The OMERACT Stepwise Approach to Select and Develop Imaging Outcome Measurement Instruments: The Musculoskeletal Ultrasound Example
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The OMERACT Stepwise Approach to Select and Develop Imaging Outcome Measurement Instruments : The Musculoskeletal Ultrasound Example. / Terslev, Lene; Naredo, Esperanza; Keen, Helen I; Bruyn, George A W; Iagnocco, Annamaria; Wakefield, Richard J; Conaghan, Philip G; Maxwell, Lara J; Beaton, Dorcas E; Boers, Maarten; D'Agostino, Maria-Antonietta.
I: Journal of Rheumatology, Bind 46, Nr. 10, 2019, s. 1394-1400.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The OMERACT Stepwise Approach to Select and Develop Imaging Outcome Measurement Instruments
T2 - The Musculoskeletal Ultrasound Example
AU - Terslev, Lene
AU - Naredo, Esperanza
AU - Keen, Helen I
AU - Bruyn, George A W
AU - Iagnocco, Annamaria
AU - Wakefield, Richard J
AU - Conaghan, Philip G
AU - Maxwell, Lara J
AU - Beaton, Dorcas E
AU - Boers, Maarten
AU - D'Agostino, Maria-Antonietta
PY - 2019
Y1 - 2019
N2 - OBJECTIVE: To describe the Outcome Measures in Rheumatology (OMERACT) stepwise approach to select and develop an imaging instrument with musculoskeletal ultrasound (US) as an example.METHODS: The OMERACT US Working Group (WG) developed a 4-step process to select instruments based on imaging. Step 1 applies the OMERACT Framework Instrument Selection Algorithm (OFISA) to existing US outcome measurement instruments for a specific indication. This step requires a literature review focused on the truth, discrimination, and feasibility aspects of the instrument for the target pathology. When the evidence is completely unsatisfactory, Step 2 is a consensus process to define the US characteristics of the target pathology including one or more so-called "elementary lesions". Step 3 applies the agreed definitions to the image, evaluates their reliability, develops a severity grading of the lesion(s) at a given anatomical site, and evaluates the effect of the acquisition technique on feasibility and lesion(s) detection. Step 4 applies and assesses the definition(s) and scoring system(s) in cross-sectional studies and multicenter trials. The imaging instrument is now ready to pass a final OFISA check.RESULTS: With this process in place, the US WG now has 18 subgroups developing US instruments in 10 different diseases. Half of them have passed Step 3, and the groups for enthesitis (spondyloarthritis, psoriatic arthritis), synovitis, and tenosynovitis (rheumatoid arthritis) have finished Step 4.CONCLUSION: The US WG approach to select and develop outcome measurement instruments based on imaging has been repeatedly and successfully applied in US, but is generic for imaging and fits with OMERACT Filter 2.1.
AB - OBJECTIVE: To describe the Outcome Measures in Rheumatology (OMERACT) stepwise approach to select and develop an imaging instrument with musculoskeletal ultrasound (US) as an example.METHODS: The OMERACT US Working Group (WG) developed a 4-step process to select instruments based on imaging. Step 1 applies the OMERACT Framework Instrument Selection Algorithm (OFISA) to existing US outcome measurement instruments for a specific indication. This step requires a literature review focused on the truth, discrimination, and feasibility aspects of the instrument for the target pathology. When the evidence is completely unsatisfactory, Step 2 is a consensus process to define the US characteristics of the target pathology including one or more so-called "elementary lesions". Step 3 applies the agreed definitions to the image, evaluates their reliability, develops a severity grading of the lesion(s) at a given anatomical site, and evaluates the effect of the acquisition technique on feasibility and lesion(s) detection. Step 4 applies and assesses the definition(s) and scoring system(s) in cross-sectional studies and multicenter trials. The imaging instrument is now ready to pass a final OFISA check.RESULTS: With this process in place, the US WG now has 18 subgroups developing US instruments in 10 different diseases. Half of them have passed Step 3, and the groups for enthesitis (spondyloarthritis, psoriatic arthritis), synovitis, and tenosynovitis (rheumatoid arthritis) have finished Step 4.CONCLUSION: The US WG approach to select and develop outcome measurement instruments based on imaging has been repeatedly and successfully applied in US, but is generic for imaging and fits with OMERACT Filter 2.1.
U2 - 10.3899/jrheum.181158
DO - 10.3899/jrheum.181158
M3 - Journal article
C2 - 30877208
VL - 46
SP - 1394
EP - 1400
JO - Journal of Rheumatology
JF - Journal of Rheumatology
SN - 0315-162X
IS - 10
ER -
ID: 241011983