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Review
. 2019 Aug;46(8):990-995.
doi: 10.3899/jrheum.181077. Epub 2018 Dec 15.

PsAID12 Provisionally Endorsed at OMERACT 2018 as Core Outcome Measure to Assess Psoriatic Arthritis-specific Health-related Quality of Life in Clinical Trials

Affiliations
Review

PsAID12 Provisionally Endorsed at OMERACT 2018 as Core Outcome Measure to Assess Psoriatic Arthritis-specific Health-related Quality of Life in Clinical Trials

Ana-Maria Orbai et al. J Rheumatol. 2019 Aug.

Abstract

Objective: The Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) and Outcome Measures in Rheumatology (OMERACT) psoriatic arthritis (PsA) working group is developing a Core Outcome Measurement Set for PsA clinical trials [randomized controlled trials (RCT) and longitudinal observational studies (LOS)] using the OMERACT Filter 2.1 instrument selection algorithm. Our objective was to assess the Psoriatic Arthritis Impact of Disease questionnaire (PsAID12) for the measurement of the core domain PsA-specific health-related quality of life (HRQOL).

Methods: PsAID12 measurement property evidence gathered in a systematic literature review, and additional analyses conducted in LOS, were used to inform a consensus process. Analyses that had not been published were independently reviewed by the OMERACT technical advisory group. Data and process were presented, discussed in breakout groups, and voted on at the OMERACT conference (Terrigal, Australia, May 2018).

Results: PsAID12 fulfilled the green (good to go) OMERACT standards for domain match, feasibility, reliability, and construct/longitudinal construct validity. Discrimination and thresholds of meaning were amber (caution but good enough to go forward). The overall working group recommendation was amber/provisional endorsement of PsAID12 for measuring PsA-specific HRQOL in RCT and LOS. Of 96 participants who voted at the PsA OMERACT workshop, 87.5% (84) voted "yes" to endorse this recommendation; 14 of the 96 were patient research partners (PRP) and 93% of them (13) voted "yes"; 82 participants were not PRP and 87% of them (71) voted "yes."

Conclusion: At OMERACT 2018, PsAID12 was the first patient-reported outcome measure provisionally endorsed as a core outcome measure for disease-specific HRQOL in PsA clinical trials. PsAID12 discrimination and improvement thresholds will be studied in future RCT.

Keywords: CORE SET; GRAPPA; OMERACT; OUTCOME MEASURES; PSORIATIC ARTHRITIS.

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Figures

Figure 1.
Figure 1.
The OMERACT Filter 2.1 Instrument selection algorithm is represented at the left (OMERACT handbook). The COMPACT workflow through OMERACT Filter 2.1 is represented at the right. The four signaling questions must be addressed in OMERACT Filter 2.1 instrument selection (items 1–4) in the left part of the figure. Following the OMERACT process stakeholders provide input initially into domain match and feasibility, and subsequently into the approach and results of evaluation of additional measurement properties, as well as the final voting for inclusion as core outcome measure(s). For each domain and candidate outcome measure the OFISA Filter 2.1 is applied until a core outcome measure has been selected. The process is repeated for each core domain. Once each core domain has at least one corresponding core outcome measurement instrument the PsA Core Outcome Measurement Set is complete. Abbreviations: OMERACT Outcome Measures in Rheumatology, GRAPPA Group for Research and Assessment of Psoriasis and Psoriatic Arthritis, COMPACT Core Outcome Measures in Psoriatic Arthritis, LOS longitudinal observational studies, PsA psoriatic arthritis, SLR systematic literature review, RCT randomized controlled trials, COSMIN Consensus based standards for the assessment of health measurement instruments, TAG OMERACT Technical Advisory Group.
Figure 2.
Figure 2.
OMERACT Summary of evidence for measurement properties of PsAID12. Color designates quality of evidence: dark grey stands for green=good methods used, use this evidence; light grey stands for amber=some cautions but we will use this evidence. In the rating row, color designates overall evidence-based instrument rating for the core instrument set: dark grey stands for green= at least 2 pieces of evidence with good methods and consistent findings of adequate or better performance; light grey stands for amber=in between green and red; red= inadequate performance in at least 1 study that used good methods, white=no evidence. Arithmetic signs designate the performance of the instrument according to that study (for each measurement property studied): “+”adequate or better performance, “+/−”equivocal performance, “-”less than adequate/poor performance. Abbreviations: TAG OMERACT Technical advisory group

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