Description

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))

 


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