Evidence map›Paper›PMID 37251662›Full record

ArticleRheumatology advances in practice2023

Assessing the construct validity of musculoskeletal ultrasound and the rheumatoid arthritis foot disease activity index (RADAI-F5) for managing rheumatoid foot disease.

Anika Hoque, Martijn Steultjens, Diane M Dickson, Gordon J Hendry

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Article in Rheumatology advances in practice, 2023. 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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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Anika HoqueDepartment of Podiatry and Radiography, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.ORCID https://orcid.org/0000-0002-9398-0946
Martijn SteultjensDepartment of Podiatry and Radiography, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Diane M DicksonDepartment of Podiatry and Radiography, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.ORCID https://orcid.org/0000-0002-9618-0426
Gordon J HendryDepartment of Podiatry and Radiography, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The RA foot disease activity index (RADAI-F5) is a valid, reliable and clinically feasible patient-reported outcome measure (PROM) for the measurement of RA foot disease activity. Further validation of the RADAI-F5 against musculoskeletal ultrasonography (MSUS) for foot disease activity is necessary before clinical implementation. The aim of this study was to examine the construct validity of the RADAI-F5 in relationship to MSUS and clinical examination. Methods: Participants with RA completed the RADAI-F5. MSUS was used to evaluate disease activity (synovial hypertrophy/synovitis/tenosynovitis/bursitis) and joint damage (erosion) using greyscale (GS) and power Doppler (PD) at 16 regions in each foot, including joints and soft tissues. These same regions were examined clinically for swelling and tenderness. The construct validity of the RADAI-F5 was assessed using correlation coefficients and a priori Results: Of 60 participants, 48 were female, with a mean (s.d.) age of 62.6 (9.96) years and median disease duration of 15.49 (interquartile range 6-20.5) years. Theoretically consistent associations confirming construct validity [95% CI] were observed between the RADAI-F5 and MSUS GS (0.76 [0.57, 0.82]; strong), MSUS PD (0.55 [0.35, 0.71]; moderate), MSUS-detected erosions (0.41 [0.18, 0.61]; moderate), clinical tenderness (0.52 [0.31, 0.68]; moderate) and clinical swelling (0.36 [0.13, 0.55]; weak). Conclusion: Moderate to strong correlations between RADAI-F5 and MSUS demonstrate the good measurement properties of this instrument. With greater confidence in the utility of the RADAI-F5, clinical use of this new instrument as an adjunct to the disease activity score for 28 joints (DAS-28) could help to identify RA patients at risk for poor functional and radiological outcomes.

Indexed as

clinical examinationmusculoskeletal ultrasoundpatient-reported outcomeRARADAI-F5

Identifiers

PMID37251662
PMCPMC10224803

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