Rheumatoid arthritis

Performance of the Rheumatoid Arthritis Impact of Disease (RAID) score in relation to flares in disease activity

RMD OpenPublished Secondary analysis of the ARCTIC REWIND randomised trial

Authors' conclusion

Disease activity flares were associated with a significant increase in median RAID, supporting its ability to respond to flare.

Study context

Population
Patients with RA in sustained remission randomised to continued stable treatment or tapering (ARCTIC REWIND), with flares within 12 months56 flares
Participants
248 patients
Comparison
RAID vs PGA, Disease Activity Score (DAS) and C reactive protein (CRP) in discriminating disease activity flares
Primary endpoint
Discriminative accuracy (AUC) for disease activity flare (DAS >1.6, DAS increase ≥0.6 and ≥2 swollen joints of 44, or patient and rheumatologist agreed clinically significant flare)
Follow-up
12 months
Methodological detailsROC analyses based on logistic regression models, Wilcoxon signed-rank test
  • ROC analyses based on logistic regression models
  • Wilcoxon signed-rank test

Primary result

As reported in the abstract

AUC for discriminating flare

RAID

0.88

AUC · 95% CI 0.83–0.93

Patient global assessment

0.92

AUC · 95% CI 0.87–0.97

DAS

0.94

AUC · 95% CI 0.90–0.98

CRP

0.76

AUC · 95% CI 0.69–0.84

Further findings

AUC of RAID components for discriminating flare (highest and lowest)
AUC
RAID pain
0.91(95% CI 0.86–0.95)
RAID sleep
0.69(95% CI 0.59–0.79)

Change at visits related to flare (RAID, PGA, DAS, CRP)

All changed significantly at the visits related to flare
P < 0.001
  • Wilcoxon signed-rank test

Original publication

Performance of the Rheumatoid Arthritis Impact of Disease (RAID) score in relation to flares in disease activity. RMD Open. Published 12 January 2024. doi:10.1136/rmdopen-2023-003486

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