Treatment target at 6 months: SDAI remission | Specificity (when 80% sensitivity) | 3-month SDAI improvement | PPV | NPV | LR+ | LR− |
All patients | 0.68 | 56.9% | 0.23 | 0.97 | 2.41 | 0.29 |
Baseline SDAI MDA | 0.70 | 53.4% | 0.32 | 0.95 | 2.68 | 0.28 |
Baseline SDAI HDA | 0.79 | 72.0% | 0.22 | 0.98 | 3.89 | 0.24 |
Disease duration ≤12 months | 0.67 | 62.3% | 0.25 | 0.96 | 2.46 | 0.29 |
Disease duration >12 months | 0.72 | 56.9% | 0.24 | 0.97 | 2.88 | 0.27 |
DMARD-naïve starting MTX | 0.65 | 62.3% | 0.25 | 0.96 | 2.29 | 0.30 |
bDMARD-naïve starting TNFi | 0.63 | 58.5% | 0.30 | 0.94 | 2.19 | 0.32 |
Treatment target at
6
months: SDAI low disease activity | ||||||
All patients | 0.51 | 33.8% | 0.59 | 0.74 | 1.65 | 0.39 |
Baseline SDAI MDA | 0.59 | 24.2% | 0.74 | 0.67 | 1.94 | 0.34 |
Baseline SDAI HDA | 0.65 | 51.2% | 0.54 | 0.86 | 2.27 | 0.31 |
Disease duration ≤12 months | 0.50 | 35.8% | 0.64 | 0.69 | 1.60 | 0.40 |
Disease duration >12 months | 0.52 | 32.3% | 0.55 | 0.78 | 1.67 | 0.38 |
DMARD-naïve starting MTX | 0.49 | 36.6% | 0.66 | 0.66 | 1.55 | 0.42 |
bDMARD-naïve starting TNFi | 0.59 | 44.3% | 0.67 | 0.74 | 1.97 | 0.33 |
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.