A practical guide to scoring a Multi-Dimensional Health Assessment Questionnaire (MDHAQ) and Routine Assessment of Patient Index Data (RAPID) scores in 10-20 seconds for use in standard clinical care, without rulers, calculators, websites or computers

The American College of Rheumatology Core Data Set for rheumatoid arthritis (RA) includes 3 measures which are found on a patient self-report questionnaire, physical function, pain, and patient estimate of global status. These measures are included in all clinical trials, but not assessed at most encounters in standard rheumatology care. Rheumatologists may have experience with lengthy research questionnaires in clinical trials and other clinical research, which (appropriately) are regarded as relatively cumbersome research tools and do not contribute to clinical care. A format of a questionnaire known as the multidimensional health assessment questionnaire (MDHAQ) has been developed for standard rheumatology care to contribute to rheumatology clinical care in daily practice. The 3 scores for physical function, pain, and global status can be "eyeballed" in a second or two and formally scored into a composite index known as rheumatology assessment patient index data (RAPID) in about 10 seconds. This chapter provides a brief tutorial designed to instruct rheumatologists and their staffs regarding how to use and score the MDHAQ and RAPID in standard clinical care.

Similar articles

Pincus T, Yazici Y, Bergman M, Maclean R, Harrington T. Pincus T, et al. Best Pract Res Clin Rheumatol. 2007 Aug;21(4):789-804. doi: 10.1016/j.berh.2007.02.009. Best Pract Res Clin Rheumatol. 2007. PMID: 17678835

Yazici Y, Bergman M, Pincus T. Yazici Y, et al. J Rheumatol. 2008 Apr;35(4):603-9. Epub 2008 Mar 1. J Rheumatol. 2008. PMID: 18322993

Pincus T. Pincus T. Bull NYU Hosp Jt Dis. 2007;65(2):150-60. Bull NYU Hosp Jt Dis. 2007. PMID: 17581111

Pincus T. Pincus T. Bull NYU Hosp Jt Dis. 2009;67(3):254-66. Bull NYU Hosp Jt Dis. 2009. PMID: 19852747 Review.

Pincus T, Bergman MJ, Yazici Y. Pincus T, et al. Bull NYU Hosp Jt Dis. 2009;67(2):211-25. Bull NYU Hosp Jt Dis. 2009. PMID: 19583557 Review.

Cited by

Flouri ID, Repa A, Avgoustidis N, Pitsigavdaki S, Pateromichelaki K, Marolachaki E, Terizaki M, Nikoloudaki M, Eskitzis A, Kalogiannaki E, Bertsias G, Sidiropoulos P. Flouri ID, et al. Mediterr J Rheumatol. 2023 Jul 31;34(4):581-587. doi: 10.31138/mjr.310723.cba. eCollection 2023 Dec. Mediterr J Rheumatol. 2023. PMID: 38282943 Free PMC article.

Curtis JR, Yun H, Chen L, Ford SS, van Hoogstraten H, Fiore S, Ford K, Praestgaard A, Rehberg M, Choy E. Curtis JR, et al. Rheumatol Ther. 2023 Aug;10(4):1055-1072. doi: 10.1007/s40744-023-00568-8. Epub 2023 Jun 22. Rheumatol Ther. 2023. PMID: 37349636 Free PMC article.

Bergman M, Buch MH, Tanaka Y, Citera G, Bahlas S, Wong E, Song Y, Zueger P, Ali M, Strand V. Bergman M, et al. Rheumatol Ther. 2022 Dec;9(6):1517-1529. doi: 10.1007/s40744-022-00483-4. Epub 2022 Sep 20. Rheumatol Ther. 2022. PMID: 36125701 Free PMC article.

Okamoto Y, Devoe S, Seto N, Minarchick V, Wilson T, Rothfuss HM, Mohning MP, Arbet J, Kroehl M, Visser A, August J, Thomas SM, Charry LL, Fleischer C, Feser ML, Frazer-Abel AA, Norris JM, Cherrington BD, Janssen WJ, Kaplan MJ, Deane KD, Holers VM, Demoruelle MK. Okamoto Y, et al. Arthritis Rheumatol. 2022 Jan;74(1):38-48. doi: 10.1002/art.41948. Epub 2021 Nov 25. Arthritis Rheumatol. 2022. PMID: 34369110 Free PMC article.

Javelle E, Ribera A, Degasne I, Gaüzère BA, Marimoutou C, Simon F. Javelle E, et al. PLoS Negl Trop Dis. 2015 Mar 11;9(3):e0003603. doi: 10.1371/journal.pntd.0003603. eCollection 2015 Mar. PLoS Negl Trop Dis. 2015. PMID: 25760632 Free PMC article.