Rheumatoid arthritis

Classification criteria of joint activity using joint index vector for patients with rheumatoid arthritis: An evaluation and verification

Semin Arthritis RheumPublished Development and validation study of classification criteria

Authors' conclusion

JIV has been assessed and verified for its appropriateness, unbiased evaluation of the joints, and advantages in covering an unmet need in SDAI.

Study context

Population
Patients with rheumatoid arthritis (RA) monitored at the authors' institute; external validation in a big dataset of 11,013 RA patientsexternal dataset 11,013
Participants
617 patients
Comparison
Remission (REM) vs low joint activity (LJA) vs moderate joint activity (MJA) vs high joint activity (HJA)
Outcome
JIV joint activity classification criteria (cut-offs of Vxy and Vz) and their validity against SDAI and HAQ-DI
Methodological detailssingle-institute development cohort, external validation in big dataset, ROC analysis
  • Single-institute development cohort
  • External validation in big dataset
  • ROC analysis

Performance

As reported in the abstract

JIV activity classification and external validation
Vxy correlated significantly with simplified disease activity index (SDAI) score
p < 0.0001

Further findings

Large joint involvement

Joint index vector (JIV) may pick up patients at risk of being missed by SDAI when large joints are involved

Original publication

Classification criteria of joint activity using joint index vector for patients with rheumatoid arthritis: An evaluation and verification. Semin Arthritis Rheum. Published 22 February 2025. doi:10.1016/j.semarthrit.2025.152659

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