Concise reports
Correlation between conventional disease activity measures in
juvenile chronic arthritis
Clinica Pediatrica dell'Universita', IRCCS
Policlinico "S Matteo", Pavia, Italy
Correspondence to: Professor A Martini, Clinica Pediatrica dell'Universita', IRCCS S Matteo, P le Golgi, 2, 27100 Pavia, Italy.
Accepted for publication 13 December 1996
OBJECTIVE
To estimate in a cross sectional
analysis the degree of colinearity among the disease activity measures
more commonly used in juvenile chronic arthritis (JCA).
METHODS
This study assessed in a single clinical
evaluation three subjective variables, three measures of functional
capacity, eight articular indices, and two laboratory indicators of
systemic inflammation in 55 consecutive children with JCA. The relation
between the clinical measures of JCA activity was determined by Pearson
correlation coefficients. An r value of 0.7 or greater was
considered evidence of colinearity.
RESULTS
Among the subjective variables, parent
global assessment of overall well being and parent assessment of pain
were correlated with each other; the physician assessment of disease
activity did not show evidence of colinearity with any other variable. The functional status measures were correlated with each other, but not
with the indices of articular inflammation. There was a high degree of
colinearity among the articular variables, with the number of active
joints and the overall severity score being correlated with each other
as well as with all the single articular indices. The laboratory
variables were correlated with each other, but not with any of the
articular, functional or subjective variables.
CONCLUSION
Our results show a high degree of
colinearity among the disease activity measures belonging to the same
category, whereas this is uncommon for variables that investigate
different domains of disease activity. These data underline the need to
include the evaluation of each domain in the assessment of JCA activity.
© 1997 by Annals of the Rheumatic Diseases
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