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The overall picture of impairments, limitations, and restrictions in activities or social participation for patients with SpA is not adequately assessed in SpA-specific instruments. Therefore, it is important to measure the broader range of impairments that can affect patients with SpA and integrate these into a single measure of overall functioning in daily life. The Assessment of SpondyloArthritis international Society Health Index (ASAS HI) is a recently introduced health instrument for evaluating SpA based on the International Classification of Functioning, Disability and Health (ICF) that could cover a good part of the health metric needs in SpA. This review addresses its origins, measurement properties, and use in routine clinical practice, as well as its prospects for future use.<\/jats:p>","DOI":"10.3899\/jrheum.200586","type":"journal-article","created":{"date-parts":[[2021,8,15]],"date-time":"2021-08-15T13:05:13Z","timestamp":1629032713000},"page":"8-15","source":"Crossref","is-referenced-by-count":14,"title":["The ASAS Health Index: A New Era for Health Impact Assessment in Spondyloarthritis"],"prefix":"10.3899","volume":"49","author":[{"given":"Sara","family":"Alonso","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isla","family":"Morante","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercedes","family":"Alperi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8418-7145","authenticated-orcid":false,"given":"Rub\u00e9n","family":"Queiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2262","published-online":{"date-parts":[[2021,8,15]]},"reference":[{"key":"2024092708501828000_49.1.8.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60071-8"},{"key":"2024092708501828000_49.1.8.2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2009.108233"},{"key":"2024092708501828000_49.1.8.3","doi-asserted-by":"crossref","first-page":"1320","DOI":"10.1002\/acr.22831","article-title":"Global prevalence of spondyloarthritis: a systematic review and meta-regression analysis","volume":"68","author":"Stolwijk","year":"2016","journal-title":"Arthritis Care Res"},{"key":"2024092708501828000_49.1.8.4","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem084"},{"key":"2024092708501828000_49.1.8.5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0123582"},{"key":"2024092708501828000_49.1.8.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2008.08.010"},{"key":"2024092708501828000_49.1.8.7","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.081015"},{"key":"2024092708501828000_49.1.8.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2014.10.004"},{"key":"2024092708501828000_49.1.8.9","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1111\/1756-185X.13299","article-title":"A cross-sectional study on factors associated with patient\u2013physician discordance in global assessment of patients with axial spondyloarthritis: an Asian perspective","volume":"21","author":"Wang","year":"2018","journal-title":"Int J Rheum Dis"},{"key":"2024092708501828000_49.1.8.10","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2015-208251"},{"key":"2024092708501828000_49.1.8.11","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1097\/RHU.0000000000000589","article-title":"Patient burden of axial spondyloarthritis","volume":"23","author":"Strand","year":"2017","journal-title":"J Clin Rheumatol"},{"key":"2024092708501828000_49.1.8.12","doi-asserted-by":"crossref","first-page":"733","DOI":"10.2147\/PPA.S162420","article-title":"Patient-reported outcomes in European spondyloarthritis patients: a systematic review of the literature","volume":"12","author":"Torre-Alonso","year":"2018","journal-title":"Patient Prefer Adherence"},{"key":"2024092708501828000_49.1.8.13","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1186\/s13075-018-1784-8","article-title":"Factors related to health-related quality of life in ankylosing spondylitis, overall and stratified by sex","volume":"20","author":"Law","year":"2018","journal-title":"Arthritis Res Ther"},{"key":"2024092708501828000_49.1.8.14","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s11926-019-0819-8","article-title":"The European Map of Axial Spondyloarthritis: capturing the patient perspective\u2013an analysis of 2846 patients across 13 countries","volume":"21","author":"Garrido-Cumbrera","year":"2019","journal-title":"Curr Rheumatol Rep"},{"key":"2024092708501828000_49.1.8.15","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.160825"},{"key":"2024092708501828000_49.1.8.16","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.rdc.2020.01.017","article-title":"(Health-related) quality of life as an outcome in studies of axial spondyloarthritis","volume":"46","author":"Kiltz","year":"2020","journal-title":"Rheum Dis Clin North Am"},{"key":"2024092708501828000_49.1.8.17","unstructured":"World Health Organisation (WHO) . 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