BASDAI (Ankylosing Spondylitis Disease Activity)

Bath Ankylosing Spondylitis Disease Activity Index (BASDAI, 0–10) from six 0–10 items (the two morning-stiffness items averaged); ≥ 4 suggests active disease.

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

Example

Fatigue
4
Spinal pain
6
Peripheral joint pain/swelling
2
Enthesitis
3
Morning-stiffness severity
5
Morning-stiffness duration
7

Result: BASDAI 4.2 — active disease (≥ 4).

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

What the result means

Threshold
BASDAI ≥ 4 suggests active / suboptimally controlled axial spondyloarthritis; below 4 is lower activity.

What you enter

  • Fatigue (0–10)
  • Spinal pain (0–10)
  • Peripheral joint pain/swelling (0–10)
  • Enthesitis (0–10)
  • Morning-stiffness severity (0–10)
  • Morning-stiffness duration (0–10)
How this is calculated
Formula
Six 0–10 items; BASDAI = [Q1 + Q2 + Q3 + Q4 + (Q5 + Q6)/2] / 5. The two morning-stiffness items (Q5, Q6) are averaged before being added, not summed flat.

Garrett S, Jenkinson T, Kennedy LG, Whitelock H, Gaisford P, Calin A. A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol. 1994;21(12):2286-2291. 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.