Collier, Deborah S.Grant, Richard W.Estey, GregSurrao, DominicChueh, Henry C.Kay, Jonathan2022-08-232022-08-232009-04-152015-04-17Arthritis Rheum. 2009 Apr 15;61(4):495-500. doi: 10.1002/art.24335. <a href="http://dx.doi.org/10.1002/art.24335">Link to article on publisher's site</a>0004-3591 (Linking)10.1002/art.2433519333984https://hdl.handle.net/20.500.14038/48764OBJECTIVE: To assess physicians' concordance with Disease Activity Score in 28 joints (DAS28) categories calculated by an electronic medical record (EMR)-embedded disease activity calculator, as well as attitudes toward this application. METHODS: Fifteen rheumatologists used the EMR-embedded disease activity calculator to predict a rheumatoid arthritis (RA) DAS28 disease activity category at the time of each clinical encounter. RESULTS: Physician-predicted DAS28 disease activity categories ranged from high ( > 5.1, 15% of cohort, 66 of 429 patient visits) to moderate ( > 3.2-5.1, 21% of cohort, 90 of 429 patient visits) to low (2.6-3.2, 29% of cohort, 123 of 429 patient visits) to remission ( < 2.6, 35% of cohort, 150 of 429 patient visits). Overall concordance between calculated DAS28 results and physician-predicted RA disease activity was 64%. Using either the physician-predicted or the calculated DAS28 category as the gold standard, accuracy was greatest for patients in remission (75% and 88% accuracy, respectively) and those with high disease activity (68% and 79% accuracy, respectively), and less for patients with moderate (48% and 62% accuracy, respectively) or low disease activity (62% and 31% accuracy, respectively). CONCLUSION: Accurate physician prediction of DAS28 remission and high disease activity categories, even without immediate availability of the erythrocyte sedimentation rate or the C-reactive protein level at the time of the visit, may be used to guide quantitatively driven outpatient RA management.en-USArthritis, Rheumatoid*Attitude of Health PersonnelCohort StudiesDisability EvaluationDisease ProgressionHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumans*Medical Records Systems, ComputerizedOutcome Assessment (Health Care)Predictive Value of TestsRheumatology*Severity of Illness Index*SoftwareMusculoskeletal DiseasesRheumatologySkin and Connective Tissue DiseasesJournal Articlehttps://escholarship.umassmed.edu/rheumatology_pubs/897002913rheumatology_pubs/89