Detailled Information

Name of the Instrument/Tool Patient activity scale (PAS/PAS-II)
First Description

Wolfe F, Michaud K, Pincus T. A composite disease activity scale for clinical practice, observational studies, and clinical trials: the patient activity scale (PAS/PAS-II). J Rheumatol. 2005 Dec;32(12):2410-5. PMID: 16331773.

Year 2005
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 ---
REFERENCE IDENTIFICATION
Author/s Wolfe F, Michaud K, Pincus T.
Title A composite disease activity scale for clinical practice, observational studies, and clinical trials: the patient activity scale (PAS/PAS-II).
Journal J Rheumatol
Year 2005
Vol 32
Num 12
Pages 2410-15
Country USA
Language English
Other references of interest
Link https://pubmed.ncbi.nlm.nih.gov/18412311/
Brief Description

The problem of rheumatoid arthritis disease activity and remission in clinical practice

Link https://pubmed.ncbi.nlm.nih.gov/20595267/
Brief Description

The Patient Activity Scale‐II is a generic indicator of active disease in patients with rheumatic disorders.

Link https://onlinelibrary.wiley.com/doi/full/10.1002/acr.20621
Brief Description

Review of disease activity measures in rheumatoid arthritis.

Instrument/Tool Translations References
No other References.
DEVELOPER CONTACT INFORMATION
Correspondence to Frederick Wolfe
E-Mail fwolfe@arthritis‐research.org 
Address National Data Bank for Rheumatic Diseases, Arthritis Research Center Foundation, 1035 North Emporia, Suite 288, Wichita, KS 67214
Website ---
Available ---
Links ---
DESCRIPTION OF THE INSTRUMENT
Type Of Measure Questionnaire
Brief Description

The PAS and PASII combine single measures into an overall continuous measure of rheumatoid arthritis (RA) disease activity. The PAS and PASII include a patient assessment of pain on a 10‐cm visual analog scale (VAS), patient global assessment of disease activity (PtGA) on a 10‐cm VAS, and the Health Assessment Questionnaire (HAQ) for the PAS or the Health Assessment Questionnaire‐II (HAQII) for the PASII.

Number of Items 3
Range 0-10
Responses options/scale Yes
0-10 VAS, HAQ
Developed for Clinical practice, Research
PRACTICAL APPLICATION
Method of administration Self-administered
Recommendations to score

The HAQ and HAQII range from 0–3. The patient assessment of pain and PtGA VAS both range from 0–10. The PAS is calculated by multiplying the HAQ by 3.33 and then dividing the sum of the VAS pain, PtGA, and HAQ by 3. For the PASII, the HAQ is replaced by the HAQII. 

PAS II = (A x 3.33 + B + C) / 3, where A = HAQ-II, calculated by averaging selected points from table below; B = VAS Pain; C = PtGA

Score Interpretation PAS= Remission 0.00-0.25, Low/minimal 0.26-3.70, Moderate 3.71-7.99, High/severe 8.00-10.00.
Cut-off points ---
Cut-off points applied to ---
Smallest detectable change if described ---
Smallest detectable change applied to ---
Completion time by the patient <3.5 minutes
Scoring time by the assessor <1 minutes
Training to score Not necessary
Strengths Easy to use, Useful in clinical practice & research
Limitations ---
OTHER COMMENTS
Other Comments ---