Perez-Chada Lourdes M, Singh Sanminder, Callis-Duffin Kristina, Garg Amit, Gottlieb Alice B, Latella John, Armstrong April W, Merola Joseph F
J Drugs Dermatol. 2017 Aug 1;16(8):770-777.
The International Dermatology Outcome Measures (IDEOM) Group was established to develop validated and standardized patient-centered outcome measures in dermatology that meet the needs of stakeholders and can be used in clinical practice as well as clinical research. At this meeting, we aimed to define the final core domain set to be assessed in psoriasis clinical research and to identify which of the current psoriasis assessment instruments appropriately address those domains. Specifically, we sought to ascertain stakeholder input on domain match and feasibility of multiple psoriasis instruments. We presented 19 physician-reported and 23 patient-reported outcome measures at the meeting. Stakeholders anonymously voted on the validity and feasibility of each instrument. Validity was rated as: green (good), amber (fair), red (poor), and white (not enough information). Feasibility was rated as: green (feasible), amber (concerns about some aspects of feasibility), red (not feasible), and white (not enough information). Eighteen physician-reported and 20 patient-reported instruments received a favorable green or amber rating for validity from the majority of voters. Seventeen physician-reported and 19 patient-reported instruments received a green or amber rating for feasibility from the majority of voters. A significant proportion of the psoriasis instruments received a good or fair vote for measuring their intended psoriasis domains in a feasible manner. We will continue to refine our voting methodology and incorporate patient input into our process of defining psoriasis domains and developing validated instruments.
J Drugs Dermatol. 2017;16(8):770-777.
.国际皮肤病学疗效指标(IDEOM)小组的成立旨在开发经过验证且标准化的、以患者为中心的皮肤病学疗效指标,以满足利益相关者的需求,并可用于临床实践和临床研究。在本次会议上,我们旨在确定银屑病临床研究中最终要评估的核心领域集,并确定当前哪些银屑病评估工具能够恰当地涵盖这些领域。具体而言,我们试图确定利益相关者对多个银屑病工具在领域匹配度和可行性方面的意见。我们在会议上展示了19项医生报告的和23项患者报告的疗效指标。利益相关者对每项工具的有效性和可行性进行了匿名投票。有效性的评级为:绿色(良好)、琥珀色(尚可)、红色(较差)和白色(信息不足)。可行性的评级为:绿色(可行)、琥珀色(对某些可行性方面存在担忧)、红色(不可行)和白色(信息不足)。18项医生报告的和20项患者报告的工具在有效性方面获得了大多数投票者的绿色或琥珀色好评。17项医生报告的和19项患者报告的工具在可行性方面获得了大多数投票者的绿色或琥珀色评级。相当一部分银屑病工具在以可行的方式测量其预期的银屑病领域方面获得了良好或尚可的投票结果。我们将继续完善我们的投票方法,并将患者的意见纳入我们定义银屑病领域和开发经过验证的工具的过程中。
《皮肤药物学杂志》。2017年;16(8):770 - 777。