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ABSTRACT: Objective
The implementation of value-based health care in inflammatory arthritis requires a standardized set of modifiable outcomes and risk-adjustment variables that is feasible to implement worldwide.Methods
The International Consortium for Health Outcomes Measurement (ICHOM) assembled a multidisciplinary working group that consisted of 24 experts from 6 continents, including 6 patient representatives, to develop a standard set of outcomes for inflammatory arthritis. The process followed a structured approach, using a modified Delphi process to reach consensus on the following decision areas: conditions covered by the set, outcome domains, outcome measures, and risk-adjustment variables. Consensus in areas 2 to 4 were supported by systematic literature reviews and consultation of experts.Results
The ICHOM Inflammatory Arthritis Standard Set covers patients with rheumatoid arthritis (RA), axial spondyloarthritis, psoriatic arthritis, and juvenile idiopathic arthritis (JIA). We recommend that outcomes regarding pain, fatigue, activity limitations, overall physical and mental health impact, work/school/housework ability and productivity, disease activity, and serious adverse events be collected at least annually. Validated measures for patient-reported outcomes were endorsed and linked to common reporting metrics. Age, sex at birth, education level, smoking status, comorbidities, time since diagnosis, and rheumatoid factor and anti-citrullinated protein antibody lab testing for RA and JIA should be collected as risk-adjustment variables.Conclusion
We present the ICHOM inflammatory arthritis Standard Set of outcomes, which enables health care providers to implement the value-based health care framework and compare outcomes that are important to patients with inflammatory arthritis.
SUBMITTER: Oude Voshaar MAH
PROVIDER: S-EPMC6900179 | biostudies-literature | 2019 Dec
REPOSITORIES: biostudies-literature
Oude Voshaar Martijn A H MAH Das Gupta Zofia Z Bijlsma Johannes W J JWJ Boonen Annelies A Chau Jeffrey J Courvoisier Delphine S DS Curtis Jeffrey R JR Ellis Benjamin B Ernestam Sofia S Gossec Laure L Hale Christine C Hornjeff Jennifer J Leung Katy Y Y KYY Lidar Merav M Mease Phillip P Michaud Kaleb K Mody Girish M GM Ndosi Mwidimi M Opava Christina H CH Pinheiro Geraldo R C GRC Salt Matthew M Soriano Enrique R ER Taylor William J WJ Voshaar Maria J H MJH Weel Angelique E A M AEAM de Wit Maarten M Wulffraat Nico N van de Laar Mart A F J MAFJ Vonkeman Harald E HE
Arthritis care & research 20191201 12
<h4>Objective</h4>The implementation of value-based health care in inflammatory arthritis requires a standardized set of modifiable outcomes and risk-adjustment variables that is feasible to implement worldwide.<h4>Methods</h4>The International Consortium for Health Outcomes Measurement (ICHOM) assembled a multidisciplinary working group that consisted of 24 experts from 6 continents, including 6 patient representatives, to develop a standard set of outcomes for inflammatory arthritis. The proce ...[more]