J. Avouac, MD, PhD, A. Molto, MD, PhD, Y. Allanore, MD, PhD, Department of Rheumatology, Cochin Hospital AP-HP Centre Université Paris Cité, Paris, France.
J Rheumatol. 2024 Oct 1;51(10):973-977. doi: 10.3899/jrheum.2024-0143.
To evaluate the relevance of the Rheumatoid Arthritis Impact of Disease (RAID) score as a disease activity marker of rheumatoid arthritis (RA) in a teleconsultation setting.
A prospective, observational, 24-month, single-center study involving patients with RA who underwent teleconsultations was performed. The RAID score was sent to all patients by email and completed the day before the scheduled session. The RAID questionnaire was also completed just prior to the next scheduled face-to-face consultation. The same physician performed teleconsultation/in-person consultations and was unaware of the RAID results.
We included 70 patients (mean age 50 [SD 14] yrs, mean disease duration 10 [SD 9] yrs). The RAID score correlated with the following items: patient global assessment ( 0.55, < 0.001), patient-reported swollen joint count ( 0.50, < 0.001), and Disease Activity Score in 28 joints based on C-reactive protein (DAS28-CRP) calculated with patient self-reported tender/swollen joints ( 0.74, < 0.001). The RAID score completed during the next face-to-face consultation for 45 patients also correlated with the DAS28-CRP performed by the clinician ( 0.65, < 0.001). A RAID score > 2 was associated with the best combination of sensitivity (94%) and specificity (43%) for the indication of rapid in-person consultation because of insufficiently controlled disease activity, with an area under the curve of 0.74. All 23 patients with RAID < 2 had no intercurrent flares; overall physician global assessment was 1.6 of 10 (SD 1.4), DAS28-CRP 1.5 (SD 0.2), and CRP 1.8 (SD 1.4) mg/L.
Our findings reinforce the RAID score as a valuable tool in teleconsultation, exhibiting a good correlation with disease activity variables. Using a RAID score threshold of 2 during teleconsultations could distinguish patients with good disease control and those with the potential need for an in-person visit.
评估类风湿关节炎疾病影响（RAID）评分作为类风湿关节炎（RA）疾病活动标志物的相关性，该评分在远程咨询环境中使用。
进行了一项前瞻性、观察性、24 个月、单中心研究，涉及接受远程咨询的 RA 患者。RAID 评分通过电子邮件发送给所有患者，并在预定就诊前一天完成。RAID 问卷也在下次预定的面对面就诊前完成。同一名医生进行远程咨询/面对面咨询，且不了解 RAID 结果。
我们纳入了 70 例患者（平均年龄 50[14]岁，平均病程 10[9]年）。RAID 评分与以下项目相关：患者整体评估（ 0.55，<0.001）、患者报告的肿胀关节计数（ 0.50，<0.001）和基于患者自身报告的压痛/肿胀关节的 28 个关节疾病活动度评分（DAS28-CRP）（ 0.74，<0.001）。45 例患者在下次面对面就诊时完成的 RAID 评分也与临床医生进行的 DAS28-CRP 相关（ 0.65，<0.001）。对于因疾病活动控制不佳而需要快速面对面就诊的指征，RAID 评分>2 与最佳的敏感性（94%）和特异性（43%）相关，曲线下面积为 0.74。所有 23 例 RAID<2 的患者均无疾病发作；总体医生整体评估为 10 分（1.4 分），DAS28-CRP 为 1.5（0.2 分），C 反应蛋白为 1.8（1.4 分）mg/L。
我们的研究结果证实，RAID 评分是远程咨询的一种有价值的工具，与疾病活动变量具有良好的相关性。在远程咨询中使用 RAID 评分阈值 2 可以区分疾病控制良好的患者和需要面对面就诊的患者。
