Patient self‐report RADAI (Rheumatoid Arthritis Disease Activity Index) joint counts on an MDHAQ (Multidimensional Health Assessment Questionnaire) in usual care of consecutive patients with rheumatic diseases other than rheumatoid arthritis

Abstract

Results. In patients with RA, SLE, OA, PsA, and gout, mean RADAI scores (range 0 -48) were 12.4, 6.5, 10.1, 6.7, and 2.7, respectively. The mean numbers of involved joint groups (range 0 -16) were 6.9, 3.8, 4.8, 4.5, and 1.7, respectively, and the median numbers were 6, 2, 4, 4, and 1, respectively. RADAI scores were correlated significantly with the physician global estimate, except in SLE, and at higher levels with the MDHAQ and RAPID3 scores in all diagnostic groups. Conclusion. The RADAI self-report joint counts can be used to record self-report involvement of specific joints and joint groups in patients with SLE, OA, PsA, and gout, with minimal effort on the part of the rheumatologist.

MDHAQ/RAPID3 to Recognize Improvement Over 2 Months in Usual Care of Patients With Osteoarthritis, Systemic Lupus Erythematosus, Spondyloarthropathy, and Gout, as Well as Rheumatoid Arthritis

“…Another report documents the value of the RADAI in most rheumatic diseases. 32 RAPID3 scores are calculated from the 3 RA Core Data Set 33 measures for FN, pain, and PATGL, each scored 0 to 10 for a total score range of 0 to 30, 17 before the encounter with the rheumatologist. RAPID3 severity categories, defined in RA, are 3 or less for remission, 3.1 to 6.0 for low severity, 6.1 to 12.0 for moderate severity, and more than 12 for high severity.…”

Measurement of Rheumatoid Arthritis Disease Activity with Rheumatoid Arthritis Disease Activity Index (RADAI) and Comparison with Other Clinical Disease Activity Indexes

“…RA'lı hastalar dışında sistemik lupus eritematozus (SLE), osteoartrit (OA), psöriatik artrit (PsA) ve gutlu hastalarda da spesifik eklem ve eklem gruplarının tutulumunu belirlemede kullanılabilir-liği yapılan çalışmalarda gösterilmiştir. 27 RA'da sıklıkla hastalık aktivite ölçümü için kullanılan DAS28 olmuştur ve bu ölçek bir dekattan fazla dönemde romatolojik hastalıklarda hastalık aktivitesi değerlendirilmesinde yeterli bir şekilde hizmet etmiştir. Bununla birlikte, günü-müzde RA tedavisinde major ve erişilebilir tek hedefin düşük hastalık aktivitesi ve remisyon olduğu düşünülürse, DAS28'in bu durumda spesifisitesinin daha düşük olması kısıtlılığı olarak düşünülmesine neden olabilir.…”

“…Bu anketi hastanın uygulaması 1 dakika, doktorun skoru hesaplaması 30 saniyeden az zaman almaktadır. 27 Ancak RADAI'nin hasta takibinde değişiklikleri belirleme kabiliyeti iyi iken RADAI-5 inki zayıf olarak belirtilmiştir. 13 Hastalık aktivitesini belirlemek kadar hasta takibinde değişikliklerin kaydedilebilmesi tedavi tercihlerini saptamak için önemlidir.…”

Validity of summing painful joint sites to assess joint-pain comorbidity in hip or knee osteoarthritis

“…To date, the use of joint counts to indicate the level of joint-pain comorbidity in people with knee or hip OA is common [2-5]. By simply summing up the number of joints that are indicated as painful for more than half of the time during the last month, a fast and easy impression of a patient’s overall degree of joint-pain comorbidities is obtained.…”