| Name of the Instrument/Tool | Hospital Universitario La Princesa Index (HUPI) |
| First Description |
Castrejon I, Carmona L, Ortiz AM, Belmonte MA, Martinez-Lopez JA, Gonzalez-Alvaro I. Development and validation of a new disease activity index as a numerical sum of four variables in patients with early arthritis. Arthritis Care Res (Hoboken). 2013;65(4):518–25. Epub 2012/09/25. pmid:23002022. |
| Year | 2013 |
| Domains | |
| Concept of constructs | Disease activity |
| Population/Disease | Disease specific |
| Originally developed for | Rheumatoid Arthritis (RA) |
| Other rheumatic diseases where can be applied (only if validated) |
--- |
| Additional population with no rheumatic diseases |
No |
| Language: Originally published in | English |
| Available in Language | Spanish |
| REFERENCE IDENTIFICATION | |
| Author/s | Castrejón I, Carmona L, Ortiz AM, Belmonte MA, Martinez-Lopez JA, Gonzalez-Alvaro I. |
| Title | Development and validation of a new disease activity index as a numerical sum of four variables in patients with early arthritis. |
| Journal | Arthritis Care Res (Hoboken). |
| Year | 2013 |
| Vol | 65 |
| Num | 4 |
| Pages | 518–25 |
| Country | Spain |
| Language | English |
| Other references of interest | |
| Link | https://journals.plos.org/plosone/article?id=10.1371/journa … |
| Brief Description |
Cut-Offs and Response Criteria for the Hospital Universitario La Princesa Index (HUPI) and Their Comparison to Widely-Used Indices of Disease Activity in Rheumatoid Arthritis. This article aims to estimate cut-off points and to establish response criteria for the HUPI in patients with chronic polyarthritis. |
| Link | https://journals.plos.org/plosone/article?id=10.1371/journal … |
| Brief Description |
The comparative responsiveness of Hospital Universitario Princesa Index and other composite indices for assessing rheumatoid arthritis activity. This article aims to evaluate the responsiveness in terms of correlation of the HUPI comparatively to the traditional composite indices used to assess disease activity in RA, and to compare the performance of HUPI-based response criteria with that of the EULAR response criteria. |
| Link | https://pubmed.ncbi.nlm.nih.gov/24682439/ |
| Brief Description |
Biologic therapy response and drug survival for females compared to males with rheumatoid arthritis: a cohort study. This article uses the HUPI to eliminate the observed differences in disease activity scores between females and males. |
| Instrument/Tool Translations References | |
| No other References. | |
| DEVELOPER CONTACT INFORMATION | |
| Correspondence to | I Castrejon/ I Gonzalez Alvaro |
| isabelcastrejonf@gmail.com / isidoro.ga@ser.es | |
| Address | Rheumatology Department, Hospital Universitario la Princesa, Calle Diego de León, 62, 28006 Madrid, Spain |
| Website | --- |
| Available | --- |
| Links | --- |
| DESCRIPTION OF THE INSTRUMENT | |
| Type Of Measure | Composite Index |
| Brief Description |
The Hospital Universitario La Princesa Index (HUPI) is based on the sum of 4 variables graded from 0 to 3: tender joint count, swollen joint count, patient global disease assessment, and erythrocyte sedimentation rate/C‐reactive protein level. The index is feasible and sensitive to change, and could prove superior to previous indices in that it prevents bias arising from sex and missing data. |
| Number of Items | 4 |
| Range | 0 to 12 |
| Responses options/scale |
Yes 0–3 |
| Developed for | Clinical practice, Research |
| PRACTICAL APPLICATION | |
| Method of administration | Physician |
| Recommendations to score |
Sum of 4 variables (graded 0–3): tender joint count, swollen joint count, patient global assessment, and acute‐phase reactants (erythrocyte sedimentation rate [ESR] and/or C‐reactive protein [CRP] level, depending on availability at the moment of evaluation). |
| Score Interpretation | Higher scores indicate higher disease activity |
| Cut-off points | Cut-offs for remission/low disease activity, low/moderate and moderate/high disease activity are 2, 5 and 9 respectively . |
| Cut-off points applied to | Both |
| Smallest detectable change if described | --- |
| Smallest detectable change applied to | --- |
| Completion time by the patient | - minutes |
| Scoring time by the assessor | 5 minutes |
| Training to score | Physician-based |
| Strengths | Easy to use, Useful in clinical practice & research |
| Limitations | Ceiling effect |
| OTHER COMMENTS | |
| Other Comments | --- |