Intra-rater reliability of the bath ankylosing spondylitis disease activity index (BASDAI) and the bath ankylosing spondylitis functional index (BASFI) in children with spondyloarthritis

Batthish, Michelle; Rachlis, Alisa; Wong, Bertha; Stevens, Samantha; Anderson, Michelle A.; Feldman, Brian M.; Laxer, Ronald M.; Marcuz, Jo-Anne; Reaume, Margaret; Spiegel, Lynn; Whitney-Mahoney, Kristi; Tse, Shirley M. L.

doi:10.1186/1546-0096-10-s1-a45

Cited by 8 publications

(6 citation statements)

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“…The JSpADAI is the only validated disease activity assessment tool developed for JSpA 18 . The BASDAI, which is a widely accepted score to evaluate the disease activity of AS, is also validated in patients with enthesitis-related arthritis 36,37 . Because the BASDAI is a patient-reported survey, and it does not evaluate the clinical manifestations, it is suggested that it lacks specificity for inflammatory processes 38,39 .…”

Section: Discussionmentioning

confidence: 99%

“…18 The BASDAI, which is a widely accepted score to evaluate the disease activity of AS, is also validated in patients with enthesitis-related arthritis. 36,37 Because the BASDAI is a patient-reported survey, and it does not evaluate the clinical manifestations, it is suggested that it lacks specificity for inflammatory processes. 38,39 In a study conducted by using speckle tracking echocardiography reporting left ventricular dysfunction in patients with AS, the researchers found no correlation between left ventricular strain values and the BASDAI.…”

Section: Discussionmentioning

confidence: 99%

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Systolic and Diastolic Cardiac Functions in Juvenile Spondyloarthropathies

Yıldız¹,

Dedeoğlu

Akdeniz³

et al. 2020

J Clin Rheumatol

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Background/Objective: Juvenile spondyloarthropathies (JSpAs) are a group of inflammatory diseases characterized by asymmetric peripheral arthritis (especially in lower extremities), axial skeleton involvement, and enthesitis. Although cardiovascular findings of inflammatory diseases such as juvenile systemic lupus erythematosus (SLE) and juvenile scleroderma (SD) are well documented, there are only a few studies assessing the cardiovascular consequences of JSpA in the literature.Methods: Forty patients with JSpA and 20 healthy controls were included into this cross-sectional study. Cardiac functions of the participants were evaluated by conventional echocardiography and pulse-wave (PW) tissue Doppler.Results: The patients with JSpA had higher mitral lateral S ( p = 0.005) and E' wave ( p < 0.001), tricuspid A' wave ( p = 0.03), ejection fraction ( p = 0.03) and shortening fraction ( p = 0.01) than the control patients. In contrast, the patients with JSpA had lower left ventricle MPI ( p = 0.01) and the ratio of tricuspid E'/A' waves ( p = 0.05). Patients with enthesitis detected on magnetic resonance imaging had lower ejection fraction ( p = 0.05), the ratio of E/A waves ( p = 0.03) and had higher Mitral lateral A' wave ( p = 0.01) than those without. There was a significant inverse correlation between the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and PW transmitral A velocity (r = −0.256, p = 0.03), the BASDAI score and tricuspid annular plane systolic excursion (r = −0.301, p = 0.04), the BASDAI score and the ratio of E/E' waves (r = −0.276, p = 0.02), and the Juvenile Spondyloarthritis Disease Activity Index and PW transmitral A velocity (r = −0.246, p = 0.04). Conclusions:In this study, we report the possible early signs of RV diastolic dysfunction and possible association between magnetic resonance imaging-confirmed enthesitis and lower LV systolic functions. Early identification of cardiac dysfunctions can help with prevention of long-term cardiovascular complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Systolic and Diastolic Cardiac Functions in Juvenile Spondyloarthropathies

Yıldız¹,

Dedeoğlu

Akdeniz³

et al. 2020

J Clin Rheumatol

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“…A limitation of this study is that detailed information relating to back pain in terms of localization (e.g., buttock pain versus lumbar pain) and severity using scoring methods of inflammatory back pain was unavailable. Although there is no validated scoring system for inflammatory back pain in children or adolescents with ERA, the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and the Bath Ankylosing Spondylitis Functional Index (BASFI) have shown good interrater reliability in children with ERA, but remain to be validated in this age group ( 19 ). It would be of interest to correlate BASDAI and BASFI scores to the abnormalities we have observed in the lumbar spine in patients with ERA and also scores of spinal mobility, such as Schober's test.…”

Section: Discussionmentioning

confidence: 99%

Inflammatory Changes of the Lumbar Spine in Children and Adolescents With Enthesitis‐Related Arthritis: Magnetic Resonance Imaging Findings

Vendhan

Sen

Fisher

et al. 2013

Arthritis Care & Research

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ObjectiveTo describe and profile abnormalities of the lumbar spine in a cohort of patients with enthesitis-related arthritis (ERA) as compared to a control group of adolescents with mechanical back pain.MethodsWe performed a retrospective review of magnetic resonance imaging (MRI) lumbar spine scans of 79 patients (58 cases, 21 controls). The study was covered by institutional review board approval and informed consent was obtained for review of all clinical investigations. Images were reviewed by an expert MRI reader who was blinded to clinical details. The presence or absence of morphologic features of enthesitis, apophyseal joint synovitis, and inflammation of posterior elements was assessed at each lumbar vertebral level. The apophyseal joint inflammation was graded from 0 to 3 using a grading system that was adapted from one used in adults with inflammatory facet osteoarthropathy. STATA software was used for data analysis.ResultsOne or more abnormalities of the lumbar spine were found in 39 (67%) of 58 cases and sacroiliitis was present in 45 (78%) of the cases. Apophyseal joint synovitis was seen in 22 (38%) cases and in 1 (5%) control patient. This difference was highly significant (P = 0.004). Inflammatory changes in the interspinous ligaments were seen in a higher percentage of cases than controls and this observation was of statistical significance (P = 0.04).ConclusionStatistically significant inflammation of the lumbar apophyseal joints and interspinous ligaments was seen in our cohort of ERA patients, most of whom have concurrent sacroiliitis. This could be contributing to back pain in these patients.

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“… Ref Tool Valid in Domain Items Strength Limit Batthish et al 33 Bath Ankylosing Spondylarthritis Disease Activity Index (BASDAI) SpA Disease activity fatigue, spinal pain, peripheral joints, entheses, intensity, and duration of morning stiffness. Assess axial and enthesis complaint Not valid in ERA patient Weiss et al 10 Ankylosing Spondylarthritis Disease Activity Score (ASDAS) SpA Disease activity back and peripheral pain swelling, and duration of morning stiffness, patient-global assessment of disease activity, ESR or CRP An objective evaluation using inflammatory marks Lack of enthesis evaluation Consolaro et al 11 Juvenile Arthritis Disease Activity Score (JADAS) JIA Disease activity physician's global assessment of disease activity, parent-global assessment of well-being, joint count, and ESR or CRP Assess joint swelling and the inflammatory marks Lack of axial and entheseal involvement Weiss et al 18 Maastricht Ankylosing Spondylitis Enthesis (MASES) SpA Clinical enthesis evaluation Screening enthesis in 13 sites Explore the high number of enthesis sites Enthesis may be clinically misdiagnosed Luijten et al 25 The Patient-Reported Outcomes Measurement Information System (PROMIS) JIA and other chronic diseases in children Functional evaluation physical, mental, and social health in both children and parents reliability for clinical practice, responsiveness, and discrimination It may overestimate the psychological assessment in ERA patient Sontichai et al 28 The childhood health assessment questionnaire (CHAQ) JIA Health assessment dressing, grooming, arising, eating, walking, hygiene, reach, grip, and activities Easy in daily practice Not specific to ERA group Martin et al 31 The juvenile arthritis multidimensional assessment report (JAMAR) JIA Functio...…”

Section: Disease Activity Assessmentmentioning

confidence: 99%

“…BASFI seems to be the most relevant score in ERA and has shown good reliability in this group. 33 It offers insight into pain, morning stiffness, and hip mobility. 34 The children's VAS scales could be, however, falsely portrayed.…”

Section: Functional Assessment In Eramentioning

confidence: 99%