, Hynan LS , Urowitz MB Gladman DD A Comprehensive Digest of Research Publications From Cedars-Sinai Investigators. It was published in 1977 and was initially designed for the measurement of self-assessed pain in rheumatoid arthritis although it has since been used to evaluate RA more globally. This button displays the currently selected search type. Psychometric properties data were analysed according to the OMERACT Filter methodology version 2.1. The Physician Global Assessment (PGA) is a visual analogue score that reflects the clinician's judgement of overall SLE disease activity. Face validity. Barr et al. , Longenecker JC , Morabito LM , Allen E The Physician Global Assessment (PGA) is a frequently used co-primary end point in psoriasis clinical trials. An assessment of disease flare in patients with systemic lupus erythematosus: a comparison of BILAG 2004 and the flare version of SELENA. , Birmingham DJ , Navarra SV , Socher SA Elisabetta Chessa, Matteo Piga, Alberto Floris, Herv Devilliers, Alberto Cauli, Laurent Arnaud, Use of Physician Global Assessment in systemic lupus erythematosus: a systematic review of its psychometric properties, Rheumatology, Volume 59, Issue 12, December 2020, Pages 36223632, https://doi.org/10.1093/rheumatology/keaa383. ~SLE~. If you have a published paper from this period that does not appear on this list, please contact Sue Marone, who will add it to next week's collection. Kiani AN Criterion validity was assessed exploring the PGA correlation with quality of life measurements, biomarker levels and treatment changes in 28 studies, while no study has evaluated correlation with damage. PGA responsiveness was used to assess flare [9]: PGA was identified as the gold standard to rate the exacerbation of lupus activity [21, 67, 88], preliminarily defined by a change of 1.0 on a 03 VAS since the last visit. The Physician Global Assessment International Standardisation COnsensus in Systemic Lupus Erythematosus (PISCOS) study aimed to obtain an evidence-based and expert-based consensus standardisation of the Physician Global Assessment (PGA) scoring of disease activity in systemic lupus erythematosus (SLE). Ann Rheum Dis 2 Isenberg DA, Allen E, Farewell V, et al. Barr SG BILAGAB . , Borghoff K AB - The Physician Global Assessment International Standardisation COnsensus in Systemic Lupus Erythematosus (PISCOS) study aimed to obtain an evidence . Additional papers were obtained by checking the references from the selected studies. This study assesses the reliability of the PGA, measured by means of 0-100 mm visual analog scale (VAS), and the additional use of separate VAS scales for musculoskeletal (PhysMSK) and dermatologic (PhysSk) manifestations in patients with psoriatic arthritis (PsA). , Magder LS Forbess LJ Conclusion: , Koutsoviti S PGA is a valid, responsive and feasible instrument, though its reliability was impacted by the scale adopted, suggesting the major need for standardization of its scoring. Medical-Surgical Nursing Clinical Lab (NUR1211L) U.S. History Themes (HIS-144) Nursing Process IV: Medical-Surgical Nursing (NUR 411) Maternity Nursing Care; Professional Roles and Values (C 304) Survey of United States History (C121) Trending. , Hambleton IR Measurement properties of the PGA were analysed according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) terminology [19]. The LUMINA (Lupus in Minorities: Nature versus Nurture) study and other trials have offered evidence of a decrease in flares and prolonged life in patients given hydroxychloroquine, making . et al. , Chang AY Rendas-Baum R, Baranwal N, Joshi AV, Park J, Kosinski M. J Patient Rep Outcomes. It does not provide a predefined or limited list of disease manifestations or organ systems, thus allowing one to capture all the heterogeneous aspects of SLE disease activity. The aim of this systematic literature review (SLR) is to describe and analyse the psychometric properties of PGA. 2022 Sep;8(2):e002395. Published by Oxford University Press on behalf of the British Society for Rheumatology. , Brunetta P Disclosure statement: L.A. is a consultant for Alexion, Amgen, AstraZeneca, GlaxoSmithKline, Janssen-Cilag, LFB, Eli Lilly, Menarini France, Novartis, Pfizer, Roche-Chugai and UCB. , Zonana-Nacach A The Physician Global Assessment (PGA) is a visual analogue score that reflects the clinicians judgement of overall SLE disease activity. , Block JA PGA is often assessed by a single question with a 0-10 or 0-100 response. They proposed a physician global score on a 10cm visual analogue scale (VAS) to be used as a gold standard to compare six disease activity instruments [4]. , Jolly M. Ribi C (PGA), physician global assessment of disease activity (PHGA), C3, C4, and Anti-ds . The official NJDOE Incident Reporting Form, as well as a guide to completing The Physician's Global Assessment (PhGA) is a number without unit. The aim of this systematic literature review is to describe and analyse the . Meta-analysis of the studies reporting data concerning the construct validity between the PGA and SLEDAI. All rights reserved. According to the OMERACT, face validity is the degree to which the instrument appears to match with the target domain, according to experts [18]. Improving patient pathways for systemic lupus erythematosus: a multistakeholder pathway optimisation study. , Petri M It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. [8] suggested that the PGA should account for objective examination, laboratory results and what patients report. et al. One study showed a significant ability of the PGA in distinguishing between patients (P<0.0001) and observers (P<0.0001), but not between visits [79]. Unable to load your collection due to an error, Unable to load your delegates due to an error. watch for seizures after the procedure. Five studies have demonstrated good ICC values for reliability (all >0.60 and ranging up to 0.97). Fanouriakis A , Shinada S , McGwin G Impact of anti-SARS-CoV-2 antibodies of different isotypes (IgA, IgG, IgM) on attainment of PGA . et al. Importance: In dermatology, the development of objective, standardized quality measures that can be used in a clinical setting is important to be able to respond to the needs of payers and credentialing and licensure bodies and to demonstrate dermatologic value. Different definitions of disease activity according to the PGA instrument. , Tetzlaff J et al. The Physician's Global Assessment (PGA) is a pragmatic disease activity measure, using a 100 mm visual analogue scale (VAS) for physicians to quantify the patient's overall disease . Liang et al. , Urowitz MB et al. , Fang H independently selected the articles, initially on the basis of titles and abstracts, then, if necessary, on the full texts, an eligibility assessment was performed independently in a blinded standardized manner. , Petri M. Foering K , Mohan C. Giangreco D Results of a large, multicentric, nationwide study, American College of Rheumatology provisional criteria for global flares in childhood-onset systemic lupus erythematosus, A cross-sectional study of hydroxychloroquine concentrations and effects in people with systemic lupus erythematosus, Inactive disease and remission in childhood-onset systemic lupus erythematosus, Preliminary criteria for global flares in childhood-onset systemic lupus erythematosus, Systemic lupus erythematosus in a multiethnic US cohort, XXXVII: association of lymphopenia with clinical manifestations, serologic abnormalities, disease activity, and damage accrual, Systemic lupus erythematosus in a multiethnic cohort (LUMINA): XXIX. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Introduction Physician global assessments of disease activity (medical doctor (MD) globals) are important outcomes. AU - Kasitanon, Nuntana. The literature search identified 91 studies. In the second column, the definitions were reported according to the VAS used in the study. JSS Medical Research. Thousand Oaks. , Adamichou C Feasibility is the ease of application of the instrument of measure in its intended setting [106]. Matthew Turk,1,2 Janet E Pope1,2 To cite: turk M, Pope Je. Quimby KR et al. ECG - correct answer no sleep the night before, meals allowed, no stimulants/tranquilizers for 24-48 hours before. This important heterogeneity in the anchoring of the PGA prevented us from performing a meta-analysis of reliability data. , Flower C The other authors have declared no conflicts of interest. , Francis S , Rodrigues M All clinical diagnoses were verified by review of the patients' inpatient and outpatient files at the time of capillaroscopy. , Piette EW 2. This concept includes content validity, face validity, construct validity and criterion validity. 2014 Sep-Oct;10(5):309-20. doi: 10.1016/j.reuma.2014.01.012. MD globals may vary based on their age, gender, practice setting and experience (number of patients seen per year and years in practice). The patients were diagnosed as having the following disorders: scleroderma (n = 27), dermatomyositis (n = 11), systemic lupus erythematosus (SLE) (n = 22), MCTD (n = 8), and RP without evidence of underlying CTD (n = 38). , Magder L , Petri M. Iaccarino L Methods This SLR was conducted by two independent reviewers in accordance with the PRISMA statement. , Jnsen A The correlation with the SLEDAI was determined in 12 studies (Fig. et al. et al. 'Not at target': prevalence and consequences of inadequate disease control in systemic lupus erythematosus-a multinational observational cohort study. The interRR was assessed in seven studies [4, 10, 11, 36, 65, 68, 94], showing values ranging from 0.67 [68] to 0.96 [94]. PGA; disease activity; physician global assessment; psychometrics; systemic lupus erythematosus. Definition: At least a 20%, 40%, 50%, or 70% improvement and an absolute improvement of at least 1 unit on a scale of 1-10 in at least three of the following criteria: patient global assessment; pain; function (BASFI); and. 2014 Dec;53(12):2175-81. doi: 10.1093/rheumatology/keu153. The interobserver agreement between physician (PGA) and patient (PtGA) global assessment for acne and psoriasis was good, reflected by the weighted Cohen (acne, = 0.68; psoriasis, = 0.70) (eTable in the Supplement). , Jolly M. Mok CC , Mikolaitis-Preuss RA Notorious to increase IOP and cause severe PAIN and headache; Diagnostics: - History - Tonometry examinations - measures IOP QUESTION A client states that the physician has told her that her intraocular was 14. Can Lupus Patients Take the Driver's Seat in Their Disease Monitoring. , Gordon C Kandane-Rathnayake R, Louthrenoo W, Hoi A, Luo SF, Wu YJ, Chen YH, Cho J, Lateef A, Hamijoyo L, Navarra SV, Zamora L, Sockalingam S, An Y, Li Z, Katsumata Y, Harigai M, Hao Y, Zhang Z, Kikuchi J, Takeuchi T, Basnayake BMDB, Chan M, Ng KPL, Tugnet N, Kumar S, Oon S, Goldblatt F, O'Neill S, Gibson KA, Ohkubo N, Tanaka Y, Bae SC, Lau CS, Nikpour M, Golder V, Morand EF; Asia-Pacific Lupus Collaboration. , Liberati A , Tugwell P Uribe AG, Vil LM, McGwin G Jr, Sanchez ML, Reveille JD, Alarcn GS. allergy hx phenothiazines, cns depressants and stimulants withheld 48 hours prior. , Beresford MW , Ko T , Terwee CB , Gladman DD Lead Medical Director heading up the global collaboration with Pfizer for Enbrel trials. When expanded it provides a list of search options that will switch the search inputs to match the current selection. Criterion validity is defined as the degree to which the scores of an instrument adequately reflect the truth in the form of a gold standard [107]. Methods We determined the variability of MD globals, surveying rheumatologists from the Canadian Rheumatology Association using rheumatoid . Arthritis Res Ther. et al. , Goldsmith CH , Gomez A Clipboard, Search History, and several other advanced features are temporarily unavailable. Subsequently the PGA was incorporated in the Safety of Estrogen in Lupus Erythematosus National Assessment (SELENA) flare index (SFI) in 1999 [10], in the Systemic Responder Index (SRI) in 2009 [3, 11, 12] as well as in the definitions of the Lupus Low Disease Activity State (LLDAS) [13] and various definitions of remission [14, 15]. , Mohan C. Jolly M , Sato JO , Bertsias G Criterion validity data reporting correlation coefficients between PGA and quality of life measures, laboratory markers and miscellaneous. In 11 retrieved studies [10, 13, 33, 36, 45, 48, 50, 55, 56, 65, 96] the PGA was part of the SFI [104] and in 10 studies [3, 29, 40, 46, 52, 60, 69, 80, 94, 98] it was part of the SRI [3] (both discussed in the Responsiveness section). official website and that any information you provide is encrypted To determine longitudinal associations between Physician Global Assessment (PGA) and patient-reported outcomes (PROs) in patients with systemic lupus erythematosus (SLE). Identification of new candidate drugs for primary Sjgrens syndrome using a drug repurposing transcriptomic approach, When it looks like Behets syndrome but is something else: Differential diagnosis of Behcets syndrome: a two-centre retrospective analysis, Huge water-balloons in the belly: multiple pancreatic pseudocysts in systemic lupus erythematosus, A randomized, double-blind, placebo-controlled, parallel group study on the effects of a cathepsin S inhibitor in primary Sjgrens syndrome, How to plug the leaky pipeline in clinical rheumatology across Europelessons to be learned from experiences in business, About the British Society for Rheumatology, British Society for Rheumatology Journals, https://doi.org/10.1093/rheumatology/keaa383, https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model, Receive exclusive offers and updates from Oxford Academic, Copyright 2023 British Society for Rheumatology.
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