Rheumatoid arthritis

Remote patient-reported outcome measure triage score for monitoring disease activity and allocation of consultations in rheumatoid arthritis patients

Scand J RheumatolPublished Cross-sectional study

Authors' conclusion

A remote triage score based on a composite score of pain, functional disability assessment, and SR-SJC can detect a sufficient proportion of patients with low disease activity who can be allocated to remote consultations.

Study context

Population
Outpatient clinic cohort of chronic RA patients at a large trainee hospital in the Netherlandsanalysed
Participants
278 participants
Exposure
Remote triage score (Rheumatoid Arthritis Impact of Disease (RAID) pain, functional disability and self-reported swollen joint count (SR-SJC)) vs RAID total score for classifying high vs low disease activity (DAS28-CRP)
Outcome
Discriminative accuracy for high vs low disease activity (DAS28-CRP)
Methodological detailssingle-centre, LASSO logistic regression, ROC analysis
  • Single-centre
  • LASSO logistic regression
  • ROC analysis

Main finding

As reported in the abstract

Discrimination of low vs high disease activity (AUC)
GroupAUC
Triage score0.88 (95% CI 0.84-0.92)

Triage score

AUC0.88 (95% CI 0.84-0.92)

Observational data: associations, not effects.

Further findings

Low disease activity (prevalence)

Proportion with low disease activity
77.2%

Original publication

Remote patient-reported outcome measure triage score for monitoring disease activity and allocation of consultations in rheumatoid arthritis patients. Scand J Rheumatol. Published 30 October 2024. doi:10.1080/03009742.2024.2406611

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