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. 2018 Dec;48(3):384–398. doi: 10.1016/j.semarthrit.2018.03.004

Table 6.

Baseline blood analyses as predictors of follow-up HAQ score

Study details
Predictor: Baseline ESR/CRP
Predictor: Baseline RF/ACPA
Study N Analysis method Associated with HAQ Effect sizea Associated with HAQ Effect sizea Adjusted for
Multivariable analyses
Humphreys [40] 1995 Generalised estimating equations analysis ✗ (RF) RF + vs. RF–: b –0.03 (–0.12, 0.05) Age, gender, smoking status, polynomials of disease duration, year of recruitment
✓ (ACPA) ACPA+ vs. ACPA–: b 0.12 (0.02, 0.21)
Malm [32] 1387 Logistic regression (HAQ cut-off = 0.75) ✓ (ESR) Per unit baseline ESR: Age, gender, disease duration
OR 1.01 (1.00, 1.01)
Nair [30] 1034 Linear mixed model ✗ (RF) RF+ vs. RF–: Age, gender, treatment, Sharp Score (van der Heijde modification), HAQ (t-1), DAS28, BMI
Cohort 1 b 0.00, p = 0.99
Cohort 2 b 0.00, p = 0.90
Burr [50] 640 Logistic regression (HAQ cut-off = 1) ✗ (ACPA) Per unit baseline ACPA titre: Baseline: age, gender, symptom duration, CRP, RF, HAQ, swollen joint count, tender joint count
OR 1.00 (0.99, 1.01)
Kroot [38] 273 Multivariable linear regression ✓ (RF) RF+ vs. RF–: Age, gender, DAS28, HLA-DR4 gene,
✗ (ACPA) b 0.15, p < 0.05
ACPA+ vs. ACPA–:
b 0.00, p = NS
Combe [34] 191 Multivariable linear regression ✓ (CRP)✓ (ESR) Per unit baseline CRP: Baseline: DAS, swollen joint count, tender joint count, HAQ, pain VAS
b 0.01 (p < 0.01)
Per unit baseline ESR:
b 0.01 (p < 0.01)
Bjork [49] 189 Projections to latent structure discriminant analysis (HAQ cut-off = 0.08) ✗ (CRP) Per unit baseline CRP: Baseline: Age, gender, HAQ, grip force, SOFI-lower limb, walking speed, GAT, wellbeing, swollen joint count, SOFI-hand, tender joint count, PGA, pain, SOFI-upper limb
✗ (ESR) VIP 0.63 (“not important”)
Per unit baseline ESR:
VIP 0.49 (“not important”)
Welsing [31] 185 General linear mixed model ✓ (RF) RF+ vs. RF–: Baseline: age, sex; time-varying: Sharp score, squared Sharp score, DAS28
b 0.19 (0.03, 0.35)
Lindqvist [54] 183 Stepwise logistic regression (HAQ cut-off = 1.0) ✗ (ESR) NS – coefficients and confidence intervals not reported ✗ (RF) NS – coefficients and confidence intervals not reported Age, gender, genotype, HAQ, active joint count
Verstappen [36] 112 Logistic regression (HAQ cut-off = 1) ✗ (ESR) Per unit baseline ESR: Disease duration (natural log transformed)
OR 1.00 (0.99, 1.02)
Kuuliala [48] 85 Logistic regression (HAQ cut-off = 0.9) ✗ (RF) RF+ vs. RF–: Age, gender, shared epitope, tertiles of soluble E-selectin
OR 1.09 (0.33, 3.57)
Benton [27] 42 Logistic regression (HAQ cut-off = 0.25) OR are the odds of being in the low HAQ group ✗ (CRP) Per unit baseline CRP: Baseline: DAS, Ritchie index, HAQ, Sharp score; one year: DAS, Ritchie index, CRP, HAQ
OR 0.99 (0.96, 1.03)
Univariable analyses
Koevoets [39] 508 Generalised estimating equations analysis ✗ (RF) RF+ vs. RF–:
✗ (ACPA) b –0.03 (–0.13, 0.08)
ACPA+ vs. ACPA–:
b –0.03 (–0.13, 0.07)
Thyberg [55] 251 Chi-Square (HAQ cut-off=1) ✗ (ACPA) NS difference between proportion of ACPA+ patients between HAQ subgroups
Jäntti [33] 121 Somers’ d ✗ (ESR) d = 0.12 (–0.04, 0.28) ✗ (RF) d = –0.18 (–0.62, 0.26)
Contreras-Yanez [25] 107 Student’s t test Comparison groups: HAQ ≤ 0.2 at 5 years, yes/no ✗ (RF) Proportion baseline RF+:
✗ (ACPA) HAQ ≤ 0.2 82.1%
HAQ > 0.2 82.6%
p = 1.00
Proportion baseline ACPA+:
HAQ ≤ 0.2 85.7%
HAQ > 0.2 87.0%
p=1.00
Woolf [58] 88 Calculated sensitivity and specificity of having HAQ > 0 at 5 years ✓ (“raised CRP”) Specificity/sensitivity: ✓ (RF) Specificity/sensitivity:
93/74 64/37
Genevay [23] 25 Mann-Whitney ✗ (RF) Mean HAQ:
RF+ 0.78
RF– 0.80
p = NS

See Table 2 for acronym definitions: ACPA, BMI, CRP, DAS, ESR, HAQ, N, RF, VAS.

See Table 3 for acronym definitions: b,GAT,NS,OR,PGA, SOFI, VIP.

a

Brackets indicate 95% confidence interval unless otherwise stated.