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. Author manuscript; available in PMC: 2020 Dec 1.
Published in final edited form as: Arthritis Care Res (Hoboken). 2019 Nov 11;71(12):1540–1555. doi: 10.1002/acr.24042

Table 2.

Level of evidence relevant to the psychometric properties of rheumatoid arthritis disease activity measures.

RADAM Internal Consistency Reliability Measurement Error Content Validity Structural Validity Hypotheses testing Responsiveness
Clinical Disease Activity Index (CDAI) + ++ + ++ +++ +++
Modified CDAI (Baker) ++
Patient derived CDAI + + +
Disease Activity Score (DAS) ++
Disease Activity Score 28 joints (DAS28) ++ ++ ++ −−− ++ +++ +++
Modified DAS28 (Baker) ++
Modified DAS28 (Bentley) ? ++ ++
Patient derived DAS28 ++ + ++ +
Ultrasound derived DAS28 + ++ +
Global Arthritis Score (GAS) ++ ++
Hospital Universitario La Princesa Index (HUPI) ? ++ ++
Individualized Ultrasound Score ?
Individualized Composite Ultrasound Score ?
Kappa/Lambda hybrid antibody +
Mean Overall Index for RA (MOI-RA) + +
Multi-biomarker Disease Activity Score (MBDA) ? +++ +++ ++ ++
Optical Spectral Transmission (OST) ++
Patient Activity Scale (PAS) + +
Patient Activity Scale-II (PAS-II)
Patient Based Disease Activity Score (PDAS1) + +
Patient Based Disease Activity Score (PDAS2) + +
Patient Reported Clinical Arthritis Activity (PRO-CLARA) + ? ++ +
Rheumatoid Arthritis Disease Activity Index (RADAI) ? ? ++ ++
Rheumatoid Arthritis Disease Activity Index 5 (RADAI-5) ? ++ ++
Rheumatoid Arthritis MRI scoring (RAMRIS) −−
Routine Assessment of Patient Index Data 3 (RAPID-3) ? ? ? +++ +++ +++
Routine Assessment of Patient Index Data 4 (RAPID-4) ++ +
Routine Assessment of Patient Index Data 5 (RAPID-5) ++ ++
Simplified Disease Activity Index (SDAI) + ++ + +++ +++
Modified SDAI (Baker) ++
Patient derived SDAI + + ++
Ultrasound derived SDAI + ++ +
Simplified RA MRI Score (SAMIS) + ?
Swiss Sonography in Arthritis and Rheumatism (SONAR) Score ? ? ++ ++
Ultrasound 6 joint (Perricone) +++ + +
Ultrasound 6 joint (Rosa) +
Ultrasound 6 joint (Kawashiri) ?
Ultrasound 7 joint (Backhaus) ++ +++ ++ ++
Ultrasound 8 joint (Yoshimi) +++ ++
Ultrasound 12 joint (Naredo) + +++ + +
Ultrasound 14 joint (Dale) ?
Ultrasound 20 joint (Dougados) ? + ++
Ultrasound 28 joint (Dougados) ? + ++
Ultrasound 38 joint (Dougados) ? + ++
Ultrasound 78 joint (Hammer) ? ? ?
Ultrasound Score A and B (Aga) +++ + +

Level of evidence grading:

Strong, +++ or −−−, Consistent findings in multiple studies of good methodological quality –OR- in one study of excellent methodological quality

Moderate, ++ or −−, Consistent findings in multiple studies of fair methodological quality –OR- in one study of good methodological quality

Limited, + or −, One study of fair methodological quality

Conflicting, ±, Conflicting findings

Unknown, ?, Studies only of poor methodological quality