for patient functional status and ESR. ARTHRITIS AND RHEUMATISM, 2003, 48 (09): : S400 - S400