The minimal clinically important difference in
the modified total Sharp score is reported to be
4.6 points,21 which is 1% of the maximum score.
In our study, the differences in the modified total
Sharp score were smaller than the minimal
clinically important difference and less than 1%
of the maximum score. The range of changes observed
was similar to those observed in other
studies of biologic DMARDs.10,22-24