Spondyloarthritis & psoriatic arthritis

Equivalent cut-off values of Bath Ankylosing Spondylitis Disease Activity Index corresponding to Ankylosing Spondylitis Disease Activity Score cut-off values

Clin Exp RheumatolPublished Diagnostic accuracy study

Authors' conclusion

The BASDAI values 1.6, 2.9 and 3.8 correspond to ASDAS-CRP values 1.3, 2.1 and 3.5, respectively. The ΔBASDAI 1.6 and 2.0 best correspond to the ΔASDAS-CRP 1.1 and 2.0, respectively.

Study context

Population
Patients with axial spondyloarthritis (axSpA) with Bath ankylosing Spondylitis Disease Activity Index (BASDAI) and Ankylosing Spondylitis Disease Activity Score (ASDAS) data available154 with ΔBASDAI and ΔASDAS-CRP data
Participants
475 patients
Comparison
BASDAI cut-off values vs ASDAS-CRP cut-off values
Outcome
BASDAI cut-off values best corresponding to ASDAS-CRP cut-off values
Methodological detailsROC analysis, Cohen's kappa agreement
  • ROC analysis
  • Cohen's kappa agreement

Performance

As reported in the abstract

BASDAI values best corresponding to ASDAS-CRP cut-offs (ROC)

BASDAI 1.6 corresponds to ASDAS-CRP 1.3 (AUC)

0.948

BASDAI 2.9 corresponds to ASDAS-CRP 2.1 (AUC)

0.790

BASDAI 3.8 corresponds to ASDAS-CRP 3.5 (AUC)

0.875

Agreement between disease activity states, moderate (kappa)

0.527

Further findings

Disease activity by ASDAS-CRP

Inactive
88 (18.6%)
Moderate
130 (27.4%)
High
191 (40.1%)
Very high
66 (13.9%)

ΔBASDAI corresponding to ΔASDAS-CRP improvement thresholds (ROC)

ΔBASDAI 1.6 corresponds to ΔASDAS-CRP 1.1 (minimal clinically important improvement) (AUC)
0.745
ΔBASDAI 2.0 corresponds to ΔASDAS-CRP 2.0 (major improvement) (AUC)
0.708
Agreement, good (kappa)
0.685

Original publication

Equivalent cut-off values of Bath Ankylosing Spondylitis Disease Activity Index corresponding to Ankylosing Spondylitis Disease Activity Score cut-off values. Clin Exp Rheumatol. Published 29 June 2022. doi:10.55563/clinexprheumatol/2kjgx2

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