HB Hammer HB
C Pineda C
Working group OMERACT > PsA, SpA
D'Agostino MA & L Terslev
Objective of the subgroups work:
To validate elementary lesions for enthesitis
To develop a scoring system
To test sensitivity to change
What is the contribution of the subgroup work to the OMERACT work?
US as an outcome measurement instrument for PsA OMERACT group
PsA group has musculoskeletal disease activity and systemic inflammation as core domains and structural damage in the research agenda
Description of the previous work
Systematic literature has been pefromed , Delphi defining the elementary lesions has been conducted with subsequent testing of the definition in static images and patients and finally a scoring system has been proposed. This is currently being tested I 2 clinical trials
Reporting back of work done since ACR 2017
Testing the scoring in clinical trials -no results is currently available
Next steps and discussion points
Gandjbakhch F, Terslev L, Joshua F, Wakefield RJ, Naredo E, D’Agostino MA; OMERACT Ultrasound Task Force. Ultrasound in the evaluation of enthesitis: status and perspectives. Arthritis Res Ther. 2011;13:R188
Terslev L, Naredo E, Iagnocco A, Balint PV, Wakefield RJ, Aegerter P, Aydin SZ, Bachta A, Hammer HB, Bruyn GA, Filippucci E, Gandjbakhch F, Mandl P, Pineda C, Schmidt WA, D’Agostino MA; Outcome Measures in Rheumatology Ultrasound Task Force. Defining enthesitis in spondyloarthritis by ultrasound: results of a Delphi process and of a reliability reading exercise.Arthritis Care Res (Hoboken). 2014;66:741-8.
Balint PV, Terslev L, Aegerter P, Bruyn GAW, Chary-Valckenaere I, Gandjbakhch F, Iagnocco A, Jousse-Joulin S, Möller I, Naredo E, Schmidt WA, Wakefield RJ, D'Agostino MA; OMERACT Ultrasound Task Force members. Reliability of a consensus-based ultrasound definition and scoring for enthesitis in spondyloarthritis and psoriatic arthritis: an OMERACT US initiative. Ann Rheum Dis. 2018;77:1730-1735.