Comparison of the Multidimensional Health Assessment Questionnaire (MDHAQ-RAPID3) with the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and the Bath Ankylosing Spondylitis Functional Index (BASFI) in Patients with Ankylosing Spondylitis
Duygu Kurtuluş1, Selma Dağcı2, Cengiz Bahadır31Department of Physical Medicine and Rehabilitation, Umraniye Training and Research Hospital, Istanbul, Türkiye2Istanbul Provincial Health Directorate, Istanbul, Türkiye
3Department of Physical Medicine and Rehabilitation, Medi Point Medical Center, Istanbul, Türkiye
INTRODUCTION: To evaluate the correlation between the Routine Assessment of Patient Index Data 3 (RAPID3), derived from the Multidimensional Health Assessment Questionnaire (MDHAQ), and the commonly used indices Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Bath Ankylosing Spondylitis Functional Index (BASFI) in patients with Ankylosing Spondylitis (AS).
METHODS: A total of 100 patients diagnosed with AS who attended our outpatient clinic between May 18 and September 30, 2009, were enrolled. All patients completed the BASDAI, BASFI, and MDHAQ questionnaires. RAPID3 was calculated using the pain, patient global assessment, and function subscales of MDHAQ. Spearman correlation analysis was used for statistical evaluation.
RESULTS: The mean age was 30±10.9 years, and 69% of the participants were male. The mean disease duration was 5.0±6.7 years. Average BASDAI, BASFI, and RAPID3 scores were 4.93±2.5, 3.94±2.5, and 13.27±7.0, respectively. RAPID3 was strongly correlated with both BASDAI and BASFI (r=0.77 and r=0.72; p<0.001).
DISCUSSION AND CONCLUSION: RAPID3, based solely on patient-reported measures, shows strong correlation with established AS indices and can be considered a practical alternative for clinical monitoring in routine care.
Makale Dili: İngilizce