Spondyloarthritis & psoriatic arthritis

Use of the Bath Ankylosing Spondylitis Disease Activity Index in Patients With Psoriatic Arthritis With and Without Axial Disease

J RheumatolPublished Prospective cohort study

Authors' conclusion

BASDAI has reasonable responsiveness in PsA but does not differentiate between axPsA and peripheral PsA.

Study context

Population
Individuals with psoriatic arthritis (PsA) initiating therapy in a longitudinal cohort study based in the United States
Participants
40 vs 79
Exposure
Axial PsA vs peripheral-only PsA
  • Axial PsA (axPsA)n = 40
  • Peripheral-onlyn = 79reference
Outcome
Responsiveness of BASDAI (SRM: mean change divided by SD of the change) and differentiation between axial and peripheral disease activity
Methodological detailslongitudinal cohort, United States
  • Longitudinal cohort
  • United States

Main finding

As reported in the abstract

BASDAI responsiveness: mean change after therapy initiation

axPsA

−0.75

mean

Peripheral-only

−0.83

mean

SRM for Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), axial vs peripheral disease
−0.37 vs −0.44

Observational data: associations, not effects.

Further findings

Mean

OutcomeaxPsAPeripheral-only
Baseline BASDAI score · therapy initiation5.0 (SD 2.2)4.8 (SD 2.0)

Baseline BASDAI score · therapy initiation

No significant difference in patient-reported outcome scores between the groups

Original publication

Use of the Bath Ankylosing Spondylitis Disease Activity Index in Patients With Psoriatic Arthritis With and Without Axial Disease. J Rheumatol. Published 15 December 2023. doi:10.3899/jrheum.2023-0504

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