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开发一种综合结局工具来衡量抗中性粒细胞胞浆抗体相关性血管炎的治疗反应:来自 OMERACT 2020 的混合方法研究。

Developing a composite outcome tool to measure response to treatment in ANCA-associated vasculitis: A mixed methods study from OMERACT 2020.

机构信息

Systemic Autoimmunity Branch, National Institutes of Health, NIAMS, 10 Center Drive, Building 10, 10N Rm 311, Bethesda, MD 20892, United States.

Department of Rheumatology, Policlinico S. Matteo, IRCCS Fondazione, Pavia, Italy; University of Pavia, Pavia, Italy.

出版信息

Semin Arthritis Rheum. 2021 Oct;51(5):1134-1138. doi: 10.1016/j.semarthrit.2021.07.001. Epub 2021 Jul 8.

Abstract

OBJECTIVE

The Outcome Measures in Rheumatology (OMERACT) Vasculitis Working Group aims to develop composite response criteria for ANCA-Associated Vasculitis (AAV).

METHODS

The project follows the OMERACT approach for composite measures: (i) choose relevant domains; (ii) define high-quality instruments; (iii) decide on a scoring system approach; (iv) put through the OMERACT Filter 2.1 for validation.

RESULTS

A systematic literature review of outcome measures used in clinical trials in AAV and an international Delphi exercise among patients with AAV and clinician-investigators with expertise in AAV have been completed to inform the candidate domains/instruments for the composite response criteria, which are the first two steps in the OMERACT approach for developing composite measures. Results of the systematic literature review and Delphi were presented at the OMERACT 2020 virtual workshop, and feedback was received on the next steps of the project, including the development of a scoring system approach.

CONCLUSION

The ultimate goal of this project is to develop validated composite response criteria for use in clinical trials of AAV.

摘要

目的

风湿学中的结局测量(OMERACT)血管炎工作组旨在为抗中性粒细胞胞浆抗体相关性血管炎(AAV)制定综合反应标准。

方法

该项目遵循 OMERACT 综合措施方法:(i)选择相关领域;(ii)定义高质量的工具;(iii)决定评分系统方法;(iv)通过 OMERACT Filter 2.1 进行验证。

结果

已完成对 AAV 临床试验中使用的结局测量方法的系统文献回顾,以及对 AAV 患者和具有 AAV 专业知识的临床医生-研究者的国际德尔菲调查,以提供综合反应标准的候选领域/工具,这是开发综合措施的 OMERACT 方法的前两个步骤。系统文献回顾和德尔菲的结果在 OMERACT 2020 虚拟研讨会上进行了介绍,并收到了关于项目下一步的反馈,包括评分系统方法的开发。

结论

该项目的最终目标是为 AAV 的临床试验制定经过验证的综合反应标准。

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