Skip to main content

Main menu

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • COVID-19 and Rheumatology
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Author Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • Privacy/GDPR Policy
    • Accessibility
  • Contact Us
  • JRheum Supplements
  • Services

User menu

  • My Cart
  • Log In

Search

  • Advanced search
The Journal of Rheumatology
  • JRheum Supplements
  • Services
  • My Cart
  • Log In
The Journal of Rheumatology

Advanced Search

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • COVID-19 and Rheumatology
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Author Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • Privacy/GDPR Policy
    • Accessibility
  • Contact Us
  • Follow jrheum on Twitter
  • Visit jrheum on Facebook
  • Follow jrheum on LinkedIn
  • Follow jrheum on YouTube
  • Follow jrheum on Instagram
  • Follow jrheum on RSS
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: rieke.alten@schlosspark-klinik.de
CHRISTOF POHL
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
ERNEST H. CHOY
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
ROBIN CHRISTENSEN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
DANIEL E. FURST
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
SARAH E. HEWLETT
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
AMYE LEONG
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
JAMES E. MAY
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
TESSA C. SANDERSON
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
VIBEKE STRAND
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
THASIA G. WOODWORTH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
CLIFTON O. BINGHAM III
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
  • eLetters
PreviousNext
Loading

REFERENCES

  1. 1.↵
    1. Bingham CO,
    2. Pohl C,
    3. Woodworth TE,
    4. Hewlett SE,
    5. May JE,
    6. Rahman MU,
    7. et al.
    Developing a standardized definition for disease “Flare” in rheumatoid arthritis. OMERACT 9 Special Interest Group. J Rheumatol 2009;36:2335–41.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Barton JL,
    2. Imboden J,
    3. Graf J,
    4. Glidden D,
    5. Yelin EH,
    6. Schillinger D
    . Patient-physician discordance in assessments of global disease severity in rheumatoid arthritis. Arthritis Care Res 2010;62:857–64.
    OpenUrl
  3. 3.↵
    1. Petersson IF,
    2. Rader T,
    3. Tugwell P
    . OMERACT 10 — Domains session: Domains selection for patient reported outcomes — what to measure? OMERACT 10. (Unpublished pre-conference paper.)
  4. 4.↵
    1. Bingham CO,
    2. Pohl C,
    3. Alten R,
    4. Christensen R,
    5. Choy E,
    6. Hewlett S,
    7. et al.
    “Flare” and disease worsening in rheumatoid arthritis: time for definition. Int J Adv Rheumatol 2009;7:85–91.
    OpenUrl
  5. 5.↵
    1. Bingham CO III.,
    2. Alten R,
    3. Bartlett SJ,
    4. Bykerk VP,
    5. Brooks PM,
    6. Choy E,
    7. et al;
    8. for the OMERACT RA Flare Definition Working Group
    . Identifying preliminary domains to detect and measure rheumatoid arthritis flares: Report of the OMERACT 10 RA Flare Workshop. J Rheumatol 2011;38:1751–8.
    OpenUrlAbstract/FREE Full Text
  6. 6.↵
    1. Bell MJ,
    2. Tavares R,
    3. Guillemin F,
    4. Bykerk VP,
    5. Tugwell P,
    6. Wells GA
    . Development of a self-administered early inflammatory arthritis detection tool. BMC Musculoskel Disord 2010;11:50.
    OpenUrlCrossRef
  7. 7.↵
    1. Bykerk VP,
    2. Solomon D,
    3. Bingham CO,
    4. Frits M,
    5. Iannaccone C,
    6. Weinblatt M
    . The role of objective measures vs. patient reported outcomes (PROs) as a reflection of flares in patients with RA: Results from the Brigham RA Sequential Study (BRASS) [abstract 2636]. Arthritis Rheum, ACR 2010).
  8. 8.↵
    1. Woodworth T,
    2. Furst DE,
    3. Alten R,
    4. Bingham CO,
    5. Yocum D,
    6. Sloan V,
    7. et al.
    Standardizing assessment and reporting of adverse effects in rheumatology clinical trials. II: the Rheumatology Common Toxicity Criteria v.2.0. J Rheumatol 2007;34:1401–14.
    OpenUrlAbstract/FREE Full Text
  9. 9.↵
    1. Smolen J,
    2. Landewé R,
    3. Breedveld FC,
    4. Dougados M,
    5. Emery P,
    6. Gaujoux-Viala C,
    7. et al.
    EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs. Ann Rheum Dis 2010;69:964–75.
    OpenUrlAbstract/FREE Full Text
  10. 10.↵
    1. Yazici Y,
    2. Erkan D,
    3. Kulman I,
    4. Belostocki K,
    5. Harrison MJ
    . Decreased flares of rheumatoid arthritis during the first year of etanercept treatment: further evidence of clinical effectiveness in the “real world”. Ann Rheum Dis 2002;61:638–40.
    OpenUrlAbstract/FREE Full Text
  11. 11.↵
    1. Van Vollenhoven RF,
    2. Brannemark S,
    3. Klareskog L
    . Dose escalation of infliximab in clinical practice: improvements seen may be explained by a regression-like effect. Ann Rheum Dis 2004;63:426–30.
    OpenUrlAbstract/FREE Full Text
  12. 12.↵
    1. Smolen JS,
    2. Keystone EC,
    3. Emery P,
    4. Breedveld FC,
    5. Betteridge N,
    6. Burmester G,
    7. et al.
    Consensus statement on the use of rituximab in patients with rheumatoid arthritis. Ann Rheum Dis 2007;66:143–50.
    OpenUrlAbstract/FREE Full Text
  13. 13.↵
    1. Mease PJ,
    2. Cohen S,
    3. Gaylis NB,
    4. Chubick A,
    5. Kael AT,
    6. Greenwald M,
    7. et al.
    Efficacy and safety of retreatment in patients with rheumatoid arthritis with previous inadequate response to tumor necrosis factor inhibitors: results from the SUNRISE trial. J Rheumatol 2010;37:917–27.
    OpenUrlAbstract/FREE Full Text
  14. 14.↵
    1. Lovell DJ,
    2. Giannini EH,
    3. Reiff A,
    4. Cawkwell GD,
    5. Silverman ED,
    6. Nocton JJ,
    7. et al.
    Etanercept in children with polyarticular juvenile rheumatoid arthritis. N Engl J Med 2000;342:763–9.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Thurlings RM,
    2. Vos K,
    3. Gerlag DM,
    4. Tak PP
    . Disease activity-guided rituximab therapy in rheumatoid arthritis: the effects of re-treatment in initial nonresponders versus initial responders. Arthritis Rheum 2008;58:3657–64.
    OpenUrlCrossRefPubMed
  16. 16.↵
    1. Van Vollenhoven RF,
    2. Boumpas D,
    3. Westhovens R,
    4. Brzosko M,
    5. Svensson K,
    6. Bjorneboe O,
    7. et al.
    Response, remission and flare during early treatment of rheumatoid arthritis with infliximab: The REMARK Study [abstract]. Ann Rheum Dis 2010;69 Suppl 3:535.
    OpenUrl
  17. 17.↵
    1. Fleischmann RM,
    2. Cohen SB,
    3. Moreland LW,
    4. Schiff M,
    5. Mease PJ,
    6. Smith DB,
    7. et al.
    Methotrexate dosage reduction in patients with rheumatoid arthritis beginning therapy with infliximab: the Infliximab Rheumatoid Arthritis Methotrexate Tapering (iRAMT) trial. Curr Med Res Opin 2005;21:1181–90.
    OpenUrlCrossRefPubMed
  18. 18.↵
    1. Westhovens R,
    2. Yocum D,
    3. Han J,
    4. Berman A,
    5. Strusberg I,
    6. Geusens P,
    7. et al.
    The safety of infliximab, combined with background treatments, among patients with rheumatoid arthritis and various comorbidities: a large, randomized, placebo-controlled trial. Arthritis Rheum 2006;54:1075–86.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Hewlett S,
    2. Sanderson T,
    3. May J,
    4. Alten R,
    5. Bingham CO III.,
    6. Cross M,
    7. et al.
    “I’m hurting, I want to kill myself”: Rheumatoid arthritis flare is more than a high joint count — an international patient perspective on flare where medical help is sought. Rheumatology 2011; May 12 (Epub ahead of print).
  20. 20.↵
    1. Sanderson T,
    2. Morris M,
    3. Calnan M,
    4. Richards P,
    5. Hewlett S
    . Patient perspective of measuring treatment efficacy: The rheumatoid arthritis patient priorities for pharmacologic interventions outcomes. Arthritis Care Res 2010;62:647–56.
    OpenUrlCrossRef
  21. 21.↵
    1. Furst D,
    2. Chang H,
    3. Ranganath V,
    4. Khanna D,
    5. Kremer JM,
    6. Greenberg J
    . Defining change in disease activity parameters associated with loss of response over time in RA patients [abstract 1817]. Arthritis Rheum 2007;56 Suppl:S709.
    OpenUrl
  22. 22.↵
    1. Kirwan JR,
    2. Minnock P,
    3. Adebajo A,
    4. Bresnihan B,
    5. Choy E,
    6. de Wit M,
    7. et al.
    Patient perspective: fatigue as a recommended patient centered outcome measure in rheumatoid arthritis. J Rheumatol 2007;34:1174–7.
    OpenUrlAbstract/FREE Full Text
  23. 23.↵
    1. Kvien TK,
    2. Heiberg T,
    3. Hagen KB
    . Minimal clinically important improvement/difference (MCII/MCID) and patient acceptable symptom state (PASS): what do these concepts mean? Ann Rheum Dis 2007;66 Suppl III:iii40–iii41.
    OpenUrlAbstract/FREE Full Text
  24. 24.↵
    1. Dougados M
    . It’s good to feel better but it’s better to feel good... and even better to feel good as soon as possible and for as long as possible [editorial]. J Rheumatol 2005;32:1–2.
    OpenUrlFREE Full Text
  25. 25.↵
    1. Strand V,
    2. Singh J
    . Newer biologic agents improve health related quality of life and productivity in rheumatoid arthritis. Drugs 2010;70:121–45.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Aletaha D,
    2. Landewé R,
    3. Karonitsch T,
    4. Bathon J,
    5. Boers M,
    6. Bombardier C,
    7. et al.
    Reporting disease activity in clinical trials of patients with rheumatoid arthritis: EULAR/ACR collaborative recommendations. Arthritis Rheum 2008;59:1371–7.
    OpenUrlCrossRefPubMed
  27. 27.↵
    1. Gossec L,
    2. Paternotte S,
    3. Aanerud GJ,
    4. Balanescu A,
    5. Boumpas DT,
    6. Carmona L,
    7. et al.
    Finalisation and validation of the Rheumatoid Arthritis Impact of Disease (RAID) score, a patient-derived composite measure of impact of rheumatoid arthritis. A EULAR initiative. Ann Rheum Dis 2011; [in press].
  28. 28.↵
    Guidance for industry: Patient-reported outcome measures: use in medical product development to support labeling claims. December 2009. [Internet. Accessed April 6, 2011.] US Department of Health and Human Services, FDA. Available from: http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM193282.pdf
  29. 29.↵
    1. van Tuyl LHD,
    2. Vlad SC,
    3. Felson DT,
    4. Wells G,
    5. Boers M
    . Defining remission in rheumatoid arthritis: results of an initial American College of Rheumatology/European League Against Rheumatism consensus conference. Arthritis Rheum 2009;61:704–10.
    OpenUrlCrossRefPubMed
PreviousNext
Back to top

In this issue

The Journal of Rheumatology
Vol. 38, Issue 8
1 Aug 2011
  • Table of Contents
  • Table of Contents (PDF)
  • Index by Author
  • Editorial Board (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about The Journal of Rheumatology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Developing a Construct to Evaluate Flares in Rheumatoid Arthritis: A Conceptual Report of the OMERACT RA Flare Definition Working Group
(Your Name) has forwarded a page to you from The Journal of Rheumatology
(Your Name) thought you would like to see this page from the The Journal of Rheumatology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
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

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

 Request Permissions

Share
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
del.icio.us logo Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • 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
  • PDF
  • eLetters

Related Articles

Cited By...

More in this TOC Section

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
Show more Patient-reported Outcomes

Similar Articles

Content

  • First Release
  • Current
  • Archives
  • Collections
  • Audiovisual Rheum
  • COVID-19 and Rheumatology

Resources

  • Guide for Authors
  • Submit Manuscript
  • Author Payment
  • Reviewers
  • Advertisers
  • Classified Ads
  • Reprints and Translations
  • Permissions
  • Meetings
  • FAQ
  • Policies

Subscribers

  • Subscription Information
  • Purchase Subscription
  • Your Account
  • Terms and Conditions

More

  • About Us
  • Contact Us
  • My Alerts
  • My Folders
  • Privacy/GDPR Policy
  • RSS Feeds
The Journal of Rheumatology
The content of this site is intended for health care professionals.
Copyright © 2022 by The Journal of Rheumatology Publishing Co. Ltd.
Print ISSN: 0315-162X; Online ISSN: 1499-2752
Powered by HighWire