These
web pages provides a synopsis of the Bath AS Metrology Index (BASMI),
the Bath AS Functional Index (BASFI), the Bath AS Disease Activity
Index (BASDAI) and the Bath AS Patient Global Score (BAS-G). The creation
of the Bath indices stem from the work of a research team consisting
of rheumatologists, physiotherapists, and research associates with
a specialist interest in AS. With respect to the functional and disease
activity indices, the team obtained input from patients with AS. It
was felt that such input heightens the clinical relevance of such
measures. All indices produce a score out of 10, giving a clear numerical
outcome each time the indices are used, therefore providing an easy
comparable to refer to.
All four
indices have been studied for reliability, speed, variability, reproducibility,
and sensitivity to change. The studies involved a good sample size
of between 163 and 392 subjects, some of which were in patients undergoing
an intensive course of physiotherapy for 2 to 3 weeks. Comparables
were made with the original metrology assessment of 20 measurements,
the Dougados functional index, the previous Bath disease activity
index and the Newcastle Enthesis Index. The results of this research
are summarised in these web pages. For more detail, the reader is
encouraged to refer to the original articles
that are referenced at the back of these web pages.
With
the recent licensing of anti-TNF medication for use in AS patients,
the Bath Indices (in particular the BASDAI) are being proposed to
form part of the screening process for anti-TNF allocation and to
monitor the outcomes of the medication. Therefore, it is important
that individuals standardise methods used for calculating these Bath
Indices’ scores. To aid this, a guide in calculating each score
is provided within these web pages.