RT Journal Article SR Electronic T1 Concomitant therapy: an outcome variable for musculoskeletal disorders? Part 2: total joint replacement in osteoarthritis trials. JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 2449 OP 2451 VO 32 IS 12 A1 Jean-Francis Maillefert A1 Gillian A Hawker A1 Laure Gossec A1 Nizar N Mahomed A1 Stefan Lohmander A1 Paul A Dieppe A1 Gustavo Zanoli A1 Marc C Hochberg A1 Maxime Dougados A1 OMERACT 7 Special Interest Group YR 2005 UL http://www.jrheum.org/content/32/12/2449.abstract AB Interest has grown in using the requirement of total joint replacement (TJR) as a "hard" outcome measure. Limitations exist, however, in the use of such an outcome, in particular the variability in the decision to perform surgery, length of surgical waiting lists, and sensitivity to change. This special interest group is exploring ways of retaining the clinical relevance of TJR but overcoming the problems--2 alternative outcomes are being considered: "time to physician's decision to recommend surgery" and "time to fulfilling criteria for total joint replacement."