Osteoarthritis

A scoping review of patient self-report measures of flare in knee and hip osteoarthritis (OA): A report from the OMERACT flares in OA working group

Semin Arthritis RheumPublished Scoping review

Authors' conclusion

Most identified instruments considered different aspects of pain and the associated discomfort in performing daily activities but did not include the central aspects of flare in OA, i.e. the change of state, nor the additional Outcome Measures in Rheumatology (OMERACT) endorsed domains for OA flare namely stiffness, swelling, psychological aspects, impact of symptoms including fatigue and sleep disturbance.

Study context

Population
Original articles on flare in humans with knee and hip OA, 2017–2023 (PubMed, Web of Science, PsycInfo)59 studies
Outcome
Content validity/domain match and feasibility of self-report instruments that could measure flare in OA
Methodological detailsFour experts independently checked records and assessed content validity and feasibility
  • Four experts independently checked records and assessed content validity and feasibility

Main finding

As reported in the abstract

Papers filtered at literature review phase
575
Studies included
59
Instruments associated with flare in OA identified
44
Studies about pain in knee or hip OA
35 %
Studies on cultural adaptation of a measure
33 %
Studies on psychometric properties of full-form instruments
16 %
Studies on psychometric properties of short-form instruments
4 %
Instruments labelled 'yes' or 'uncertain' for good domain match or feasibility
15

Original publication

A scoping review of patient self-report measures of flare in knee and hip osteoarthritis (OA): A report from the OMERACT flares in OA working group. Semin Arthritis Rheum. Published 14 October 2023. doi:10.1016/j.semarthrit.2023.152281

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