Bansback et al developed a linear predictor for predicting functional outcome in a patient with early rheumatoid arthritis. This can help identify a patient who may benefit from more aggressive management. The authors are from City Hospital, St. Albans, United Kingdom
Endpoint: probability of moderate to severe functional outcome
Analysis: multivariate logistic regression
Parameters:
(1) Carstairs deprivation index
(2) functional grade at baseline
(3) functional grade at 1 year
(4) HAQ at baseline
(5) HAQ at 1 year
(6) hemoglobin at baseline in g/L
(7) DAS28 at 1 year
(8) Larsen index at baseline
Parameter |
Finding |
Points |
Carstairs index |
1 |
0 |
|
2 |
-0.247 |
|
3 |
0.363 |
|
4 |
0.548 |
|
5 |
0.685 |
functional grade at baseline |
I |
0 |
|
II |
0.592 |
|
III or IV |
0.568 |
functional grade at 1 year |
I |
0 |
|
II |
0.689 |
|
III or IV |
1.905 |
points for HAQ at baseline
= (HAQ at baseline) * 0.532
points for HAQ at 1 year
= (HAQ at 1 year) * 0.894
points for hemoglobin =
= (hemoglobin in g/L) * 0.015
points for Larsen at baseline =
= (Larsen score) * 0.013
points for DAS28 at 1 year =
= (DAS28) * 0.138
X =
= SUM(points for all 8 parameters) - 5.647
probability of severe disease =
= 1 / (1 + EXP((-1)*X))
Purpose: To evaluate a patient with early rheumatoid arthritis for the risk of moderate-to-severe functional impairment using the nomogram of Bansback et al.
Specialty: Sports Medicine & Rehabilitation, Immunology/Rheumatology
Objective: adverse effects, disease progression, disability and performance
ICD-10: M05, M06,