Hospital Universitario Severo Ochoa, Madrid, Spain.
J Rheumatol. 2011 Sep;38(9):2063-7. doi: 10.3899/jrheum.110425.
This article reports the most recent work of the Outcome Measures in Rheumatology (OMERACT) Ultrasound Task Force, and highlights the future research priorities discussed at the OMERACT 10 meeting. Results of the following studies were presented: (1) intra- and interobserver reliability of ultrasound detecting and scoring synovitis in different joints of patients with rheumatoid arthritis (RA); (2) systematic review of previous ultrasound scoring systems of synovitis in RA; (3) enthesitis systematic review and Delphi definition exercise in spondyloarthritis enthesitis; (4) enthesitis intra- and interobserver reliability exercise; and (5) Delphi definition exercise in hand osteoarthritis, and reliability exercises. Study conclusions were discussed, and a future research agenda was approved, notably further validation of an OMERACT ultrasound global synovitis score (GLOSS) in RA, emphasizing the importance of testing feasibility, predictive value, and added value over standard clinical variables. Future research areas will include validating scoring systems for enthesitis and osteoarthritis, and testing the metric qualities of ultrasound for evaluating tenosynovitis and structural damage in RA.
本文报道了风湿病疗效评价（OMERACT）超声工作组的最新工作，并重点介绍了在 OMERACT10 会议上讨论的未来研究重点。呈现了以下研究结果：（1）类风湿关节炎（RA）患者不同关节超声检测和滑膜炎评分的观察者内和观察者间可靠性；（2）RA 滑膜炎超声评分系统的系统评价；（3）脊柱关节炎肌腱端炎的系统评价和德尔菲定义练习；（4）肌腱端炎观察者内和观察者间可靠性练习；（5）手骨关节炎的德尔菲定义练习和可靠性练习。对研究结论进行了讨论，并批准了未来的研究议程，特别是进一步验证 RA 的 OMERACT 超声整体滑膜炎评分（GLOSS），强调了测试可行性、预测值和相对于标准临床变量的附加值的重要性。未来的研究领域将包括验证肌腱端炎和骨关节炎的评分系统，以及测试超声评估 RA 肌腱滑膜炎和结构损伤的度量质量。
