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🦴 DAS28-ESR (Rheumatoid Arthritis Activity)

Measure rheumatoid arthritis disease activity with DAS28-ESR.

DAS28-ESR (Rheumatoid Arthritis Activity)

Tender joint count (0–28)
Swollen joint count (0–28)
ESR (mm/h)
Patient global health (0–100) (mm)

When to use

Treat-to-target management of rheumatoid arthritis.

How it works

0.56·√TJC28 + 0.28·√SJC28 + 0.70·ln(ESR) + 0.014·global health. < 2.6 remission, > 5.1 high.

Key points

  • ESR and CRP versions are not interchangeable.
  • Track the same version over time.
  • Drives escalation/de-escalation of therapy.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

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