Safety and Efficacy Evaluations The principal end point was the %age of patients meeting the criteria for 20 percent improvement in American College of Rheumatology response criteria 26 at week 12. Secondary efficacy methods included 50 percent and 70 percent improvement , changes in individual ACR parts, Clinical Disease Activity Index ,27 Disease Activity Rating for 28-joint counts ,28 dactylitis , and enthesitis . Patient-reported outcome actions included the Bath Ankylosing Spondylitis Disease Activity Index ,30 version 2 of the Medical Outcomes Research 36-Item Short-Form Wellness Survey ,31,32 and the Psoriasis Symptom Inventory.33,34 Prespecified subgroup analyses on the basis of previous biologic therapy had been performed for essential efficacy end points.Total joint arthroplasty is widely performed in sufferers of most races with serious osteoarthritis to relieve discomfort and improve joint function and flexibility. Although several research have recommended that racial minority patients are less likely to undergo joint replacement surgery, little is well known about the quality of arthroplasty treatment that African Us citizens receive when compared with Caucasians. Related StoriesMembers enrolled in Medicare Advantage satisfied with their plans, study findsResearch displays why osteoarthritis and hip adjustments are more regular in athletesResistance weight training reduces pain, increases function in people with hand OAUsing data from the Medicare Provider Evaluation and Review data files between 2002 and 2005, which contain information regarding hospitalization for Medicare beneficiaries, Cai and co-workers profiled US hospitals’ quality of care.