BASDAI Score Calculator: Ankylosing Spondylitis (AS)

Measuring Disease Activity

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BASDAI Score
NOTE: This BASDAI Calculator is not intended to substitute for professional medical diagnosis. Please consult your physician or Doctor for personalized medical advice. Always seek the advice of a physician or other qualified healthcare provider with any questions regarding a medical condition.   The BASDAI Score Calculator assesses disease activity in patients with Ankylosing Spondylitis (AS). It helps measure the severity of symptoms such as pain, stiffness, and fatigue on a scale to guide treatment decisions.

What is BASDAI Score Calculator

The BASDAI Score Calculator is a tool used to assess disease activity in Ankylosing Spondylitis (AS) patients.
  • It stands for Bath Ankylosing Spondylitis Disease Activity Index.
  • The calculator evaluates various symptoms, including pain, stiffness, fatigue, and other related factors.
  • It provides a numeric score that reflects the severity of disease activity in AS patients.
  • The BASDAI score aids healthcare professionals in making treatment decisions and monitoring the progression of the condition.
Meaning

Bath Ankylosing Spondylitis Disease Activity Index – BASDAI score meaning

The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) is a tool used to assess disease activity in Ankylosing Spondylitis (AS) patients.
  • It evaluates symptoms such as pain, stiffness, fatigue, and discomfort experienced by the patient.
  • The BASDAI score is a numerical value that indicates the severity of disease activity in AS patients.
  • A higher BASDAI score suggests more active disease and greater symptom burden.
  • Healthcare professionals use the BASDAI score to guide treatment decisions and monitor the effectiveness of interventions over time.
Formula

BASDAI Score Formula

The BASDAI (Bath Ankylosing Spondylitis Disease Activity Index) score is calculated using the following formula:
BASDAI = ( (Q1 + Q2 + Q3 + Q4) + ( (Q5 + Q6) /2) ) )/ 5
where:
  • Q1 refers to the score of the first question related to fatigue.
  • Q2 refers to the score of the second question related to spinal pain.
  • Q3 refers to the score of the third question related to joint pain and swelling.
  • Q4 refers to the score of the fourth question related to areas of localized tenderness.
  • Q5 refers to the score of the fifth question related to the severity of morning stiffness.
  • Q6 refers to the score of the sixth question related to the overall patient’s well-being.
Each question can be scored from 0 to 10 points, and the total BASDAI score can range from 0 to 10 points.
Interpretation

BASDAI Score Interpretation

Compare this week’s BASDAI score to your previous scores to see if your disease has been more or less active. Consider keeping track of your scores and discussing the scores with your healthcare provider.  
BASDAI Score Interpretation
< 1.4  – < 2 Remission
< 2.8  –  < 4 Low disease activity
> 5.9 High disease activity

Lower score indicates less disease activity, higher score indicates more disease activity. The higher the BASDAI score, the greater the disease activity.

Please note these score ranges have been updated to reflect the most current peer-reviewed literature presented at ACR 2024.

In peer reviewed literature, BASDAI values of <1.4 through <2 have been considered remission. <2.8 through <4 have been considered low disease activity. >5.9 have been considered high disease activity.  

References:
  1. Defining BASDAI Cut-offs for Disease Activity States in Axial Spondylarthritis – Results from the EuroSpA Collaboration. Stylianos Georgiadis, Lykke Oernbjerg, Brigitte Michelsen, Tore K. Kvien, Simon Horskjær Rasmussen, Jakub Závada, Kristýna Bubová, Bente Glintborg, Anne Gitte Loft, Ana Maria Rodrigues, Maria Jose Santos, Adrian Ciurea11, Michael Nissen, Laura Kuusalo, Jarno Rutanen, Ziga Rotar, Katja Perdan-Pikmajer, Bjorn Gudbjornsson, Olafur Palsson, Daniela DiGuiseppe, Mikkel Ostergaard and Merete Hetland. Abstract Session 0818 ACR Conference 2024. November 16, 2024.  DOI
Benefits

BASDAI Score Calculator Benefits

Here are BASDAI Score Calculator Benefits.
  • Provides a quantitative assessment of disease activity in patients with ankylosing spondylitis.
  • Helps clinicians monitor disease progression and response to treatment over time.
  • Facilitates treatment decision-making by identifying patients who may benefit from a change in therapy or enrollment in clinical trials.
  • Offers a standardized and objective tool for evaluating disease activity, leading to better communication and understanding between healthcare providers and patients.
Summary BASDAI Score Calculator is a valuable tool to assess disease activity in ankylosing spondylitis patients, guiding treatment decisions and clinical management. References:
  1. Monitoring of disease activity with a smartphone app in routine clinical care in patients with axial spondyloarthritis. Robin Kempin, Jutta G. Richter, Anna Schlegel, Xenofon Baraliakos, Styliani Tsiami, Bjoern Buehring, David Kiefer, Juergen Braun and Uta Kiltz. The Journal of Rheumatology April 2022, jrheum.211116; DOI
  2. Axial spondyloarthritis treatment recommendations and disease activity monitoring in clinical practice – results of an online survey. Stephanie Sinnappan, Alexandra Forte and Joerg Ermann. The Journal of Rheumatology January 2024, jrheum.2023-0894; DOI