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Medientyp:
E-Artikel
Titel:
2019 American College of Rheumatology Recommended Patient‐Reported Functional Status Assessment Measures in Rheumatoid Arthritis
Beteiligte:
Barber, Claire E. H.;
Zell, JoAnn;
Yazdany, Jinoos;
Davis, Aileen M.;
Cappelli, Laura;
Ehrlich‐Jones, Linda;
Everix, Donna;
Thorne, J. Carter;
Bohm, Victoria;
Suter, Lisa;
Limanni, Alex;
Michaud, Kaleb
Erschienen:
Wiley, 2019
Erschienen in:Arthritis Care & Research
Sprache:
Englisch
DOI:
10.1002/acr.24040
ISSN:
2151-4658;
2151-464X
Entstehung:
Anmerkungen:
Beschreibung:
<jats:sec><jats:title>Objective</jats:title><jats:p>To develop American College of Rheumatology (ACR) recommendations for patient‐reported Functional Status Assessment Measures (<jats:styled-content style="fixed-case">FSAM</jats:styled-content>s) for use in routine clinical practice in patients with rheumatoid arthritis (<jats:styled-content style="fixed-case">RA</jats:styled-content>).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We convened a workgroup to conduct a systematic review of published literature through March 16, 2017 and abstract <jats:styled-content style="fixed-case">FSAM</jats:styled-content> properties. Based upon initial search results and clinical input, we focused on the following <jats:styled-content style="fixed-case">FSAM</jats:styled-content>s appropriate for routine clinical use: the Health Assessment Questionnaire (<jats:styled-content style="fixed-case">HAQ</jats:styled-content>) and derived measures and the Patient‐Reported Outcomes Measurement Information System (<jats:styled-content style="fixed-case">PROMIS</jats:styled-content>) tool. We used the Consensus‐Based Standards for the Selection of Health Measurement Instruments (COSMIN) 4‐point scoring method to evaluate each <jats:styled-content style="fixed-case">FSAM</jats:styled-content>, allowing for overall level of evidence assessment. We identified <jats:styled-content style="fixed-case">FSAM</jats:styled-content>s fulfilling a predefined minimum standard and, through a modified Delphi process, selected preferred <jats:styled-content style="fixed-case">FSAM</jats:styled-content>s for regular use in most clinic settings.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The search identified 11,835 articles, of which 56 were included in the review. Descriptions of the measures, properties, study quality, level of evidence, and feasibility were abstracted and scored. Following a modified Delphi process, 7 measures fulfilled the minimum standard for regular use in most clinic settings, and 3 measures were recommended: the <jats:styled-content style="fixed-case">PROMIS</jats:styled-content> physical function 10‐item short form (<jats:styled-content style="fixed-case">PROMIS PF</jats:styled-content>10a), the <jats:styled-content style="fixed-case">HAQ</jats:styled-content>‐<jats:styled-content style="fixed-case">II</jats:styled-content>, and the Multidimensional <jats:styled-content style="fixed-case">HAQ</jats:styled-content>.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>This work establishes <jats:styled-content style="fixed-case">ACR</jats:styled-content> recommendations for preferred <jats:styled-content style="fixed-case">RA FSAM</jats:styled-content>s for regular use in most clinic settings. These results will inform clinical practice and can support future <jats:styled-content style="fixed-case">ACR</jats:styled-content> quality measure development as well as highlight ongoing research needs.</jats:p></jats:sec>