Table 2.
Prevalence of good outcome in patients**: | ||||
---|---|---|---|---|
Candidate remission definition (* definitions are those recommended by ACR/EULAR) | In remission | Not in remission * |
Positive likelihood ratio *(95% CI) |
P-value |
Boolean-based definition | ||||
TJC28, SJC28, CRP ≤ 1 | 25% (29/118) | 12% | 1.4 (1.1, 1.7) | 0.0526 |
TJC28, SJC28, CRP, PhGA ≤ 1 | 32% (23/71) | 13% | 1.9 (1.4, 2.7) | 0.0034 |
TJC28, SJC28, CRP, PtGA ≤ 1* | 39% (23/59) | 12% | 2.4 (1.6,3.5) | 0.0002 |
TJC28, SJC28, CRP, pain ≤ 1 | 34% (24/70) | 13% | 2.0 (1.4, 2.8) | 0.0023 |
TJC28, SJC28, CRP, PhGA, PtGA ≤ 1 | 40% (22/55) | 12% | 2.6 (1.7, 3.8) | 0.0002 |
TJC28, SJC28, CRP, PhGA, pain ≤ 1 | 38% (21/55) | 13% | 2.3 (1.6, 3.5) | 0.0006 |
TJC28, SJC28, CRP, PtGA, pain ≤ 1 | 40% (21/53) | 12% | 2.6 (1.7, 3.9) | 0.0002 |
TJC28, SJC28, CRP, PhGA, PtGA, pain ≤ 1 | 39% (20/51) | 13% | 2.5 (1.6, 3.9) | 0.0005 |
Index-based definition | ||||
DAS28 < 2.6 | 25% (35/146) | 11% | 1.3 (1.1, 1.5) | 0.0383 |
DAS28 < 2.0 | 28% (24/85) | 12% | 1.6 (1.2, 2.2) | 0.0148 |
SDAI ≤ 3.3* | 39% (27/69) | 12% | 2.3 (1.6, 3.2) | 0.0001 |
Definitions without CRP (for clinical practice) | ||||
TJC28, SJC28, PhGA, PtGA ≤ 1 | 38% (23/60) | 13% | 2.3(1.6,3.4) | 0.0003 |
TJC28, SJC28, PtGA < 1* | 37% (24/65) | 12% | 2.0(1.4,2.9) | 0.0004 |
CDAI ≤ 2.8* | 36% (26/72) | 12% | 2.0(1.5,2.8) | 0.0005 |
*Average values calculated from the 500 bootstrap samples of patients not in remission.
**Good outcome defined in a person when they had both good function and good radiographic outcomes (see Methods). CDAI: clinical disease activity index; CRP: C-reactive protein; DAS: disease activity score; EULAR: European League Against Rheumatism; PtGA: patient global assessment; PhGA: physician global assessment; RA: rheumatoid arthritis; SJC28: 28 swollen joint count; TJC28: 28 tender joint count.