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Validation of EULAR primary Sjogren's syndrome disease activity (ESSDAI) and patient indexes (ESSPRI)
- Source :
- Annals of the Rheumatic Diseases, Annals of the Rheumatic Diseases, BMJ Publishing Group, 2015, 74 (5), pp.859-66. 〈10.1136/annrheumdis-2013-204615〉, Annals of the Rheumatic Diseases, BMJ Publishing Group, 2015, 74 (5), pp.859-66. ⟨10.1136/annrheumdis-2013-204615⟩, Annals of the Rheumatic Diseases, 2015, 74 (5), pp.859-66. ⟨10.1136/annrheumdis-2013-204615⟩, Annals of the Rheumatic Diseases, 74(5), 859. BMJ Publishing Group, Annals of the Rheumatic Diseases, 74(5), 859-866. BMJ PUBLISHING GROUP
- Publication Year :
- 2014
- Publisher :
- BMJ PUBLISHING GROUP, 2014.
-
Abstract
- Objectives To validate the two recently developed disease activity indexes for assessment of primary Sjogren's syndrome (SS): the European League Against Rheumatism (EULAR) SS Patient Reported Index (ESSPRI) and the EULAR SS Disease Activity Index (ESSDAI).Methods A prospective international 6-month duration validation study was conducted in 15 countries. At each visit, physicians completed ESSDAI, SS disease activity index (SSDAI), Sjogren's Systemic Clinical Activity Index (SCAI) and physician global assessment (PhGA); and patients completed ESSPRI, Sicca Symptoms Inventory (SSI), Profile of Fatigue and Discomfort (PROFAD) and patient global assessment (PGA). Psychometric properties (construct validity, responsiveness and reliability) were evaluated and compared between scores.Results Of the 395 patients included, 145 (37%) and 251 (64%) had currently active or current or past systemic manifestations, respectively. EULAR scores had higher correlation with the gold standard than other scores (ESSDAI with PhGA: r= 0.59; ESSRPI with PGA: r= 0.70). Correlations between patient and systemic scores were very low (ranging from 0.07 to 0.29). All systemic scores had similar large responsiveness in improved patients. Responsiveness of patient scores was low but was significantly higher for ESSPRI compared with SSI and PROFAD. Reliability was very good for all scores.Conclusions ESSDAI and ESSPRI had good construct validity. All scores were reliable. Systemic scores had a large sensitivity to change in patients whose disease activity improves. Patient scores had a small sensitivity to change, however, significantly better for ESSPRI. Systemic and patient scores poorly correlated, suggesting that they are 2 complementary components that should be both evaluated, but separately.
- Subjects :
- Male
[SDV]Life Sciences [q-bio]
Sjögren's Syndrome
Severity of Illness Index
law.invention
RESPONSIVENESS
Randomized controlled trial
law
EUROPEAN LEAGUE
Immunology and Allergy
Prospective Studies
Disease Activity
Outcomes research
Non-U.S. Gov't
Prospective cohort study
Fatigue
primary Sjögren ’ s syndrome
Research Support, Non-U.S. Gov't
Middle Aged
3. Good health
Europe
Sjogren's Syndrome
REPORTED INDEX
[SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system
Female
Adult
medicine.medical_specialty
Immunology
Pain
Research Support
CONTROLLED-TRIAL
Xerostomia
General Biochemistry, Genetics and Molecular Biology
[ SDV.MHEP.RSOA ] Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system
Rheumatology
Internal medicine
Severity of illness
Xerophthalmia
medicine
Journal Article
Humans
Validation Studies
RITUXIMAB
Aged
[ SDV ] Life Sciences [q-bio]
business.industry
Gold standard
Construct validity
Reproducibility of Results
HEALTH-STATUS INSTRUMENTS
medicine.disease
Physical therapy
Self Report
business
Rheumatism
Subjects
Details
- Language :
- English
- ISSN :
- 14682060 and 00034967
- Volume :
- 74
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Annals of the Rheumatic Diseases
- Accession number :
- edsair.doi.dedup.....2a39b778b1f63937c444da75245cdca2