Table 3

SDAI improvement cut-points at 3 months when predicting achievement of the treatment targets at 6 months with 80% sensitivity

Treatment target at 6 months:
SDAI remission
Specificity (when 80% sensitivity)3-month SDAI improvementPPVNPVLR+LR−
All patients0.6856.9%0.230.972.410.29
Baseline SDAI MDA0.7053.4%0.320.952.680.28
Baseline SDAI HDA0.7972.0%0.220.983.890.24
Disease duration ≤12 months0.6762.3%0.250.962.460.29
Disease duration >12 months0.7256.9%0.240.972.880.27
DMARD-naïve starting MTX0.6562.3%0.250.962.290.30
bDMARD-naïve starting TNFi0.6358.5%0.300.942.190.32
Treatment target at 6 months:
SDAI low disease activity
All patients0.5133.8%0.590.741.650.39
Baseline SDAI MDA0.5924.2%0.740.671.940.34
Baseline SDAI HDA0.6551.2%0.540.862.270.31
Disease duration ≤12 months0.5035.8%0.640.691.600.40
Disease duration >12 months0.5232.3%0.550.781.670.38
DMARD-naïve starting MTX0.4936.6%0.660.661.550.42
bDMARD-naïve starting TNFi0.5944.3%0.670.741.970.33
  • b, biological; DMARD, disease-modifying antirheumatic drug; HDA, high disease activity; LR+, positive likelihood ratio; LR−, negative likelihood ratio; MDA, moderate disease activity; MTX, methotrexate; NPV, negative predictive value; PPV, positive predictive value; SDAI, Simplified Disease Activity Index; TNFi, tumour necrosis factor inhibitor.