RT Journal Article SR Electronic T1 Patient Perspectives on DMARD Safety Concerns in Rheumatology Trials: Results from Inflammatory Arthritis Patient Focus Groups and OMERACT Attendees Discussion JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP jrheum.181185 DO 10.3899/jrheum.181185 A1 Kathleen M. Andersen A1 Ayano Kelly A1 Anne Lyddiatt A1 Clifton O. Bingham III A1 Vivian P. Bykerk A1 Adena Batterman A1 Joan Westreich A1 Michelle K. Jones A1 Marita Cross A1 Peter M. Brooks A1 Lyn March A1 Beverley Shea A1 Peter Tugwell A1 Lee S. Simon A1 Robin Christensen A1 Susan J. Bartlett YR 2019 UL http://www.jrheum.org/content/early/2019/04/09/jrheum.181185.abstract AB Objective The Outcome Measures in Rheumatology (OMERACT) Safety Working Group is identifying core safety domains that matter most to patients with rheumatic disease. Methods International focus groups were held with 39 patients with inflammatory arthritis to identify disease-modifying antirheumatic drug (DMARD) experiences and concerns. Themes were identified by pragmatic thematic coding and discussed in small groups by meeting attendees. Results Patients view DMARD side effects as a continuum and consider the cumulative effect on day-to-day function. Disease and drug experiences, personal factors, and life circumstances influence tolerance of side effects and treatment persistence. Conclusion Patients weigh overall adverse effects and benefits over time in relation to experiences and life circumstances.