Intra-rater reliability of the bath ankylosing spondylitis disease activity index (BASDAI) and the bath ankylosing spondylitis functional index (BASFI) in children with spondyloarthritis
Notice bibliographique
Résumé
Patients diagnosed with ERA (ILAR criteria) and followed at The Hospital for Sick Children Spondyloarthritis Clinic were included in this study. Patients were excluded if they were unable to understand, speak or write English, if they were less than 6 years of age or greater than 18 years of age. Prospective subjects were consecutively enrolled ( June 2009 to June 2010) and, the patient and/or one parent completed the BASDAI and BASFI at baseline and 2 weeks later (a period during which little change is expected). Intra-class correlation coefficient (ICC) was calculated and values greater than 0.6 were considered indicative of good reliability. Forty-eight patients (39 males, 81.2%) were enrolled. The average age at diagnosis was 12.5 years (range, 7.6 to 16.7 years). 41.7% were HLA-B27 positive and 18.8% had a positive family history for ankylosing spondylitis. 52% had involvement of the hip and 40% had radiographic evidence of sacroiliitis. Eight patients dropped out or were excluded due to protocol violation. 40 patients completed both sets of questionnaires. All subjects reported their overall health as “the same” when compared to their baseline visit. The mean BASDAI at baseline was 1.97 ± 1.90 and at 2 weeks was 1.69 ± 1.80 – the reliability was substantial; ICC = 0.74, Bland-Altman limits of agreement (LOA) = 2.4 to -2.8. The mean BASFI at baseline was 0.99 ± 1.49 and at 2 weeks was 0.75 ± 1.00 – likewise the reliability was excellent; ICC = 0.87, Bland-Altman LOA = 1.1 to -1.4. When examining individual questions from the BASDAI and BASFI, the following had the highest ICCs, respectively: “How long does your morning stiffness last from the time you wake up?” and “Doing a full day’s activities, whether it be at home or at work”, ICC = 0.88 each. Meanwhile, from the BASDAI, “How would you describe the overall level of AS neck, back or hip pain you have had?” resulted in the lowest reliability; ICC = 0.57. At this time, there is no validated disease activity score for JSpA/ERA. Both the BASDAI and BASFI showed excellent intra-rater reliability in a cohort of ERA patients. Next steps will include the measurement of the construct validity and responsiveness of these tools in JSpA/ERA in order to determine if pediatric rheumatologists can use these as validated disease activity/functional impairment measures in the clinic and in clinical research.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».