Table 1.

Phases of the development of the Shoulder Core Domain Set and included domains.

CirclePreliminary Core Set OMERACT 2016Proposed Core Set OMERACT 2018Final Approved Core Set OMERACT 2018Delphi§,9Confidence in the Evidence from Qualitative Evidence Synthesis±,10
InnerPainPainPain97%Moderate
Physical function/activityPhysical function/activityPhysical function/activity94%Moderate
Global perceived effectGlobal perceived effectPatient global — shoulder86%NA
Adverse eventsAdverse events including deathAdverse events including deathNANA
MiddleParticipation (recreation and work)Participation (recreation and work)Participation (recreation and work)NA; work ability 90%; recreation 71%Moderate
SleepSleepSleep70%Moderate
Emotional well-beingEmotional well-beingEmotional well-being69%Moderate/low*
Condition-specific pathophysiological manifestationsCondition-specific pathophysiological manifestationsVoted out (< 67%)Low
OuterResearch agendaCognitive dysfunctionNAVery low
  • § Percentage of votes from the Delphi second round agreeing with the inclusion of the domain9.

  • ± Confidence in each review finding (high, moderate, low, very low) using the GRADE-CERQual approach11; data from the qualitative evidence synthesis10.

  • * Moderate for frustration and anxiety and low for depression. OMERACT: Outcome Measures in Rheumatology; NA: not available, i.e., not included in the Delphi or in the qualitative evidence synthesis; GRADE-CERQual: Confidence in the Evidence from Reviews of Qualitative research.