The OMERACT core domain set for outcome measures for clinical trials in polymyalgia rheumatica

Mackie, Sarah L., Twohig, Helen, Neill, Lorna M., Harrison, Eileen, Shea, Beverley, Black, Rachel J., Kermani, Tanaz A., Merkel, Peter A., Mallen, Christian D., Buttgereit, Frank, Mukhtyar, Chetan ORCID:, Simon, Lee S. and Hill, Catherine L. and OMERACT PMR Working Group (2017) The OMERACT core domain set for outcome measures for clinical trials in polymyalgia rheumatica. Journal of Rheumatology, 44 (10). pp. 1515-1521. ISSN 0315-162X

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OBJECTIVE: To inform development of a core domain set for outcome measures for clinical trials in polymyalgia rheumatica (PMR), we conducted patient consultations, a systematic review, a Delphi study, and 2 qualitative studies.   METHODS: Domains identified by 70% or more of physicians and/or patients in the Delphi study were selected. The conceptual framework derived from the 2 qualitative research studies helped inform the meaning of each domain and its relationship to the others. The draft core domain set was refined by further discussion with patients and physicians who had participated in the Delphi study. At the Outcome Measures in Rheumatology (OMERACT) 2016, the domains were discussed and prioritized by 8 breakout groups. Formal voting took place at the end of the workshop and in the final plenary.   RESULTS: Ninety-three percent of voters in the final plenary agreed that the inner core of domains considered mandatory for clinical trials of PMR should consist the following: laboratory markers of systemic inflammation, pain, stiffness, and physical function. Patient's global and fatigue were considered important but not mandatory (outer core). The research agenda included psychological impact, weakness, physical activity, participation, sleep, imaging, and health-related quality of life.   CONCLUSION: This core domain set was considered sufficiently well-defined that the next step will be to apply the OMERACT Filter 2.0 Instrument Selection Algorithm to select candidate instruments for a subsequent "deeper dive" into the data. This will allow instruments to be mapped onto each of our core domains to derive a core outcome set for PMR.

Item Type: Article
Uncontrolled Keywords: therapeutic use,clinical trials as topic,delphi technique,humans,outcome assessment (health care),drug therapy,quality of life,research design
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: LivePure Connector
Date Deposited: 27 Nov 2019 02:00
Last Modified: 07 Oct 2023 01:02
DOI: 10.3899/jrheum.161109

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