Table 1.
Relationship between OMERACT RA Flare Core Domains and legacy PRO measures or joint counts by flare status*
| Domains | All | Physician** | Patient*** | DAS28† | ||||
|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | |||
| N | Source | 501 | 148 | 253 | 124 | 377 | 49 | 264 |
| Pain | ||||||||
| How much pain due to RA in past week | HAQ | 0.91 | 0.87 | 0.91 | 0.87 | 0.88 | 0.83 | 0.90 |
| Today’s level of pain today | RADAI | 0.84 | 0.81 | 0.81 | 0.83 | 0.79 | 0.80 | 0.85 |
| Pain past week | Pt Global | 0.93 | 0.89 | 0.92 | 0.87 | 0.90 | 0.91 | 0.90 |
| Joint area pain severity (0–48) | RADAI | 0.72 | 0.65 | 0.70 | 0.59 | 0.69 | 0.51 | 0.75 |
| Patient Tender joint count (40) | Patient | 0.54 | 0.41 | 0.57 | 0.35 | 0.49 | 0.37 | 0.63 |
| MD Tender joint count (28) | MD | 0.50 | 0.33 | 0.50 | 0.29 | 0.43 | 0.29 | 0.51 |
| Physical Function | ||||||||
| Disability score (0–3) | HAQ | 0.76 | 0.73 | 0.71 | 0.70 | 0.68 | 0.63 | 0.77 |
| Physical Function | RAND-12 | −0.68 | −0.68 | −0.61 | −0.71 | −0.60 | −0.64 | −0.67 |
| Daily activities in past 7 days | WPAI | 0.82 | 0.80 | 0.78 | 0.80 | 0.80 | 0.75 | 0.81 |
| Fatigue | ||||||||
| Vitality (Rand-12) | RAND-12 | −0.62 | −0.60 | −0.65 | −0.64 | −0.59 | −0.69 | −0.61 |
| Unusual fatigue/tiredness past week | Pt Global | 0.88 | 0.81 | 0.88 | 0.78 | 0.87 | 0.81 | 0.89 |
| Participation | ||||||||
| Role – Physical | RAND-12 | −0.72 | −0.65 | −0.71 | −0.69 | −0.66 | −0.70 | −0.67 |
| Social Function | RAND-12 | −0.61 | −0.67 | −0.60 | −0.72 | −0.49 | −0.68 | −0.61 |
| Productivity while working | WPAI | 0.79 | 0.83 | 0.82 | 0.84 | 0.74 | 0.77 | 0.79 |
| RA affecting daily activities | WPAI | 0.82 | 0.78 | 0.80 | 0.76 | 0.79 | 0.79 | 0.81 |
| Stiffness | ||||||||
| AM joint stiffness score | RADAI | 0.68 | 0.58 | 0.65 | 0.52 | 0.64 | 0.57 | 0.71 |
Spearman correlation coefficients for second visit.
Physician endorsement of flare based on rating ≥ 0.5 cm on flare severity 100 mm VAS.
Patient classification of flare based on Yes/No.
DAS scores < 3.2 at second visit required an increase of 1.2 units whereas DAS ≥ 3.2 at second visit required increase of 0.6.
HAQ=Health Assessment Questionnaire-DI; RADAI=Rheumatoid Arthritis Disease Activity Index; Pt. Global=Patient Global Assessment of Disease Activity; VR-12=Veteran Rand-12 Health Survey; WPAI=Work Productivity and Activity Impairment-Rheumatoid Arthritis.