Literature DB >> 26329344

Exploration, Development, and Validation of Patient-reported Outcomes in Antineutrophil Cytoplasmic Antibody-associated Vasculitis Using the OMERACT Process.

Joanna C Robson1, Nataliya Milman1, Gunnar Tomasson1, Jill Dawson1, Peter F Cronholm1, Katherine Kellom1, Judy Shea1, Susan Ashdown1, Maarten Boers1, Annelies Boonen1, George C Casey1, John T Farrar1, Don Gebhart1, Jeffrey Krischer1, Georgia Lanier1, Carol A McAlear1, Jacqueline Peck1, Antoine G Sreih1, Peter S Tugwell1, Raashid A Luqmani1, Peter A Merkel1.   

Abstract

OBJECTIVE: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a group of linked multisystem life- and organ-threatening diseases. The Outcome Measures in Rheumatology (OMERACT) vasculitis working group has been at the forefront of outcome development in the field and has achieved OMERACT endorsement of a core set of outcomes for AAV. Patients with AAV report as important some manifestations of disease not routinely collected through physician-completed outcome tools; and they rate common manifestations differently from investigators. The core set includes the domain of patient-reported outcomes (PRO). However, PRO currently used in clinical trials of AAV do not fully characterize patients' perspectives on their burden of disease. The OMERACT vasculitis working group is addressing the unmet needs for PRO in AAV.
METHODS: Current activities of the working group include (1) evaluating the feasibility and construct validity of instruments within the PROMIS (Patient-Reported Outcome Measurement Information System) to record components of the disease experience among patients with AAV; (2) creating a disease-specific PRO measure for AAV; and (3) applying The International Classification of Functioning, Disability and Health to examine the scope of outcome measures used in AAV.
RESULTS: The working group has developed a comprehensive research strategy, organized an investigative team, included patient research partners, obtained peer-reviewed funding, and is using a considerable research infrastructure to complete these interrelated projects to develop evidence-based validated outcome instruments that meet the OMERACT filter of truth, discrimination, and feasibility.
CONCLUSION: The OMERACT vasculitis working group is on schedule to achieve its goals of developing validated PRO for use in clinical trials of AAV.

Entities:  

Keywords:  ANCA; OUTCOMES; PATIENTS; VASCULITIS

Mesh:

Year:  2015        PMID: 26329344      PMCID: PMC4940036          DOI: 10.3899/jrheum.141143

Source DB:  PubMed          Journal:  J Rheumatol        ISSN: 0315-162X            Impact factor:   4.666


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