MDCalc

Patient Activity Scale II (PAS II) for RA

Quantifies severity of rheumatoid arthritis (RA) and has fewer questions than PAS.

Note: The PAS II is an alternative to the PAS. PAS II uses a slightly different questionnaire with fewer questions than the original PAS, though the overall accuracy of the two is the same.

Health Assessment Questionnaire Disability Index II (HAQ-II)

Is the patient able to:

Stand up from a straight chair
Walk outdoors on flat ground
Get on and off the toilet
Reach and get down a 5-pound object (such as a bag of sugar) from just above the head
Open car doors
Do outside work (such as yard work)
Wait in a line for 15 minutes
Lift heavy objects
Move heavy objects
Go up 2 or more flights of stairs

Pain Visual Analog Scale

Ask patient to rate pain on a scale of 0-10, where 10 is the worst pain imaginable

Patient Global Assessment of Disease Activity

Ask patient to rate how well they are doing in the past week considering all the ways their disease affects them on a scale of 0-10, where 10 is the worst

Result:

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Advice
  • Interpret results alongside clinical findings and laboratory data to guide treatment decisions.
  • Use the score to support shared decision-making and discussions around treatment goals and symptom burden.
  • If moderate or high activity is indicated, reassess the current RA treatment regimen and consider escalation of therapy.
  • Evaluate for comorbid, noninflammatory conditions if scores remain persistently elevated.
  • Repeat the score regularly to track treatment effectiveness and disease control.