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Journal Articles Journal of Rheumatology Year : 2014

Responsiveness in Rheumatoid Arthritis. A Report from the OMERACT 11 Ultrasound Workshop

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Annamaria Iagnocco
Esperanza Naredo
  • Function : Author
George A. W. Bruyn
  • Function : Author
Paz Collado
  • Function : Author
Stephanie Finzel
  • Function : Author
Sarah Ohrndorf
  • Function : Author
Andrea Delle Sedie
Marina Backhaus
  • Function : Author
Hilde Berner-Hammer
  • Function : Author
Gurjit Kaeley
  • Function : Author
Lene Terslev
  • Function : Author
Sibel Aydin
  • Function : Author
Peter V. Balint
  • Function : Author
Emilio Filippucci
  • Function : Author
Peter Mandl
Carlos Pineda
  • Function : Author
Silvia Magni-Manzoni
Niolay Tzaribachev
  • Function : Author
Wolfgang A. Schmidt
  • Function : Author
Philip G. Conaghan
  • Function : Author
Maria-Antonietta d'Agostino

Abstract

Objective. To summarize the work performed by the Outcome Measures in Rheumatology (OMERACT) Ultrasound (US) Task Force on the validity of different US measures in rheumatoid arthritis (RA) and juvenile idiopathic arthritis (JIA) presented during the OMERACT 11 Workshop. Methods. The Task Force is an international group aiming to iteratively improve the role of US in arthritis clinical trials. Recently a major focus of the group has been the assessment of responsiveness of a person-level US synovitis score in RA: the US Global Synovitis Score (US-GLOSS) combines synovial hypertrophy and power Doppler signal in a composite score detected at joint level. Work has also commenced examining assessment of tenosynovitis in RA and the role of US in JIA Results. The US-GLOSS was tested in a large RA cohort treated with biologic therapy. It showed early signs of improvement in synovitis starting at Day 7 and increasing to Month 6, and demonstrated sensitivity to change of the proposed grading. Subsequent voting questions concerning the application of the US-GLOSS were endorsed by > 80% of OMERACT delegates. A standardized US scoring system for detecting and grading severity of RA tenosynovitis and tendon damage has been developed, and acceptable reliability data were presented from a series of exercises. A preliminary consensus definition of US synovitis in pediatric arthritis has been developed and requires further testing. Conclusion. At OMERACT 11, consensus was achieved on the application of the US-GLOSS for evaluating synovitis in RA; and work continues on development of RA tenosynovitis scales as well as in JIA synovitis.

Dates and versions

hal-01453194 , version 1 (02-02-2017)

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Cite

Annamaria Iagnocco, Esperanza Naredo, Richard Wakefield, George A. W. Bruyn, Paz Collado, et al.. Responsiveness in Rheumatoid Arthritis. A Report from the OMERACT 11 Ultrasound Workshop. Journal of Rheumatology, 2014, 41 (2), pp.379-382. ⟨10.3899/jrheum.131084⟩. ⟨hal-01453194⟩
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