Evidence map›Paper›PMID 35945466›Full record

ArticleClinical rheumatology2022

Development and validation of equations for conversion from DAS28ESR and DAS28CRP to the SDAI in patients with rheumatoid arthritis.

Li-Ming Pu, Yin Liu, De-Xin Zhou, Xi-Jia Tang, Chao-Nan Fan, Wen Chen, Jian-da Ma, Jian-Zi Lin, Lie Dai, Li Ling

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Article in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2 citing papers in PubMed.

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5 · Who and what money

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10 authors.

Li-Ming Pu *Faculty of Medical Statistic,School of Public Health, Sun Yat-Sen University, Guangdong, Guangzhou, China.
Yin Liu *The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Henan, Zhengzhou, China.
De-Xin ZhouFaculty of Medical Statistic,School of Public Health, Sun Yat-Sen University, Guangdong, Guangzhou, China.
Xi-Jia TangFaculty of Medical Statistic,School of Public Health, Sun Yat-Sen University, Guangdong, Guangzhou, China.
Chao-Nan FanFaculty of Medical Statistic,School of Public Health, Sun Yat-Sen University, Guangdong, Guangzhou, China.
Wen ChenFaculty of Medical Statistic,School of Public Health, Sun Yat-Sen University, Guangdong, Guangzhou, China.
Jian-da MaDepartment of Rheumatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Jian-Zi LinDepartment of Rheumatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Lie DaiDepartment of Rheumatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China. dailie@mail.sysu.edu.cn.
Li LingFaculty of Medical Statistic,School of Public Health, Sun Yat-Sen University, Guangdong, Guangzhou, China. lingli@mail.sysu.edu.cn.

Funding

National Natural Science Foundation of China 82171780The National Science and Technology Major Project for Major New Drugs Innovation and Development 2018ZX0973400
6 · The paper itself

Abstract

introductionDisease Activity Score-28 (DAS28) with erythrocyte sedimentation rate (DAS28ESR), DAS28 with C-reactive protein (DAS28CRP), and simplified disease activity index (SDAI) are widely used to assess disease activity as low, moderate, or high or in remission in patients with rheumatoid arthritis (RA). However, these indicators can generate inconsistent results, influencing treatment decisions and limiting comparisons across studies. We aimed to establish equations for conversion from DAS28ESR and DAS28CRP to SDAI.

methodsWe conducted a retrospective study, including 933 outpatients who were simultaneously assessed using DAS28ESR, DAS28CRP, and SDAI. The patients were divided into a training set (70%) and a validation set (30%). We developed equations to convert DAS28ESR and DAS28CRP values into SDAI values by bisquare-weighted robust regression to obtain SDAI-DAS28ESR and SDAI-DAS28CRP. In addition to using kappa values to assess consistency, differences in disease activity classification between SDAI-DAS28ESR and SDAI-DAS28CRP were examined by the Stuart-Maxwell test and the Bowker test.

resultsTwo quadratic equations were developed as follows: SDAI-DAS28ESR = 1.168 × (DAS28ESR)^

conclusionSDAI-DAS28ESR and SDAI-DAS28CRP are interchangeable with the SDAI on the group level, which will facilitate comparisons among studies. In addition, the equations improved consistency between indicators. Key Points • There is disagreement in assessing disease activity in patients with rheumatoid arthritis between Disease Activity Score-28 (DAS28) with erythrocyte sedimentation rate (DAS28ESR), DAS28 with C-reactive protein (DAS28CRP), and simplified disease activity index (SDAI). • We developed and validated two quadratic equations to convert DAS28ESR and DAS28CRP into SDAI. We found there was no longer significant difference in disease activity between indicators after applying the equations. • This work may allow comparisons across studies which use different indicators.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidBlood SedimentationC-Reactive ProteinHumansRetrospective StudiesSeverity of Illness IndexAntirheumatic AgentsC-Reactive ProteinConversion equationsDAS28CRPDAS28ESRDisease activityRheumatoid arthritisSDAI

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