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Erschienen in: Clinical Rheumatology 4/2016

13.01.2015 | Brief Report

Patient-self assessment of flare in rheumatoid arthritis: translation and reliability of the Flare instrument

verfasst von: Thomas Maribo, Annette de Thurah, Kristian Stengaard-Pedersen

Erschienen in: Clinical Rheumatology | Ausgabe 4/2016

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Abstract

The Flare instrument (FI) is a French self-administrated questionnaire used to identify flares in disease activity in patients with rheumatoid arthritis. In addition to a total score, the FI has two subscales: one relating to joint symptoms and one relating to general symptoms. The objective of this study was to translate and adapt the French FI into Danish and to determine the reliability of the FI in a consecutive cohort of patients with RA. The FI was translated according to international guidelines, tested among 10 patients and 5 health professionals, and adapted. Test-retest reliability was determined by the standard error of the measurement (SEM) and the intra class correlation coefficients (ICC). The FI was administered to 50 patients with rheumatoid arthritis from an outpatient clinic of a university hospital and re-administered after 10 days. The patients had a mean age of 65.3 years (SD 12.0) and mean disease duration of 18.1 years (range 2–47 years). We found an excellent reliability with ICC higher than 0.95 and SEM between 0.44 and 0.63. Best reliability was found in the total FI score. Thus, the results of the present study show that the FI is a feasible and reliable tool for evaluation of flares in patients with rheumatoid arthritis.
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Literatur
1.
Zurück zum Zitat National Collaborating Centre for Chronic Conditions (UK) (2009) Rheumatoid arthritis: national clinical guideline for management and treatment in adults National Collaborating Centre for Chronic Conditions (UK) (2009) Rheumatoid arthritis: national clinical guideline for management and treatment in adults
2.
Zurück zum Zitat Rahman MU, Strusberg I, Geusens P et al (2007) Double-blinded infliximab dose escalation in patients with rheumatoid arthritis. Ann Rheum Dis 66:1233–1238CrossRefPubMedPubMedCentral Rahman MU, Strusberg I, Geusens P et al (2007) Double-blinded infliximab dose escalation in patients with rheumatoid arthritis. Ann Rheum Dis 66:1233–1238CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Smolen JS, Keystone EC, Emery P et al (2007) Consensus statement on the use of rituximab in patients with rheumatoid arthritis. Ann Rheum Dis 66:143–150CrossRefPubMedPubMedCentral Smolen JS, Keystone EC, Emery P et al (2007) Consensus statement on the use of rituximab in patients with rheumatoid arthritis. Ann Rheum Dis 66:143–150CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Yazici Y, Erkan D, Kulman I, Belostocki K, Harrison MJ (2002) Decreased flares of rheumatoid arthritis during the first year of etanercept treatment: further evidence of clinical effectiveness in the “real world”. Ann Rheum Dis 61:638–640CrossRefPubMedPubMedCentral Yazici Y, Erkan D, Kulman I, Belostocki K, Harrison MJ (2002) Decreased flares of rheumatoid arthritis during the first year of etanercept treatment: further evidence of clinical effectiveness in the “real world”. Ann Rheum Dis 61:638–640CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Bingham CO III, Pohl C, Woodworth TG (2009) Developing a standardized definition for disease “flare” in rheumatoid arthritis (OMERACT 9 special interest group). J Rheumatol 36:2335–2341CrossRefPubMed Bingham CO III, Pohl C, Woodworth TG (2009) Developing a standardized definition for disease “flare” in rheumatoid arthritis (OMERACT 9 special interest group). J Rheumatol 36:2335–2341CrossRefPubMed
6.
Zurück zum Zitat Prevoo ML, van ’t Hof MA, Kuper HH, van Leeuwen MA, van de Putte LB, van Riel PL (1995) Modified disease activity scores that include twenty-eight-joint counts. development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum 38:44–48CrossRefPubMed Prevoo ML, van ’t Hof MA, Kuper HH, van Leeuwen MA, van de Putte LB, van Riel PL (1995) Modified disease activity scores that include twenty-eight-joint counts. development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum 38:44–48CrossRefPubMed
7.
Zurück zum Zitat Bykerk VP, Lie E, Bartlett SJ et al (2014) Establishing a core domain set to measure rheumatoid arthritis flares: report of the OMERACT 11 RA flare Workshop. J Rheumatol 41:799–809CrossRefPubMedPubMedCentral Bykerk VP, Lie E, Bartlett SJ et al (2014) Establishing a core domain set to measure rheumatoid arthritis flares: report of the OMERACT 11 RA flare Workshop. J Rheumatol 41:799–809CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Berthelot JM, De Bandt M, Morel J et al (2012) A tool to identify recent or present rheumatoid arthritis flare from both patient and physician perspectives: the ‘FLARE’ instrument. Ann Rheum Dis 71:1110–1116CrossRefPubMed Berthelot JM, De Bandt M, Morel J et al (2012) A tool to identify recent or present rheumatoid arthritis flare from both patient and physician perspectives: the ‘FLARE’ instrument. Ann Rheum Dis 71:1110–1116CrossRefPubMed
9.
Zurück zum Zitat Great Britain. Department of Health (2010) Equity and excellence: liberating the NHS. Stationery Office, Norwich Great Britain. Department of Health (2010) Equity and excellence: liberating the NHS. Stationery Office, Norwich
10.
Zurück zum Zitat Aletaha D, Neogi T, Silman AJ et al (2010) 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League against rheumatism collaborative initiative. Ann Rheum Dis 69:1580–1588CrossRefPubMed Aletaha D, Neogi T, Silman AJ et al (2010) 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League against rheumatism collaborative initiative. Ann Rheum Dis 69:1580–1588CrossRefPubMed
11.
Zurück zum Zitat Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46:1417–1432CrossRefPubMed Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46:1417–1432CrossRefPubMed
12.
Zurück zum Zitat Mokkink LB, Terwee CB, Patrick DL et al (2010) The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res 19:539–549CrossRefPubMedPubMedCentral Mokkink LB, Terwee CB, Patrick DL et al (2010) The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res 19:539–549CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Terwee CB, Bot SD, de Boer MR et al (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60:34–42CrossRefPubMed Terwee CB, Bot SD, de Boer MR et al (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60:34–42CrossRefPubMed
14.
Zurück zum Zitat Fayers PM, Machin D (2007) Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. Wiley, ChichesterCrossRef Fayers PM, Machin D (2007) Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. Wiley, ChichesterCrossRef
15.
Zurück zum Zitat Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310CrossRefPubMed Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310CrossRefPubMed
16.
Zurück zum Zitat Streiner DL (2003) Starting at the beginning: an introduction to coefficient alpha and internal consistency. J Pers Assess 80:99–103CrossRefPubMed Streiner DL (2003) Starting at the beginning: an introduction to coefficient alpha and internal consistency. J Pers Assess 80:99–103CrossRefPubMed
17.
Zurück zum Zitat Hopkins WG (2000) Measures of reliability in sports medicine and science. Sports Med 30:1–15CrossRefPubMed Hopkins WG (2000) Measures of reliability in sports medicine and science. Sports Med 30:1–15CrossRefPubMed
18.
Zurück zum Zitat Sokka T, Makinen H (2009) Drug management of early rheumatoid arthritis—2008. Best Pract Res Clin Rheumatol 23:93–102CrossRefPubMed Sokka T, Makinen H (2009) Drug management of early rheumatoid arthritis—2008. Best Pract Res Clin Rheumatol 23:93–102CrossRefPubMed
19.
Zurück zum Zitat Sokka T, Toloza S, Cutolo M et al (2009) Women, men, and rheumatoid arthritis: analyses of disease activity, disease characteristics, and treatments in the QUEST-RA study. Arthritis Res Ther 11:R7PubMedPubMedCentral Sokka T, Toloza S, Cutolo M et al (2009) Women, men, and rheumatoid arthritis: analyses of disease activity, disease characteristics, and treatments in the QUEST-RA study. Arthritis Res Ther 11:R7PubMedPubMedCentral
20.
Zurück zum Zitat Scholtes VA, Terwee CB, Poolman RW (2011) What makes a measurement instrument valid and reliable? Injury 42:236–240CrossRefPubMed Scholtes VA, Terwee CB, Poolman RW (2011) What makes a measurement instrument valid and reliable? Injury 42:236–240CrossRefPubMed
Metadaten
Titel
Patient-self assessment of flare in rheumatoid arthritis: translation and reliability of the Flare instrument
verfasst von
Thomas Maribo
Annette de Thurah
Kristian Stengaard-Pedersen
Publikationsdatum
13.01.2015
Verlag
Springer London
Erschienen in
Clinical Rheumatology / Ausgabe 4/2016
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-014-2848-z

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