Minimal Disease Activity (MDA, Psoriatic Arthritis)

Minimal Disease Activity (MDA) in psoriatic arthritis (Coates 2010).

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

Example

Tender joint count (68-joint) <= 1
Yes
Swollen joint count (66-joint) <= 1
Yes
PASI <= 1 or body surface area <= 3%
Yes
Patient pain <= 15 on a 0-100 mm VAS
Yes
Patient global disease activity <= 20 on a 0-100 mm VAS
Yes
HAQ <= 0.5
Yes

Result: MDA 6/7 — in Minimal Disease Activity (>= 5 of 7).

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

What the result means

7 criteria
TJC68 <= 1, SJC66 <= 1, PASI <= 1 or BSA <= 3%, pain <= 15 (0-100 mm), global <= 20 (0-100 mm), HAQ <= 0.5, tender entheseal points <= 1.
>= 5 of 7
Minimal Disease Activity (MDA), a treat-to-target state.
7 of 7
Very Low Disease Activity (VLDA), a more stringent target.

What you enter

  • Tender joint count (68-joint) <= 1
  • Swollen joint count (66-joint) <= 1
  • PASI <= 1 or body surface area <= 3%
  • Patient pain <= 15 on a 0-100 mm VAS
  • Patient global disease activity <= 20 on a 0-100 mm VAS
  • HAQ <= 0.5
  • Tender entheseal points <= 1
How this is calculated

Coates LC, Fransen J, Helliwell PS. Defining minimal disease activity in psoriatic arthritis: a proposed objective target for treatment. Ann Rheum Dis. 2010;69(1):48-53. 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.