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Updating the OMERACT Filter: Implications for Imaging and Soluble Biomarkers

M. d'Agostino John d'Agostino Maarten Boers 1 John Kirwan Desireé van der Heijde 2 Mikkel Ostergaard 3 Georg Schett 4 Robert Landewé 5 Walter Maksymowych 6 Esperanza Naredo 7 Maxime Dougados 8 Annamaria Iagnocco 9 Clifton Bingham Peter Brooks 10 Dorcas Beaton 11 Frédérique Gandjbakhch 12 Laure Gossec 13 Francis Guillemin 14, 15 Sarah Hewlett Margreet Kloppenburg 16 Lyn March 17 Philip Mease Ingrid Möller 18 Lee Simon Jasvinder Singh Vibeke Strand 19 Richard Wakefield 20 George Wells 21 Peter Tugwell 21 Philip Conaghan 22
Abstract : OBJECTIVE: The Outcome Measures in Rheumatology (OMERACT) Filter provides a framework for the validation of outcome measures for use in rheumatology clinical research. However, imaging and biochemical measures may face additional validation challenges because of their technical nature. The Imaging and Soluble Biomarker Session at OMERACT 11 aimed to provide a guide for the iterative development of an imaging or biochemical measurement instrument so it can be used in therapeutic assessment. METHODS: A hierarchical structure was proposed, reflecting 3 dimensions needed for validating an imaging or biochemical measurement instrument: outcome domain(s), study setting, and performance of the instrument. Movement along the axes in any dimension reflects increasing validation. For a given test instrument, the 3-axis structure assesses the extent to which the instrument is a validated measure for the chosen domain, whether it assesses a patient-centered or disease-centered variable, and whether its technical performance is adequate in the context of its application. Some currently used imaging and soluble biomarkers for rheumatoid arthritis, spondyloarthritis, and knee osteoarthritis were then evaluated using the original OMERACT Filter and the newly proposed structure. Breakout groups critically reviewed the extent to which the candidate biomarkers complied with the proposed stepwise approach, as a way of examining the utility of the proposed 3-dimensional structure. RESULTS: Although there was a broad acceptance of the value of the proposed structure in general, some areas for improvement were suggested including clarification of criteria for achieving a certain level of validation and how to deal with extension of the structure to areas beyond clinical trials. CONCLUSION: General support was obtained for a proposed tri-axis structure to assess validation of imaging and soluble biomarkers; nevertheless, additional work is required to better evaluate its place within the OMERACT Filter 2.0.
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M. d'Agostino, John d'Agostino, Maarten Boers, John Kirwan, Desireé van der Heijde, et al.. Updating the OMERACT Filter: Implications for Imaging and Soluble Biomarkers. Journal of Rheumatology, Journal of Rheumatology Publishing Company Limited, 2014, 41 (5), pp.1016 - 1024. ⟨10.3899/jrheum.131313⟩. ⟨hal-01809362⟩



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