Epidemiology and Health Services Research, German Rheumatism Research Center Berlin, Berlin, Germany.
Epidemiology and Health Services Research, German Rheumatism Research Center Berlin, Berlin, Germany
RMD Open. 2022 Jul;8(2). doi: 10.1136/rmdopen-2022-002342.
ObjectiveTo analyse the performance of the rheumatoid arthritis impact of disease (RAID) score in patients with ankylosing spondylitis, polymyalgia rheumatica, systemic lupus erythematosus, primary Sjögren's syndrome, idiopathic inflammatory myositis and systemic sclerosis, as compared with rheumatoid arthritis (RA).A total of 12 398 patients from the German National Database were included. For each diagnosis, we calculated age-adjusted/sex-adjusted partial correlation coefficients between RAID and patient global (PtGl) health, PtGl disease activity, physician global (PhGl) disease activity, Well-Being Index (WHO-5) and EuroQoL-5 Dimensions (EQ-5D). As a measure of agreement, the mean differences between the RAID and other outcomes were compared with the respective differences for RA. The effect of each diagnosis on the difference between RAID and the other scores was assessed with linear regression, with RA as the reference.Across all diagnoses, RAID correlated strongly with PtGl health (0.71-0.83), moderately to strongly with PtGl disease activity (0.59-0.79), WHO-5 (0.65-0.81) and EQ-5D (0.68-0.73) and weakly with PhGl disease activity (0.23-0.38). Mean differences were calculated for RAID and PtGl disease activity (0 to -0.6), PtGl health (-0.4 to -0.9), WHO-5 (-0.7 to -1.3), EQ-5D (1.1 to 1.7) and PhGl disease activity (1.4 to 2.2). Discrepancies between other scores and RAID were comparable to RA. Linear regression revealed no clinically relevant effect of any of the diagnoses on the difference between RAID and the other outcomes.The RAID score performs comparably across all diagnoses investigated. This supports the use of RAID for measuring the impact also of other rheumatic diseases.
分析类风湿关节炎影响疾病(RAID)评分在强直性脊柱炎、巨细胞动脉炎、系统性红斑狼疮、原发性干燥综合征、特发性炎性肌病和系统性硬化症患者中的表现,并与类风湿关节炎(RA)进行比较。
共纳入来自德国国家数据库的 12398 名患者。对于每种诊断,我们计算了 RAID 与患者整体健康(PtGl)、PtGl 疾病活动度、医生整体健康(PhGl)、幸福感指数(WHO-5)和欧洲五维健康量表(EQ-5D)之间的年龄调整/性别调整偏相关系数。作为一致性的衡量标准,比较了 RAID 与其他结果之间的平均差异与 RA 之间的差异。使用线性回归评估每个诊断对 RAID 和其他评分之间差异的影响,以 RA 为参考。
在所有诊断中,RAID 与 PtGl 健康(0.71-0.83)高度相关,与 PtGl 疾病活动度(0.59-0.79)、WHO-5(0.65-0.81)和 EQ-5D(0.68-0.73)中度至高度相关,与 PhGl 疾病活动度(0.23-0.38)弱相关。计算了 RAID 和 PtGl 疾病活动度(0 至-0.6)、PtGl 健康(-0.4 至-0.9)、WHO-5(-0.7 至-1.3)、EQ-5D(1.1 至 1.7)和 PhGl 疾病活动度(1.4 至 2.2)之间的平均差异。其他评分与 RAID 之间的差异与 RA 相当。线性回归显示,任何一种诊断都没有对 RAID 与其他结果之间的差异产生明显的临床影响。
RAID 评分在所有研究诊断中表现相当。这支持使用 RAID 来衡量其他风湿性疾病的影响。