Outcome evaluations in gout

Methods to measure outcomes in gout still require consensus and validation. This Special Interest Group was assembled to identify domains of interest and is now evaluating a series of outcomes for features of acute gouty arthritis and chronic gout. To accomplish this, working groups have been formed and domains identified. Delphi methodology has been used to address gouty flares as an outcome of greatest interest. Studies addressing other outcome measures were reported at the OMERACT 8 meeting and validation has begun on some outcomes. There has been progress on developing a definition of a flare, and validating reproducibility of some chronic gout outcome measures in some domains, such as tophus size and patient perceptions. Use of these outcomes as well as a health-related quality of life measure are being studied in clinical trials. Pain on a Likert scale appears to be a valid outcome in acute gout. Final validation of these outcomes has not yet been achieved. In summary, the unique problems of evaluating outcomes in gout are finally being addressed. While no measures are available for use yet, an agenda has been developed. [References: 17]

Contributors

Schumacher, H. Ralph Taylor, William Joseph-Ridge, Nancy Perez-Ruiz, Fernando Chen, Lan X. Schlesinger, Naomi Khanna, Dinesh Furst, Daniel E. Becker, Michael A. Dalbeth, Nicola Edwards, N. Lawrence

Publication

Journal: Journal of Rheumatology
Volume: 34
Issue: 6
Pages: 1381 - 5
Year: 2007
DOI: 10.1136/ard.2007.079970

Further Study Information

Current Stage: Not Applicable
Date:
Funding source(s): Not stated


Health Area

Disease Category: Rheumatology

Disease Name: Gout

Target Population

Age Range: Unknown

Sex: Either

Nature of Intervention: Any

Stakeholders Involved

- Clinical experts
- Other (unknown)

Study Type

- COS for clinical trials or clinical research

Method(s)

- Semi structured discussion

Semi structured discussion: meeting