DAS28 (Disease Activity Score 28)

Rheumatology

Also known as: DAS28 (Krankheitsaktivitäts-Score) · DAS28 (hastalık aktivite skoru) · DAS28 (Disease Activity Score in 28 joints, rheumatoid arthritis)

What it is for

Composite measure of disease activity in rheumatoid arthritis based on 28 joints (shoulders, elbows, wrists, metacarpophalangeal and proximal interphalangeal joints, knees; both sides).

Classification

CategoryDescription
Componentstender joint count (TJC28, 0–28); swollen joint count (SJC28, 0–28); erythrocyte sedimentation rate (ESR, mm/h) or, in the DAS28-CRP variant, C-reactive protein; patient global assessment of disease activity (GH) on a 0–100 mm visual analogue scale.
Formula (DAS28-ESR)0.56 × √TJC28 + 0.28 × √SJC28 + 0.70 × ln(ESR) + 0.014 × GH.
Remission<2.6.
Low disease activity2.6 to ≤3.2.
Moderate disease activity>3.2 to ≤5.1.
High disease activity>5.1.

Source

Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis

Arthritis Rheum 1995;38:44–48 (Prevoo ML et al.)

DOI: 10.1002/art.1780380107

PMID: 7818570

Edition
Prevoo 1995 (DAS28); activity bands per van Gestel/EULAR (current)
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