Table 2

Agreement of flare status between patient, MD and DAS28 worsening criteria by disease activity level

PatientAgreement
Flare classification (Visit 2)Flare statusYesNoObservedExpected (%)AC1 κ
MD flare classification (n=718)
 AllYes98 (58%)135 (25%)512 (71%)590.52
No71 (42%)414 (75%)
 RemissionYes5 (23%)39 (16%)212 (79%)780.73
No17 (77%)207 (84%)
 Low disease activityYes8 (50%)17 (29%)49 (66%)590.44
No8 (50%)41 (71%)
 Moderate disease activityYes37 (69%)40 (45%)86 (60%)490.21
No17 (31%)49 (55%)
 High disease activityYes23 (79%)11 (65%)29 (63%)560.35
No6 (21%)6 (35%)
DAS28 criterion flare classification (n=515)
 All≥1.2/0.636 (31%)48 (12%)388 (75%)690.64
<1.2/0.679 (69%)352 (88%)
 Remission≥1.2/0.60 (0%)1 (0%)232 (89%)890.88
<1.2/0.627 (100%)232 (100%)
 Low disease activity≥1.2/0.62 (13%)7 (12%)54 (73%)720.63
<1.2/0.613 (87%)52 (88%)
 Moderate disease activity≥1.2/0.621 (40%)33 (36%)80 (56%)530.17
<1.2/0.631 (60%)59 (64%)
 High disease activity≥1.2/0.613 (62%)7 (44%)22 (59%)510.20
<1.2/0.68 (38%)9 (56%)
  • AC, agreement coefficient; DAS, Disease Activity Score.