The Influence of the Definition of Patient Global Assessment in Assessment of Disease Activity According to the Disease Activity Score (DAS28) in Rheumatoid Arthritis

被引：15

作者：

Dougados, Maxime ^{[1
]}

Ripert, Mahaut ^{[2
]}

Hillquin, Pascal ^{[3
]}

Fardellone, Patrice ^{[4
]}

Brocq, Olivier ^{[5
]}

Brault, Yves ^{[2
]}

Logeart, Isabelle ^{[2
]}

机构：

[1] Paris Descartes Univ, Rheumatol Dpt B, Cochin Hosp, AP HP,UPRES EA 4058, F-75014 Paris, France

[2] Pfizer SAS France, Paris, France

[3] CH Sud Francilien, Dept Rheumatol, Corbeil Essonnes, France

[4] CHU Amiens Nord, Dept Rheumatol, Amiens, France

[5] CH Princesse Grace, Dept Rheumatol, Monaco, Monaco

来源：

JOURNAL OF RHEUMATOLOGY | 2011年 / 38卷 / 11期

关键词：

RHEUMATOID ARTHRITIS; DISEASE ACTIVITY SCORE; PATIENT GLOBAL ASSESSMENT; RECOMMENDATIONS; VALIDATION; CRITERIA; IMPACT;

D O I：

10.3899/jrheum.110487

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective. Patient global assessment (PGA) is one of the 4 items included in the Disease Activity Score (DAS28) for evaluation of activity of rheumatoid arthritis (RA). We studied the influence of the use of 3 different techniques of PGA on the assessment of disease activity. Methods. We evaluated 3 different DAS28 according to the technique of PGA in 108 patients with active RA before and after 12 weeks of etanercept therapy. Results. The reliability (intraclass coefficient of correlation) between screening and baseline was very high and similar for the 3 DAS28. The percentage of patients in the different states of disease (from remission to higher disease activity) and the sensitivity to change across the 3 DAS28 scales were very similar. Conclusion. The different techniques of collection of PGA to be included in the DAS calculation yield similar results. However, an accepted, unequivocal technique should be encouraged in order to reduce heterogeneity in scoring DAS among patients with RA. (First Release Oct 1 2011; J Rheumatol 2011;38:2326-8; doi:10.3899/jrheum.110487)

引用

页码：2326 / 2328

页数：3

共 11 条

[1] THE AMERICAN-RHEUMATISM-ASSOCIATION 1987 REVISED CRITERIA FOR THE CLASSIFICATION OF RHEUMATOID-ARTHRITIS [J].

ARNETT, FC ;

EDWORTHY, SM ;

BLOCH, DA ;

MCSHANE, DJ ;

FRIES, JF ;

COOPER, NS ;

HEALEY, LA ;

KAPLAN, SR ;

LIANG, MH ;

LUTHRA, HS ;

MEDSGER, TA ;

MITCHELL, DM ;

NEUSTADT, DH ;

PINALS, RS ;

SCHALLER, JG ;

SHARP, JT ;

WILDER, RL ;

HUNDER, GG .

ARTHRITIS AND RHEUMATISM, 1988, 31 (03) :315-324

[2] Recommendations of the French Society for Rheumatology regarding TNFα antagonist therapy in patients with rheumatoid arthritis [J].

Fautrel, Bruno ;

Pham, Thao ;

Mouterde, Gael ;

Le Loet, Xavier ;

Goupille, Philippe ;

Guillemin, Francis ;

Ravaud, Philippe ;

Cantagrel, Alain ;

Dougados, Maxime ;

Puechal, Xavier ;

Sibilia, Jean ;

Soubrier, Martin ;

Mariette, Xavier ;

Combe, Bernard .

JOINT BONE SPINE, 2007, 74 (06) :627-637

[3]

Fries JF, 1997, J RHEUMATOL, V24, P1697

[4] Finalisation and validation of the rheumatoid arthritis impact of disease score, a patient-derived composite measure of impact of rheumatoid arthritis: a EULAR initiative [J].

Gossec, L. ;

Paternotte, S. ;

Aanerud, G. J. ;

Balanescu, A. ;

Boumpas, D. T. ;

Carmona, L. ;

de Wit, M. ;

Dijkmans, B. A. C. ;

Dougados, M. ;

Englbrecht, M. ;

Gogus, F. ;

Heiberg, T. ;

Hernandez, C. ;

Kirwan, J. R. ;

Mola, E. Martin ;

Cerinic, M. Matucci ;

Otsa, K. ;

Schett, G. ;

Scholte-Voshaar, M. ;

Sokka, T. ;

von Krause, G. ;

Wells, G. A. ;

Kvien, T. K. .

ANNALS OF THE RHEUMATIC DISEASES, 2011, 70 (06) :935-942

[5] Elaboration of the preliminary Rheumatoid Arthritis Impact of Disease (RAID) score: a EULAR initiative [J].

Gossec, L. ;

Dougados, M. ;

Rincheval, N. ;

Balanescu, A. ;

Boumpas, D. T. ;

Canadelo, S. ;

Carmona, L. ;

Daures, J-P ;

de Wit, M. ;

Dijkmans, B. A. C. ;

Englbrecht, M. ;

Gunendi, Z. ;

Heiberg, T. ;

Kirwan, J. R. ;

Mola, E. M. ;

Matucci-Cerinic, M. ;

Otsa, K. ;

Schett, G. ;

Sokka, T. ;

Wells, G. A. ;

Aanerud, G. J. ;

Celano, A. ;

Dudkin, A. ;

Hernandez, C. ;

Koutsogianni, K. ;

Akca, F. N. ;

Petre, A-M ;

Richards, P. ;

Scholte-Voshaar, M. ;

Von Krause, G. ;

Kvien, T. K. .

ANNALS OF THE RHEUMATIC DISEASES, 2009, 68 (11) :1680-1685

[6] Performance of the Rheumatoid Arthritis Impact of Disease (RAID) score in relation to other patient-reported outcomes in a register of patients with rheumatoid arthritis [J].

Heiberg, Turid ;

Austad, Cathrine ;

Kvien, Tore K. ;

Uhlig, Till .

ANNALS OF THE RHEUMATIC DISEASES, 2011, 70 (06) :1080-1082

[7] Comparison of the Construct Validity and Sensitivity to Change of the Visual Analog Scale and a Modified Rating Scale as Measures of Patient Global Assessment in Rheumatoid Arthritis [J].

Lati, Chili ;

Guthrie, Lori C. ;

Ward, Michael M. .

JOURNAL OF RHEUMATOLOGY, 2010, 37 (04) :717-722

[8] Treating rheumatoid arthritis to target: recommendations of an international task force [J].

Smolen, Josef S. ;

Aletaha, Daniel ;

Bijlsma, Johannes W. J. ;

Breedveld, Ferdinand C. ;

Boumpas, Dimitrios ;

Burmester, Gerd ;

Combe, Bernard ;

Cutolo, Maurizio ;

de Wit, Maarten ;

Dougados, Maxime ;

Emery, Paul ;

Gibofsky, Alan ;

Gomez-Reino, Juan Jesus ;

Haraoui, Boulos ;

Kalden, Joachim ;

Keystone, Edward C. ;

Kvien, Tore K. ;

McInnes, Iain ;

Martin-Mola, Emilio ;

Montecucco, Carlomaurizio ;

Schoels, Monika ;

van der Heijde, Desiree .

ANNALS OF THE RHEUMATIC DISEASES, 2010, 69 (04) :631-637

[9] Development of quality indicators for monitoring of the disease course in rheumatoid arthritis (vol 68, pg 1805, 2009) [J].

van Hulst, L. T. C. ;

Fransen, J. ;

den Broeder, A. A. ;

Grol, R. ;

van Riel, P. L. C. M. ;

Hulscher, M. E. L. J. .

ANNALS OF THE RHEUMATIC DISEASES, 2010, 69 (02) :336-336

[10] Development of quality indicators for monitoring of the disease course in rheumatoid arthritis [J].

van Hulst, L. T. C. ;

Fransen, J. ;

den Broeder, A. A. ;

Grol, R. ;

van Riel, P. L. C. M. ;

Hulscher, M. E. J. L. .

ANNALS OF THE RHEUMATIC DISEASES, 2009, 68 (12) :1805-1810

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