Table 4

Differences and limitations of the BASFI and DFI based on literature review by Ruof and Stucki13

BASFIDFILimitations
BASFI, Bath Ankylosing Spondylitis Functional Index; DFI, Dougados Functional Index; VAS, visual analogue scale.
10 Items20 ItemsDFI requires more time to complete
Score based on 10 cm VASScore based on 3 point scaleDFI 3 point scale limits expression of change compared with BASFI (sensitivity has been enhanced for DFI with a modified 5 point scale)
7 Items similar to DFI, 3 additional items improve content validity and the spectrum of item difficulty7 Items similar to BASFI, some items are redundant and some deal with symptoms rather than functionConstruct and content validity of DFI inferior to those of the BASFI
Can discriminate the effects of a 3 week intensive physical therapy treatment periodCannot discriminate the effects of a 3 week intensive physical therapy treatment periodDistribution of DFI scores shows tendency toward normal scores, which may inhibit further capture of improvement in patients with mild disability in physical therapy trials
BASFI and DFI do not provide rules for handling missing data