Rheumatoid arthritis

Optical spectral transmission to monitor disease activity in arthritis patients: longitudinal follow-up comparison with clinical parameters

Rheumatology (Oxford)Published Prospective longitudinal diagnostic study

Authors' conclusion

OST was able to reliably assess disease activity and correlated longitudinally with arthritis activity markers, showing promising potential during monitoring of inflammatory arthritis.

Study context

Population
Patients with known rheumatic inflammatory diseases and clinical suspicion of inflammatory activity, optical spectral transmission (OST) at two time points1,312 joints of 60 patients
Participants
60 vs 114
Comparison
OST in inflammatory arthritis vs historic healthy controls; ΔOST vs changes in clinical activity markers
  • Inflammatory arthritisn = 60
  • Controln = 114reference
Outcome
Longitudinal association of OST with clinical inflammatory arthritis activity markers (DAS28, SJC)
Methodological detailshistoric control group, ROC analysis, correlation analyses
  • Historic control group
  • ROC analysis
  • Correlation analyses

Performance

As reported in the abstract

Longitudinal change in OST (ΔOST) vs change in clinical activity markers

ΔOST correlation with ΔDAS28 (r)

r = 0.377

P = 0.004

ΔOST correlation with ΔSJC (r)

r = 0.488

P < 0.001

Further findings

OutcomeP value
Mean OST scores, inflammatory arthritis vs controlSignificantly higher in inflammatory arthritisP < 0.001

Cross-sectional correlation of OST with DAS28, swollen joint counts (SJC) and TJC · both time points

OST correlated significantly with DAS28, SJC and TJC
all; P < 0.05

Diagnostic performance of OST vs historic healthy controls (baseline ROC)

AUC
0.781 (95% CI 0.82-0.94)

Original publication

Optical spectral transmission to monitor disease activity in arthritis patients: longitudinal follow-up comparison with clinical parameters. Rheumatology (Oxford). Published 3 January 2025. doi:10.1093/rheumatology/keaf007

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