Spondyloarthritis & psoriatic arthritis

Construct validity and responsiveness of feasible composite disease activity measures for use in daily clinical practice in patients with psoriatic arthritis

RMD OpenPublished Validation study in an observational cohort

Authors' conclusion

Both measures have promising performance characteristics, showing strong correlations and good discrimination with existing composite measures.

Study context

Population
Patients with newly diagnosed PsA receiving usual care
Participants
629 patients
Comparison
3VAS and 4VAS vs other composite disease activity measures
Outcome
Construct validity and responsiveness of the 3VAS and 4VAS
Follow-up
3-month interval
Methodological detailsconstruct validity and responsiveness (3-month interval), Spearman correlation coefficients, standardised response means with effect sizes
  • Construct validity and responsiveness (3-month interval)
  • Spearman correlation coefficients
  • Standardised response means with effect sizes

Performance

As reported in the abstract

Responsiveness
Test or modelEffect sizes (ES)Standardised response means (SRM)
3VAS0.480.52
4VAS0.480.50

Effect sizes (ES)

3VAS0.48
4VAS0.48

Standardised response means (SRM)

3VAS0.52
4VAS0.50

Further findings

Construct validity: correlation with other composite measures (both 3VAS and 4VAS)

Spearman r with Disease Activity in PSoriatic Arthritis (DAPSA)
r=0.80-0.87
Spearman r with Psoriatic Arthritis Disease Activity Score (PASDAS)
r=0.89
Spearman r with RAPID3
r=0.84-0.92

Agreement in categorising low disease activity (LDA) · 12 months

3VAS and 4VAS had the highest agreement with PASDAS

Original publication

Construct validity and responsiveness of feasible composite disease activity measures for use in daily clinical practice in patients with psoriatic arthritis. RMD Open. Published 25 October 2023. doi:10.1136/rmdopen-2022-002972

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