Spondyloarthritis & psoriatic arthritis

Construct validity of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Ankylosing Spondylitis Disease Activity Score (ASDAS) treatment target cut-offs in a BASDAI treat-to-target axial spondyloarthritis cohort: a cross-sectional study

Scand J RheumatolPublished Cross-sectional study

Authors' conclusion

Our study showed moderate and comparable construct validity for BASDAI- and ASDAS-based disease activity states, with the expected exception of association with CRP.

Study context

Population
Long-term BASDAI treat-to-target (T2T)-treated axial spondyloarthritis (axSpA) patients
Participants
242 patients
Exposure
BASDAI vs ASDAS disease activity states
Outcome
Construct validity of BASDAI and ASDAS disease states
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Construct validity of disease states
GroupSpearman's rho with fatigueRR for increased C-reactive protein (CRP) (high disease activity)
BASDAI0.641.13 (95% CI 0.74-1.74)
ASDAS0.546.02 (95% CI 3.0-12.09)

Spearman's rho with fatigue

BASDAI0.64
ASDAS0.54

RR for increased C-reactive protein (CRP) (high disease activity)

BASDAI1.13 (95% CI 0.74-1.74)
ASDAS6.02 (95% CI 3.0-12.09)

Observational data: associations, not effects.

Original publication

Construct validity of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Ankylosing Spondylitis Disease Activity Score (ASDAS) treatment target cut-offs in a BASDAI treat-to-target axial spondyloarthritis cohort: a cross-sectional study. Scand J Rheumatol. Published 20 June 2023. doi:10.1080/03009742.2023.2213509

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