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Research ArticleOMERACT 11

Responsiveness in Rheumatoid Arthritis. A Report from the OMERACT 11 Ultrasound Workshop

Annamaria Iagnocco, Esperanza Naredo, Richard Wakefield, George A.W. Bruyn, Paz Collado, Sandrine Jousse-Joulin, Stephanie Finzel, Sarah Ohrndorf, Andrea Delle Sedie, Marina Backhaus, Hilde Berner-Hammer, Frederique Gandjbakhch, Gurjit Kaeley, Damien Loeuille, Ingrid Moller, Lene Terslev, Philippe Aegerter, Sibel Aydin, Peter V. Balint, Emilio Filippucci, Peter Mandl, Carlos Pineda, Johannes Roth, Silvia Magni-Manzoni, Niolay Tzaribachev, Wolfgang A. Schmidt, Philip G. Conaghan and Maria-Antonietta D’Agostino
The Journal of Rheumatology February 2014, 41 (2) 379-382; DOI: https://doi.org/10.3899/jrheum.131084
Annamaria Iagnocco
From the Rheumatology Unit, Sapienza Università di Roma, Rome, Italy; Rheumatology Department, Hospital General Universitario Gregorio Marañón and Universidad Complutense, Madrid, Spain; University of Leeds and UK National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Unit, Leeds, UK; Department of Rheumatology, MC Groep Hospitals, Lelystad, The Netherlands; Hospital Universitario Severo Ochoa, Madrid, Spain; Rheumatology Unit, Cavale Blanche Hospital, Brest, France; University of Erlangen-Nuremberg, Department of Internal Medicine 3, Erlangen; Department of Rheumatology and Clinical Immunology, Charité-Universitätsmedizin Berlin, Charitéplatz, Berlin, Germany; Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy; Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway; Université Pierre et Marie Curie, La Pitié Salpêtriere Hospital, APHP, Paris, France; University of Florida College of Medicine, Jacksonville, Florida, USA; Division of Rheumatology, CHU Pitié-Salpêtrière, Paris, France; Instituto Poal, Barcelona, Spain; Department of Rheumatology, Copenhagen University Hospital at Glostrup, Copenhagen, Denmark; Department of Epidemiology and Biostatistics, Université Paris Ouest-Versailles-Saint Quentin en Yvelines, Hôpital Ambroise Paré, APHP, Boulogne-Billancourt, France; Istanbul Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey; National Institute of Rheumatology and Physiotherapy, Budapest, Hungary; Clinica Reumatologica, Università Politecnica delle Marche, Jesi (Ancona), Italy; Division of Rheumatology, Medical University of Vienna, Vienna, Austria; Biomedical Research, Instituto Nacional de Rehabilitación, Mexico City, Mexico; University of Ottawa, Children’s Hospital of Eastern Ontario, Ottawa, Canada; Division of Rheumatology IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy; Department of Pediatric Rheumatology, Center for Rheumatic Diseases, Bad Bramstedt; Immanuel Krankenhaus — Medical Center for Rheumatology Berlin, Berlin, Germany; Department of Rheumatology, Université Versailles-Saint Quentin en Yvelines, Ambroise Paré Hospital, APHP, Boulogne-Billancourt, France.
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Esperanza Naredo
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Richard Wakefield
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George A.W. Bruyn
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Paz Collado
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Sandrine Jousse-Joulin
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Stephanie Finzel
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Sarah Ohrndorf
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Andrea Delle Sedie
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Marina Backhaus
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Hilde Berner-Hammer
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Frederique Gandjbakhch
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Gurjit Kaeley
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Damien Loeuille
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Ingrid Moller
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Lene Terslev
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Philippe Aegerter
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Sibel Aydin
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Peter V. Balint
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Emilio Filippucci
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Peter Mandl
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Carlos Pineda
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Johannes Roth
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Silvia Magni-Manzoni
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Niolay Tzaribachev
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Wolfgang A. Schmidt
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Philip G. Conaghan
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Maria-Antonietta D’Agostino
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  • For correspondence: maria-antonietta.dagostino@apr.aphp.fr
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Abstract

Objective. To summarize the work performed by the Outcome Measures in Rheumatology (OMERACT) Ultrasound (US) Task Force on the validity of different US measures in rheumatoid arthritis (RA) and juvenile idiopathic arthritis (JIA) presented during the OMERACT 11 Workshop.

Methods. The Task Force is an international group aiming to iteratively improve the role of US in arthritis clinical trials. Recently a major focus of the group has been the assessment of responsiveness of a person-level US synovitis score in RA: the US Global Synovitis Score (US-GLOSS) combines synovial hypertrophy and power Doppler signal in a composite score detected at joint level. Work has also commenced examining assessment of tenosynovitis in RA and the role of US in JIA.

Results. The US-GLOSS was tested in a large RA cohort treated with biologic therapy. It showed early signs of improvement in synovitis starting at Day 7 and increasing to Month 6, and demonstrated sensitivity to change of the proposed grading. Subsequent voting questions concerning the application of the US-GLOSS were endorsed by > 80% of OMERACT delegates. A standardized US scoring system for detecting and grading severity of RA tenosynovitis and tendon damage has been developed, and acceptable reliability data were presented from a series of exercises. A preliminary consensus definition of US synovitis in pediatric arthritis has been developed and requires further testing.

Conclusion. At OMERACT 11, consensus was achieved on the application of the US-GLOSS for evaluating synovitis in RA; and work continues on development of RA tenosynovitis scales as well as in JIA synovitis.

Key Indexing Terms:
  • ULTRASOUND
  • RESPONSIVENESS
  • RHEUMATOID ARTHRITIS
  • OMERACT
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Vol. 41, Issue 2
1 Feb 2014
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Responsiveness in Rheumatoid Arthritis. A Report from the OMERACT 11 Ultrasound Workshop
Annamaria Iagnocco, Esperanza Naredo, Richard Wakefield, George A.W. Bruyn, Paz Collado, Sandrine Jousse-Joulin, Stephanie Finzel, Sarah Ohrndorf, Andrea Delle Sedie, Marina Backhaus, Hilde Berner-Hammer, Frederique Gandjbakhch, Gurjit Kaeley, Damien Loeuille, Ingrid Moller, Lene Terslev, Philippe Aegerter, Sibel Aydin, Peter V. Balint, Emilio Filippucci, Peter Mandl, Carlos Pineda, Johannes Roth, Silvia Magni-Manzoni, Niolay Tzaribachev, Wolfgang A. Schmidt, Philip G. Conaghan, Maria-Antonietta D’Agostino
The Journal of Rheumatology Feb 2014, 41 (2) 379-382; DOI: 10.3899/jrheum.131084

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Responsiveness in Rheumatoid Arthritis. A Report from the OMERACT 11 Ultrasound Workshop
Annamaria Iagnocco, Esperanza Naredo, Richard Wakefield, George A.W. Bruyn, Paz Collado, Sandrine Jousse-Joulin, Stephanie Finzel, Sarah Ohrndorf, Andrea Delle Sedie, Marina Backhaus, Hilde Berner-Hammer, Frederique Gandjbakhch, Gurjit Kaeley, Damien Loeuille, Ingrid Moller, Lene Terslev, Philippe Aegerter, Sibel Aydin, Peter V. Balint, Emilio Filippucci, Peter Mandl, Carlos Pineda, Johannes Roth, Silvia Magni-Manzoni, Niolay Tzaribachev, Wolfgang A. Schmidt, Philip G. Conaghan, Maria-Antonietta D’Agostino
The Journal of Rheumatology Feb 2014, 41 (2) 379-382; DOI: 10.3899/jrheum.131084
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Keywords

ULTRASOUND
RESPONSIVENESS
RHEUMATOID ARTHRITIS
OMERACT

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OMERACT 11

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Imaging and Other Biomarkers

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Keywords

  • ULTRASOUND
  • RESPONSIVENESS
  • RHEUMATOID ARTHRITIS
  • OMERACT

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