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抗肿瘤坏死因子治疗的脊柱关节炎患者中,疾病活动度(BASDAI)、功能状态(BASFI)和整体健康状况(BAS-G)的巴斯强直性脊柱炎指数(BAS)的可重复性。

Reproducibility of the Bath Ankylosing Spondylitis Indices of disease activity (BASDAI), functional status (BASFI) and overall well-being (BAS-G) in anti-tumour necrosis factor-treated spondyloarthropathy patients.

机构信息

Department of Rheumatology and Medicine C, Copenhagen University Hospital Gentofte, Hellerup, Denmark.

出版信息

Clin Rheumatol. 2010 Aug;29(8):849-54. doi: 10.1007/s10067-010-1407-5. Epub 2010 Mar 21.

Abstract

The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Function Index (BASFI) and the Bath Ankylosing Spondylitis Global Score (BAS-G) (ranges 0-10) have gained widespread in use as self-reported measures of disease activity, functional impairment and overall well-being in patients with ankylosing spondylitis and other spondyloarthropathies (SpA). In Denmark, BASDAI, BASFI and BAS-G are systematically used to monitor treatment response in patients treated with tumour necrosis factor (TNF) inhibitors. The purpose of the present study was to examine the reproducibility of the indices in anti-TNF-treated SpA patients already familiar with the use of the indices. Testing was performed twice on two different days (median interval 7 days, range 4-10 days) under standardised conditions in 26 out-clinic patients (median age 39 years, range 22-56 years). Limits of agreement were calculated as the 95% likely range for the difference between paired scores. Test-retest results were significantly intercorrelated with r (s) = 0.90 for BASDAI, 0.92 for BASFI and 0.74 for BAS-G. Limits of agreement for BASDAI, BASFI and BAS-G were +/-1.8, +/-1.4 and +/-3.2, respectively. Reproducibility as expressed as the mean of individual standard deviations was significantly poorer for BAS-G than for BASDAI and BASFI (p < 0.01). Internal consistency reliability and construct validity of BASDAI and BASFI were acceptable. In conclusion, in a sample of anti-TNF-treated patients experienced with the use of BASDAI, BASFI and BAS-G, random measurement errors of the scores were not negligible. The finding should be considered when monitoring anti-TNF treatment in daily clinical practice.

摘要

巴斯强直性脊柱炎疾病活动指数(BASDAI)、巴斯强直性脊柱炎功能指数(BASFI)和巴斯强直性脊柱炎总体评分(BAS-G)(范围 0-10)已广泛用于评估强直性脊柱炎和其他脊柱关节炎(SpA)患者的疾病活动、功能障碍和总体健康状况的自我报告指标。在丹麦,BASDAI、BASFI 和 BAS-G 被系统地用于监测接受肿瘤坏死因子(TNF)抑制剂治疗的患者的治疗反应。本研究的目的是检验已经熟悉使用这些指标的抗 TNF 治疗的 SpA 患者对这些指标的可重复性。在 26 例门诊患者中,在标准化条件下,两次在不同的两天(中位数间隔 7 天,范围 4-10 天)进行测试。计算了一致性界限,作为配对评分之间差异的 95%可能范围。测试-再测试结果显著相关,BASDAI 的 r(s)为 0.90,BASFI 的 r(s)为 0.92,BAS-G 的 r(s)为 0.74。BASDAI、BASFI 和 BAS-G 的一致性界限分别为 +/-1.8、 +/-1.4 和 +/-3.2。BAS-G 的个体标准差平均值表示的可重复性明显差于 BASDAI 和 BASFI(p < 0.01)。BASDAI 和 BASFI 的内部一致性可靠性和结构有效性是可以接受的。总之,在一组接受抗 TNF 治疗且熟悉使用 BASDAI、BASFI 和 BAS-G 的患者中,评分的随机测量误差不容忽视。在日常临床实践中监测抗 TNF 治疗时应考虑这一发现。

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