Evidence map›Paper›PMID 12695152›Full record

ArticleAnnals of the rheumatic diseases2003

Applying low disease activity criteria using the DAS28 to assess stability in patients with rheumatoid arthritis.

H J M Vrijhoef, J P M Diederiks, C Spreeuwenberg, Sj Van der Linden

Abstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

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0cells of the map it votes in
11citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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  3. Elevated Peripheral CD161ACR open rheumatology · 2026
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

H J M VrijhoefDepartment of Health Care Studies, University of Maastricht, The Netherlands. b.vrijhoef@zw.unimaas.nl
J P M Diederiks
C Spreeuwenberg
Sj Van der Linden

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine whether low disease activity criteria using the disease activity score (DAS28) can be applied to identify a reasonably large number of patients with stable low disease activity of rheumatoid arthritis (RA) over a six month period, with the ultimate intention of including these patients in a substitution based, shared care model. Additionally, to assess the reliability of the DAS28 for selecting patients with stable disease from an outpatient population.

methodsPatients regularly seen at the rheumatology outpatient department of the university hospital Maastricht, were invited for assessment of the stability of their RA. The shared care model was intended to provide care to patients with stable, low disease activity of RA by nurse specialists. For this, patients underwent assessments using the DAS28 criteria at entry and three and six months later. Test-retest reliability was assessed for composing measures as well as for the DAS28.

resultsOf the 97 outpatients included, one third (31 patients) did not complete the study. Patients with missing data were older and assessed their disease activity as greater than patients with complete data. Applying the low disease activity criteria to assess stability over a period of six months (DAS28(T0)</=3.2 and DAS28(T6)-DAS28(T0)</=1.2) resulted in identification of 22/56 (39%) patients with stable, low disease activity of RA. A good similarity score (intraclass correlation coefficient=0.82) for the DAS28 was found.

conclusionsThe low disease activity criteria using the DAS28 can be used to select patients with stable, low disease activity of RA from a rheumatic outpatient population.

Indexed as

Severity of Illness IndexAgedArthritis, RheumatoidFemaleHumansMaleMiddle AgedReproducibility of Results

Identifiers

PMID12695152
PMCPMC1754526

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