Table 4.

MCII cutpoints with 2 methodological approaches for changes in health-related quality of life and health status measures after 3 months of DMARD treatment in patients with RA, PsA, and AS.

75% Sensitivity Cutpoint80% Specificity CutpointReceiver-operating Characteristic (ROC) Curves
Area Under the Curve95% CI
EQ-5D
  RA00.100.690.65–0.73
  PsA00.180.680.61–0.75
  AS0.040.190.750.68–0.82
SF-6D
  RA0.020.080.720.70–0.74
  PsA0.010.070.730.69–0.76
  AS0.050.090.770.73–0.82
Pain VAS
  RA−4.0−19.00.730.71–0.75
  PsA−8.0−19.00.750.72–0.79
  AS−15.0−19.00.820.78–0.86
Patient global VAS
  RA−6.0−20.00.740.72–0.76
  PsA−9.0−18.00.760.73–0.79
  AS−16.0−17.00.830.79–0.87
MHAQ
  RA0−0.250.710.69–0.73
  PsA0−0.250.750.72–0.78
  AS−0.13−0.250.750.71–0.80
  • MCII: Minimal Clinically Important Improvement; DMARD: diseasemodifying antirheumatic drug; RA: rheumatoid arthritis; PsA: psoriatic arthritis; AS: ankylosing spondylitis; PASS: Patient Acceptable Symptom State; MHAQ: Modified Health Assessment Questionnaire; VAS: visual analog scale; EQ-5D: EuroQol-5 Dimensions; SF-6D: Short-Form-6 Dimensions.