Table 4

Performance at different cut-offs of DAS28 at week 22 for dose increase

DAS cut-off

Sensitivity

Specificity

PPV

NPV

Accuracy


2.0

0.99

0.13

0.23

0.98

0.31

2.5

0.99

0.22

0.25

0.99

0.38

2.6

0.99

0.26

0.26

0.99

0.41

3.0

0.98

0.38

0.29

0.98

0.50

3.2

0.96

0.46

0.32

0.98

0.57

4.0

0.79

0.66

0.38

0.92

0.68

4.5

0.76

0.77

0.47

0.92

0.77

5.0

0.58

0.87

0.55

0.89

0.81

5.1

0.53

0.88

0.55

0.88

0.81

5.5

0.43

0.95

0.69

0.86

0.84

6.0

0.34

0.97

0.73

0.85

0.83

6.5

0.19

0.98

0.72

0.82

0.81


DAS, disease activity score; PPV, positive predictive value (predictive value to give a dose increase as a measure of insufficient response); NPV, negative predictive value (predictive value to continue on the current dose as a measure of good response); PPV, NPV and accuracy were calculated using the following formulae:

c) Accuracy = sensitivity* a_priori_chance + specificity* (1-a_priori_chance)

The a priori chance is given by the percentage of patients that need a dose increase as a measure of insufficient response.

Vander Cruyssen et al. Arthritis Research & Therapy 2005 7:R1063   doi:10.1186/ar1787

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