Literature DB >> 28089972

A Preliminary Core Domain Set for Clinical Trials of Shoulder Disorders: A Report from the OMERACT 2016 Shoulder Core Outcome Set Special Interest Group.

Rachelle Buchbinder1,2, Matthew J Page3,4, Hsiaomin Huang3,4, Arianne P Verhagen3,4, Dorcas Beaton3,4, Christian Kopkow3,4, Mario Lenza3,4, Nitin B Jain3,4, Bethan Richards3,4, Pamela Richards3,4, Marieke Voshaar3,4, Danielle van der Windt3,4, Joel J Gagnier3,4.   

Abstract

OBJECTIVE: The Outcome Measures in Rheumatology (OMERACT) Shoulder Core Outcome Set Special Interest Group (SIG) was established to develop a core outcome set (COS) for clinical trials of shoulder disorders.
METHODS: In preparation for OMERACT 2016, we systematically examined all outcome domains and measurement instruments reported in 409 randomized trials of interventions for shoulder disorders published between 1954 and 2015. Informed by these data, we conducted an international Delphi consensus study including shoulder trial experts, clinicians, and patients to identify key domains that should be included in a shoulder disorder COS. Findings were discussed at a stakeholder premeeting of OMERACT. At OMERACT 2016, we sought consensus on a preliminary core domain set and input into next steps.
RESULTS: There were 13 and 15 participants at the premeeting and the OMERACT 2016 SIG meeting, respectively (9 attended both meetings). Consensus was reached on a preliminary core domain set consisting of an inner core of 4 domains: pain, physical function/activity, global perceived effect, and adverse events including death. A middle core consisted of 3 domains: emotional well-being, sleep, and participation (recreation and work). An outer core of research required to inform the final COS was also formulated.
CONCLUSION: Our next steps are to (1) analyze whether participation (recreation and work) should be in the inner core, (2) conduct a third Delphi round to finalize definitions and wording of domains and reach final endorsement for the domains, and (3) determine which instruments fulfill the OMERACT criteria for measuring each domain.

Entities:  

Keywords:  CORE OUTCOME SET; OUTCOME MEASUREMENT; SHOULDER; TRIALS

Mesh:

Year:  2017        PMID: 28089972     DOI: 10.3899/jrheum.161123

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


  13 in total

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