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Research ArticleOMERACT 10: 10th International Consensus Conference on Outcome Measures in Rheumatology, Kota Kinabalu, Borneo - May 4–8, 2010

Developing a Construct to Evaluate Flares in Rheumatoid Arthritis: A Conceptual Report of the OMERACT RA Flare Definition Working Group

RIEKE ALTEN, CHRISTOF POHL, ERNEST H. CHOY, ROBIN CHRISTENSEN, DANIEL E. FURST, SARAH E. HEWLETT, AMYE LEONG, JAMES E. MAY, TESSA C. SANDERSON, VIBEKE STRAND, THASIA G. WOODWORTH, CLIFTON O. BINGHAM III and The OMERACT RA Flare Definition Working Group
The Journal of Rheumatology August 2011, 38 (8) 1745-1750; DOI: https://doi.org/10.3899/jrheum.110400
RIEKE ALTEN
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  • For correspondence: rieke.alten@schlosspark-klinik.de
CHRISTOF POHL
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ERNEST H. CHOY
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ROBIN CHRISTENSEN
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DANIEL E. FURST
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SARAH E. HEWLETT
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AMYE LEONG
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JAMES E. MAY
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TESSA C. SANDERSON
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VIBEKE STRAND
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THASIA G. WOODWORTH
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CLIFTON O. BINGHAM III
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Tables

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    Table 1.

    Settings for use of a rheumatoid arthritis flare measure4.

    Clinical Trials
    Detecting adequacy of dose/regimen for duration of therapeutic effect — driving to remission (“tight control”)
    Aiding dose/regimen optimization — titration and tapering while maintaining remission
    Assessing effect of concomitant medications to control oscillating symptoms/signs
    Assessing and reporting of episodic disease-worsening as an adverse event
    Determining remission as absence of disease flare among other measures
    Clinical Practice
    Facilitating MD-patient communication when considering change in therapy for intermittent disease-worsening
    Determining need to change treatment
    Assessing patient-specific interventions to control episodic worsening
    Enabling assessments to apply “tight control” strategies on an individual patient basis
    Assessing episodic disease-worsening
    Limiting effect of and disability associated with periodic disease-worsening (e.g., time lost from work)
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The Journal of Rheumatology
Vol. 38, Issue 8
1 Aug 2011
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Developing a Construct to Evaluate Flares in Rheumatoid Arthritis: A Conceptual Report of the OMERACT RA Flare Definition Working Group
RIEKE ALTEN, CHRISTOF POHL, ERNEST H. CHOY, ROBIN CHRISTENSEN, DANIEL E. FURST, SARAH E. HEWLETT, AMYE LEONG, JAMES E. MAY, TESSA C. SANDERSON, VIBEKE STRAND, THASIA G. WOODWORTH, CLIFTON O. BINGHAM, The OMERACT RA Flare Definition Working Group
The Journal of Rheumatology Aug 2011, 38 (8) 1745-1750; DOI: 10.3899/jrheum.110400

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Developing a Construct to Evaluate Flares in Rheumatoid Arthritis: A Conceptual Report of the OMERACT RA Flare Definition Working Group
RIEKE ALTEN, CHRISTOF POHL, ERNEST H. CHOY, ROBIN CHRISTENSEN, DANIEL E. FURST, SARAH E. HEWLETT, AMYE LEONG, JAMES E. MAY, TESSA C. SANDERSON, VIBEKE STRAND, THASIA G. WOODWORTH, CLIFTON O. BINGHAM, The OMERACT RA Flare Definition Working Group
The Journal of Rheumatology Aug 2011, 38 (8) 1745-1750; DOI: 10.3899/jrheum.110400
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  • Article
    • Abstract
    • Why Define Flare in RA?
    • Heterogeneous Signs and Symptoms of Flare
    • The Critical Role of the Patient Perspective in Defining Flare
    • Assessing Validity of a Flare Definition
    • Considerations in Operationalizing a Flare Definition for RCT
    • Is Remission Also Defined by the Absence of Flares?
    • Next Steps
    • Conclusion
    • Acknowledgment
    • APPENDIX
    • Footnotes
    • REFERENCES
  • Figures & Data
  • References
  • Info & Metrics
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OMERACT 10: 10th International Consensus Conference on Outcome Measures in Rheumatology, Kota Kinabalu, Borneo - May 4–8, 2010

  • Synovial Tissue Analysis for the Discovery of Diagnostic and Prognostic Biomarkers in Patients with Early Arthritis
  • OMERACT 10 Sharp Symposium: Important Findings in Examination of Imaging Methods for Measurement of Joint Damage in Rheumatoid Arthritis
  • Magnetic Resonance Imaging in Rheumatoid Arthritis Clinical Trials: Emerging Patterns Based on Recent Experience
Show more OMERACT 10: 10th International Consensus Conference on Outcome Measures in Rheumatology, Kota Kinabalu, Borneo - May 4–8, 2010

Patient-reported Outcomes

  • Influencing Health Equity: Role of the Effective Consumer Scale in Measuring Skills and Abilities in a Middle Income Country
  • Measuring the Impact of Arthritis on Worker Productivity: Perspectives, Methodologic Issues, and Contextual Factors
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