On the other hand, The main factors that predict an unfavorable work situation are often factors that are strictly labor-related (physical effort Keto Viante, desire to return to work) more than those directly related to the disease. Table 1 shows the main prognostic factors in the initial phases of the disease that are identified with a more unfavorable course based on the final outcome measure evaluated.
Selection biases (hospital series versus series followed in the community), follow-up (tendency to include more serious patients in the studies, who come more to the consultation), classification (relative low specificity of the criteria of the ACR at the time of analyzing initial polyarthritis, etc. These and other biases may be involved to a greater or lesser degree in all the studies on prognostic factors.
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