Evaluation of a Romanian version of the Bath Ankylosing Spondylitis Functional Index (BASFI) in patients with spondylarthropathies.
OBJECTIVE
To develop a Romanian version of the Bath Ankylosing Spondylitis Functional Index (BASFI) and to determine its metric properties in patients with spondylarthropathies (SpA).


METHODS
A Romanian version of BASFI was obtained after translation, back-translation and pretesting. Altogether 41 SpA patients fulfilling the ESSG criteria were included, 34 of them satisfying the modified New York criteria for ankylosing spondylitis. BASFI was completed by the patients along with assessment of clinical and disease activity variables by both the patient and physician. Scalability, internal consistency, reliability and construct validity of the Romanian BASFI were assessed.


RESULTS
Mean time to complete the questionnaire was 2 minutes. Scalability (0.2-9.7, 95% of the scale), internal consistency (Cronbach's alpha = 0.93), reliability (intraclass correlation coefficient = 0.82) and construct validity (correlations (absolute value(r) = 0.37-0.59) with spinal pain, nocturnal pain, patient's and physician's global assessment, fingers-to-floor distance, occiput-to-wall distance, modified Schober test, intermalleolar distance, and Dougados articular index) were all very satisfactory.


CONCLUSIONS
Translation and cultural differences did not alter the well-known value of BASFI. Therefore, the Romanian version of BASFI is reproducible and valid for the assessment of patients with spondylarthropathies.
Udrea
Gabriela
G
Department of Internal Medicine and Rheumatology, Ion Cantacuzino Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. gabiudrea@yahoo.com
Ciobanu
Cristina
C
Mihai
Carina
C
Stoica
V
V
Suteanu
St
S
van der Heijde
Désirée
D
van der Linden
S
S
D000203:Activities of Daily Living / Q000145:classification*; D000328:Adult; D000368:Aged; D003466:Cultural Characteristics; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D015203:Reproducibility of Results; D012383:Romania / Q000453:epidemiology; D012720:Severity of Illness Index; D025242:Spondylarthropathies / Q000453:epidemiology / Q000503:physiopathology*; D014177:Translations