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The provisional OMERACT ultrasonography score for giant cell arteritis
C. Dejaco, C. Ponte, S. Monti, D. Rozza, CA. Scirè, L. Terslev, GAW. Bruyn, D. Boumans, W. Hartung, A. Hočevar, M. Milchert, UM. Døhn, CB. Mukhtyar, M. Aschwanden, P. Bosch, D. Camellino, S. Chrysidis, G. Ciancio, MA. D'Agostino, T. Daikeler, B....
Language English Country England, Great Britain
Document type Journal Article
NLK
ProQuest Central
from 1939-01-01 to 6 months ago
Health & Medicine (ProQuest)
from 1939-01-01 to 6 months ago
Family Health Database (ProQuest)
from 1939-01-01 to 6 months ago
ROAD: Directory of Open Access Scholarly Resources
- MeSH
- Temporal Arteries diagnostic imaging MeSH
- Carotid Intima-Media Thickness MeSH
- Humans MeSH
- Giant Cell Arteritis * diagnostic imaging MeSH
- Prospective Studies MeSH
- Reproducibility of Results MeSH
- Ultrasonography methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
OBJECTIVES: To develop an Outcome Measures in Rheumatology (OMERACT) ultrasonography score for monitoring disease activity in giant cell arteritis (GCA) and evaluate its metric properties. METHODS: The OMERACT Instrument Selection Algorithm was followed. Forty-nine members of the OMERACT ultrasonography large vessel vasculitis working group were invited to seven Delphi rounds. An online reliability exercise was conducted using images of bilateral common temporal arteries, parietal and frontal branches as well as axillary arteries from 16 patients with GCA and 7 controls. Sensitivity to change and convergent construct validity were tested using data from a prospective cohort of patients with new GCA in which ultrasound-based intima-media thickness (IMT) measurements were conducted at weeks 1, 3, 6, 12 and 24. RESULTS: Agreement was obtained (92.7%) for the OMERACT GCA Ultrasonography Score (OGUS), calculated as follows: sum of IMT measured in every segment divided by the rounded cut-off values of IMTs in each segment. The resulting value is then divided by the number of segments available. Thirty-five members conducted the reliability exercise, the interrater intraclass correlation coefficient (ICC) for the OGUS was 0.72-0.84 and the median intrareader ICC was 0.91. The prospective cohort consisted of 52 patients. Sensitivity to change between baseline and each follow-up visit up to week 24 yielded standardised mean differences from -1.19 to -2.16, corresponding to large and very large magnitudes of change, respectively. OGUS correlated moderately with erythrocyte sedimentation rate, C reactive protein and Birmingham Vasculitis Activity Score (corrcoeff 0.37-0.48). CONCLUSION: We developed a provisional OGUS for potential use in clinical trials.
Angiology University Hospital Basel Basel Switzerland
Arcispedale Santa Maria Nuova Reggio Emilia Italy
Center for Rheumatology and Spine Diseases Rigshospitalet Copenhagen Denmark
Centro Hospitalar do Baixo Vouga E P E Aveiro Portugal
Clinic for Rheumatology University Hospital Basel Basel Switzerland
Clinic of Internal Medicine 3 University Hospital Bonn Bonn Germany
Clinic of Rheumatology Medical University Plovdiv Plovdiv Bulgaria
Clinical Medicine Copenhagen University Copenhagen Denmark
Department Clinical Medicine Aarhus University Aarhus Denmark
Department of Clinical Medicine Aarhus University Aarhus Denmark
Department of Internal Medicine and Rheumatology Juntendo University School of Medicine Tokyo Japan
Department of Internal Medicine and Therapeutics Università di Pavia Pavia Italy
Department of Medical Sciences University of Ferrara Ferrara Italy
Department of Medicine Regional Hospital Horsens Horsens Denmark
Department of Rheumatology Aarhus Copenhagen Hospital Aarhus Denmark
Department of Rheumatology Aarhus University Hospital Aarhus Denmark
Department of Rheumatology Brunico Hospital Brunico Trentino Alto Adige Italy
Department of Rheumatology Immanuel Hospital Berlin Germany
Department of Rheumatology Medical University of Graz Graz Steiermark Austria
Department of Rheumatology Universitiy Medical Centre Ljubljana Ljubljana Slovenia
Diagnostic Centre Silkeborg Regional Hospital Silkeborg Denmark
Division of Rheumatology Fondazione IRCCS Policlinico San Matteo Pavia Italy
Epidemiology Unit Italian Society for Rheumatology Milan Italy
Hospital Universitario La Paz Madrid Spain
Immunology Juntendo University School of Medicine Tokyo Japan
Italian Society for Rheumatology Milan Italy
Medical Faculty University of Ljubljana Ljubljana Slovenia
Medicine and Pharmacology UWA Murdoch Perth Australia
Reumakliniek Lelystad Lelystad Netherlands
Rheumatology and Clinical Immunology Hospital Group Twente Almelo The Netherlands
Rheumatology and Immunology Inselspital University Hospital Bern Bern Switzerland
Rheumatology Asklepios Medical Center Bad Abbach Germany
Rheumatology Department Fondazione Policlinico Universitario A Gemelli Rome Italy
Rheumatology Hána CB spol s r o Ceske Budejovice Czech Republic
Rheumatology Immanuel Krankenhaus Berlin Medical Centre for Rheumatology Berlin Buch Berlin Germany
Rheumatology Institute of Rheumatology Prague Czech Republic
Rheumatology Marmara University School of Medicine Istanbul Turkey
Rheumatology Odense University Hospital Odense Denmark
Rheumatology Sydvestjysk Sygehus Esbjerg Esbjerg Denmark
Section of Rheumatology Division of Internal Medicine Akershus University Hospital Lorenskog Norway
References provided by Crossref.org
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- $a The provisional OMERACT ultrasonography score for giant cell arteritis / $c C. Dejaco, C. Ponte, S. Monti, D. Rozza, CA. Scirè, L. Terslev, GAW. Bruyn, D. Boumans, W. Hartung, A. Hočevar, M. Milchert, UM. Døhn, CB. Mukhtyar, M. Aschwanden, P. Bosch, D. Camellino, S. Chrysidis, G. Ciancio, MA. D'Agostino, T. Daikeler, B. Dasgupta, E. De Miguel, AP. Diamantopoulos, C. Duftner, A. Agueda, U. Fredberg, P. Hanova, IT. Hansen, EM. Hauge, A. Iagnocco, N. Inanc, A. Juche, R. Karalilova, T. Kawamoto, KK. Keller, HI. Keen, TA. Kermani, MJ. Kohler, M. Koster, RA. Luqmani, P. Macchioni, SL. Mackie, E. Naredo, BD. Nielsen, M. Ogasawara, C. Pineda, VS. Schäfer, L. Seitz, A. Tomelleri, KD. Torralba, KSM. van der Geest, KJ. Warrington, WA. Schmidt
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- $a OBJECTIVES: To develop an Outcome Measures in Rheumatology (OMERACT) ultrasonography score for monitoring disease activity in giant cell arteritis (GCA) and evaluate its metric properties. METHODS: The OMERACT Instrument Selection Algorithm was followed. Forty-nine members of the OMERACT ultrasonography large vessel vasculitis working group were invited to seven Delphi rounds. An online reliability exercise was conducted using images of bilateral common temporal arteries, parietal and frontal branches as well as axillary arteries from 16 patients with GCA and 7 controls. Sensitivity to change and convergent construct validity were tested using data from a prospective cohort of patients with new GCA in which ultrasound-based intima-media thickness (IMT) measurements were conducted at weeks 1, 3, 6, 12 and 24. RESULTS: Agreement was obtained (92.7%) for the OMERACT GCA Ultrasonography Score (OGUS), calculated as follows: sum of IMT measured in every segment divided by the rounded cut-off values of IMTs in each segment. The resulting value is then divided by the number of segments available. Thirty-five members conducted the reliability exercise, the interrater intraclass correlation coefficient (ICC) for the OGUS was 0.72-0.84 and the median intrareader ICC was 0.91. The prospective cohort consisted of 52 patients. Sensitivity to change between baseline and each follow-up visit up to week 24 yielded standardised mean differences from -1.19 to -2.16, corresponding to large and very large magnitudes of change, respectively. OGUS correlated moderately with erythrocyte sedimentation rate, C reactive protein and Birmingham Vasculitis Activity Score (corrcoeff 0.37-0.48). CONCLUSION: We developed a provisional OGUS for potential use in clinical trials.
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