ASDAS (Ankylosing Spondylitis Disease Activity Score)

Ankylosing Spondylitis Disease Activity Score (ASDAS) from four 0–10 patient items plus CRP (mg/L, preferred) or ESR (mm/h), banded inactive / low / high / very-high.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Back pain
4
Morning stiffness
3
Patient global
5
Peripheral pain/swelling
2
CRP
10 mg/L

Result: ASDAS-CRP 2.74 — high disease activity (2.1–3.5).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Cutoffs
inactive < 1.3, low 1.3–<2.1, high 2.1–3.5, very high > 3.5; a change ≥ 1.1 is clinically important, ≥ 2.0 a major improvement.

What you enter

  • Back pain (0–10)
  • Morning stiffness (0–10)
  • Patient global (0–10)
  • Peripheral pain/swelling (0–10)
  • CRP (preferred)
  • ESR (if no CRP)
How this is calculated
Formula
ASDAS-CRP = 0.12·back pain + 0.06·morning stiffness + 0.11·patient global + 0.07·peripheral pain + 0.58·ln(CRP+1); CRP in mg/L floored to 2. ASDAS-ESR uses 0.08/0.07/0.11/0.09 + 0.29·√ESR.

Lukas C, Landewé R, Sieper J, et al. Development of an ASAS-endorsed disease activity score (ASDAS) in patients with ankylosing spondylitis. Ann Rheum Dis. 2009;68(1):18-24. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.