Leiden Clinical Prediction Rule for Undifferentiated Arthritis

Use the result to support, not replace, a comprehensive clinical assessment and sound clinical judgment.

• Low risk (score ≤6):
  
  • Provide symptomatic care (e.g., NSAIDs, brief steroid taper if needed).
  • Re-evaluate regularly; re-score if new joint involvement or laboratory abnormalities emerge.
• Indeterminate risk (score 6.1–7.9):
  
  • Follow closely with repeat assessments.
  • Consider early rheumatology referral and discussion of DMARD therapy.
• High risk (score ≥8.0): Refer to rheumatology for DMARD therapy and further management.