Spondyloarthritis & psoriatic arthritis

Comparative analysis of instruments measuring peripheral arthritis activity in Spondyloarthritis: a measurement properties study in 13 randomised controlled trial (RCTs)

RMD OpenPublished Measurement properties study using individual patient data from randomised controlled trials

Authors' conclusion

Composite scores, such as BASDAI, ASDAS and DAPSA44, generally demonstrated more robust performance than single-item instruments, expanding the evidence base for the final instrument-selection phase.

Study context

Population
Patients in RCTs in axSpA (restricted to those with peripheral arthritis at baseline) or pSpA13 RCTs (10 axSpA, 3 pSpA)
Comparison
Instruments measuring peripheral arthritis activity
Outcome
Measurement properties of instruments for peripheral arthritis
Methodological details13 RCTs, OMERACT-based GREEN/AMBER/RED ratings, risk of bias evaluated
  • 13 RCTs
  • OMERACT-based GREEN/AMBER/RED ratings
  • Risk of bias evaluated

Pooled result

As reported in the abstract

  • axSpA: construct validity and thresholds of meaning AMBER/GREEN for all instruments
  • axSpA: test-retest reliability RED only for Patient Global Assessment (PGA)
  • axSpA: responsiveness consistently GREEN
  • axSpA: trial discrimination RED for single-item instruments, consistently GREEN for composite scores
  • pSpA: most instruments AMBER/GREEN; SJC44 RED discrimination

Further pooled results

Baseline peripheral arthritis

axSpA trials: patients with peripheral arthritis
25-51%
axSpA: median SJC44 across studies
2-3
pSpA: median SJC44 range
2-5

Original publication

Comparative analysis of instruments measuring peripheral arthritis activity in Spondyloarthritis: a measurement properties study in 13 RCTs. RMD Open. Published 25 September 2026. doi:10.1136/rmdopen-2026-007207

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