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We hypothesized that APRs make limited contribution to the SDAI, and that an SDAI-modification eliminating APRs – termed the Clinical Disease Activity Index (CDAI; i.e. the sum of tender and swollen joint counts [28 joints] and patient and physician global assessments [in cm]) – would have comparable validity in clinical cohorts.
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We determined the number of tender points (range, 0 18) and the total tenderness score (TTS = sum of tenderness level in the 18 positions; range 0 54) in each participant.
The Tender Point Index was calculated as the sum of each positive tender point score divided by the total number of tender points.
We also calculated the TPi as the sum of the scores of all tender points divided by the total number of tender points.
The TPS was the total number of tender points.
These analyses also correlated responses by Simplified Disease Activity Index [SDAI]: a simple numerical sum of swollen joint and tender joint counts, patient global assessment of disease activity [PtGA], physician global assessment of disease activity [MDGA], and C-reactive protein [ 20].
The CDAI score (a scale of 0 to 76.0) is the numerical sum of the 28-joint tender and swollen joint counts and the patient and evaluator global health status, each assessed on a 10-cm visual analog scale [ 22].
For this purpose, all joints considered in the HaF-score were examined on both sides and the number of swollen joints was added to the number of tender joints to create a sum score for the hand (hand joint count) and the foot (foot joint count).
6 10 The SDAI remission criterion (SDAI Cr): The sum of the number of swollen and tender joints, CRP (mg/dL), PatGA and PhGA≤3.3. 5 'DAS28-3 Cr', 'Boolean-3 Cr' and 'SDAI-4 Cr': The only difference from the original criteria is that VAS PatGA has been excluded.
All these measures consist of a weighted sum of bioclinical features, or a transform (eg, logarithm) of these, such as the number of tender joints in the hands, the number of swollen joints in the hands, the erythrocyte sedimentation rate (ESR), the C-reactive protein (CRP) concentration, the patient global assessment, and the physician global assessment.
Not to be outdone, Bernstein tendered the staggering sum of $230 million in September 1976 for a one-shot charity reunion.
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