Composite Indices Using 3 or 4 Components of the Core Data Set Have Similar Predictive Ability to Measure Disease Activity in RA: Evidence from the DANCER and REFLEX Studies
Martin J. Bergman, William Reiss, Carol Chung, Pamela Wong and Adam Turpcu
Published, Version of Record (VoR)CC BY V4.0, Open
Abstract
Background. Understanding how disease-assessment indices perform in rheumatoid arthritis (RA) clinical trials can inform their use in routine practice. The study objective was to assess the capacity of combinations of RA Core Data Set measures to distinguish rituximab from control treatment. Methods. Post hoc analysis of two randomised clinical trials was used. Composite Efficacy Indices were derived by combining three or four RA Core Data Set measures from three possible sources: physician, patient, and laboratory. Results. All 105 Composite Efficacy Indices evaluated significantly distinguished rituximab from control treatment (P<10−7). Generally, indices containing measures from three different sources had a greater capacity to distinguish rituximab from control treatment than indices containing three measures from one source. Composite Efficacy Indices performed as well as validated indices such as DAS28, RAPID3, and CDAI. Conclusions. All indices composed of three or four RA Core Data Set measures have a similar capacity to detect treatment differences. These results suggest that the precise measurement used is less important than whether any measurement is performed, although selection should be consistent for each patient. Therefore, the choice of assessment tool should not be limited to a prescribed list and should instead be left to the clinician’s discretion.
Composite Indices Using 3 or 4 Components of the Core Data Set Have Similar Predictive Ability to Measure Disease Activity in RA: Evidence from the DANCER and REFLEX Studies
Creators
Martin J. Bergman - Drexel University
William Reiss - Genentech
Carol Chung - Genentech
Pamela Wong - Genentech
Adam Turpcu - Genentech
Contributors
Kamal D. Moudgil (Editor)
Publication Details
Autoimmune diseases, v 2013, 367190
Publisher
Hindawi Publishing Corporation
Resource Type
Journal article
Language
English
Academic Unit
Medicine (Graduate)
Web of Science ID
WOS:000219157900007
Scopus ID
2-s2.0-84893698442
Other Identifier
991019168693604721
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