Egyptian Rheumatology and Rehabilitation

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 46  |  Issue : 4  |  Page : 269--277

Rheumatoid Arthritis Disease Activity Index-5: an easy and effective way of monitoring patients with rheumatoid arthritis


Vikram S Tanwar1, Harpreet Singh2, Anjali Saini1, Gagandeep Sukhija2, Sameer Arora2, Ankit Kalra2 
1 Department of Medicine, SHKM GMC, Nalhar, India
2 Department of Medicine, PGIMS, Rohtak, Haryana, India

Correspondence Address:
Vikram S Tanwar
Department of Medicine, SHKM GMC, Nalhar, Haryana 122107
India

Objective To study the utility of the Rheumatoid Arthritis Disease Activity Index-5 (RADAI-5) as a valid tool for daily rheumatoid arthritis (RA) monitoring and to compare its predictability to assess RA activity with respect to Disease Activity Score 28 (DAS28) and Clinical Disease Activity Index (CDAI). Patients and methods A total of 100 patients with RA (diagnosed as per American College of Rheumatology 1987 criteria) were enrolled in the study group. Each patient was assessed two times with 3-month interval for disease activity (DA) using DAS28, CDAI, and RADAI-5. Spearman’s correlation coefficient (ρ) for correlation and kappa for agreement between different activity measures were assessed. Results In our study group, 19% patients were men and 81% patients were women, with male to female ratio of 1 : 4.3. Their mean age was 44.4±11.8 years, and their mean disease duration was 67.5±59.8 months. On initial visit, that is, baseline, mean DA as per RADAI-5, DAS28, and CDAI were 5.14±2.17, 5.58±1.55, and 27.96±15.46, respectively, and on follow-up visit, the readings were 3.76±1.92, 4.54±1.41, and 17.67±12.46, respectively. The mean changes in DA at follow-up visit were −1.37±2.15 by RADAI-5, −1.04±1.58 by DAS28, and −10.29±15.75 by CDAI. Changes in DA indices correlated significantly with each other with ρ ranging from 0.8 to 0.9 (P<0.001). An average agreement was found among all three measures at different DA level. Conclusion RADAI-5 seems to be an effective tool with high tendency to assess the changes in RA DA in routine patient care in hospital settings as well as in home-based settings.


How to cite this article:
Tanwar VS, Singh H, Saini A, Sukhija G, Arora S, Kalra A. Rheumatoid Arthritis Disease Activity Index-5: an easy and effective way of monitoring patients with rheumatoid arthritis.Egypt Rheumatol Rehabil 2019;46:269-277


How to cite this URL:
Tanwar VS, Singh H, Saini A, Sukhija G, Arora S, Kalra A. Rheumatoid Arthritis Disease Activity Index-5: an easy and effective way of monitoring patients with rheumatoid arthritis. Egypt Rheumatol Rehabil [serial online] 2019 [cited 2019 Dec 14 ];46:269-277
Available from: http://www.err.eg.net/article.asp?issn=1110-161X;year=2019;volume=46;issue=4;spage=269;epage=277;aulast=Tanwar;type=0