RT Journal Article SR Electronic T1 Updating the OMERACT Filter: Core Areas as a Basis for Defining Core Outcome Sets JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP jrheum.131309 DO 10.3899/jrheum.131309 A1 John R. Kirwan A1 Maarten Boers A1 Sarah Hewlett A1 Dorcas Beaton A1 Clifton O. Bingham III A1 Ernest Choy A1 Philip G. Conaghan A1 Maria-Antonietta D’Agostino A1 Maxime Dougados A1 Daniel E. Furst A1 Francis Guillemin A1 Laure Gossec A1 Désirée M. van der Heijde A1 Margreet Kloppenburg A1 Tore K. Kvien A1 Robert B.M. Landewé A1 Sarah L. Mackie A1 Eric L. Matteson A1 Philip J. Mease A1 Peter A. Merkel A1 Mikkel Ostergaard A1 Lesley Ann Saketkoo A1 Lee Simon A1 Jasvinder A. Singh A1 Vibeke Strand A1 Peter Tugwell YR 2014 UL http://www.jrheum.org/content/early/2014/03/11/jrheum.131309.abstract AB Objective The Outcome Measures in Rheumatology (OMERACT) Filter provides guidelines for the development and validation of outcome measures for use in clinical research. The “Truth” section of the OMERACT Filter presupposes an explicit framework for identifying the relevant core outcomes that are universal to all studies of the effects of intervention effects. There is no published outline for instrument choice or development that is aimed at measuring outcome, was derived from broad consensus over its underlying philosophy, or includes a structured and documented critique. Therefore, a new proposal for defining core areas of measurement (“Filter 2.0 Core Areas of Measurement”) was presented at OMERACT 11 to explore areas of consensus and to consider whether already endorsed core outcome sets fit into this newly proposed framework. Methods Discussion groups critically reviewed the extent to which case studies of current OMERACT Working Groups complied with or negated the proposed framework, whether these observations had a more general application, and what issues remained to be resolved. Results Although there was broad acceptance of the framework in general, several important areas of construction, presentation, and clarity of the framework were questioned. The discussion groups and subsequent feedback highlighted 20 such issues. Conclusion These issues will require resolution to reach consensus on accepting the proposed Filter 2.0 framework of Core Areas as the basis for the selection of Core Outcome Domains and hence appropriate Core Outcome Sets for clinical trials.