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Table 1 Key outcome measures in common use for assessment of axial disease in ankylosing spondylitis

From: Spondyloarthritides: evolving therapies

Outcome

Instrument

Main components

Reference

Disease activity

BASDAI

Self-administered VAS questionnaire: fatigue, axial pain, peripheral joint pain, tenderness, stiffness

[99]

 

ASAS 20, 40, 70

Percentage improvement in three out of four domains: patient global, pain, function and inflammation

[100, 101]

 

ASAS 5/6

> 20% improvement in all four ASAS domains + one of CRP or metrology

[101]

 

Partial remission

< 20% activity in all four ASAS domains

[100]

 

ASDAS

Includes CRP

[102]

Physical function

BASFI

Self-administered VAS questionnaire: 10 questions about day-to-day tasks

[103]

 

Dougados index

Self-administered VAS questionnaire: 20 questions about day-to-day tasks

[104]

 

HAQ-S

Self-administered questionnaire scoring difficulty of 25 day-to-day tasks

[105]

Metrology

BASMI

Five clinical measurements: cervical rotation, tragus to wall distance, lateral lumbar flexion, modified Schober's, intermalleolar distance

[106]

 

EDASMI

Four clinical measurements: cervical rotation, lateral lumbar flexion, chest expansion, and internal rotation of the hip

[107]

Spine X-ray score

mSASSS

Disease of anterior vertebral corners on a lateral cervical and lumbar radiograph

[108]

Spine MRI score

Berlin Score

Vertebral junction disease by quantifying bone marrow oedema

[109]

 

ASspiMRI-a

Vertebral junction disease by quantifying bone marrow oedema and erosions

[110]

 

SPARCC Index

Vertebral junction disease by quantifying bone marrow oedema

[111]

Work

AS-WIS

A simple 20-item questionnaire to measure work instability in AS

[112]

 

WPAI-SHP

Quantitative measure of reduced productivity, both at work and during nonwork activities

[113]

 

Questionnaire

  

Health-related quality of life

ASQoL

Addresses symptoms, function and disease-related concern

[114]

 

SF-36

Physical and mental health assessment

[115]

  1. AS, ankylosing spondylitis; ASAS, Assessment of Spondyloarthritis International Society; ASDAS, Ankylosing Spondylitis Disease Activity Score; ASQoL, Ankylosing Spondylitis Quality of Life; ASspiMRI, Ankylosing Spondylitis Spine MRI score; AS-WIS, Ankylosing Spondylitis Work Instability Scale; BASDAI, Bath Ankylosing Spondylitis Disease Activity Index; BASFI, Bath Ankylosing Spondylitis Functional Index; BASMI, Bath Ankylosing Spondylitis Functional Index; CRP, C-reactive protein; EDASMI, Edmonton Ankylosing Spondylitis Metrology Index; HAQ, Health Assessment Questionnaire; MRI, magnetic resonance imaging; mSASSS, Modified Stoke Ankylosing Spondylitis Spinal Score; SF-36, Short-form 36; SPARCC, Spondyloarthritis Research Consortium of Canada; VAS, visual analogue scale; WPAI-SHP, Work Productivity and Activity Impairment-Specific Health Problem Questionnaire.