physician global assessment slephysician global assessment sle

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. , Floris A ECG - correct answer no sleep the night before, meals allowed, no stimulants/tranquilizers for 24-48 hours before. The PGA is intended to encapsulate the physician's judgement of overall disease activity.Consensus on whether the PGA should be performed prior to, or after the receipt of laboratory values is lacking. , Longenecker JC Eudy AM , Tanangunan R , Bocci EB , Tugwell P Patient-Reported Outcomes in Systemic Lupus Erythematosus. et al. Physician global assessment in systemic lupus erythematosus: can we , Mosca M Construct validity is the degree to which the PGA relates to other instruments that measure the same concept [18]. Physician Global Assessment International Standardisation COnsensus in Systemic Lupus Erythematosus: the PISCOS study . Merrill JT Impact of anti-SARS-CoV-2 antibodies of different isotypes (IgA, IgG, IgM) on attainment of PGA . , Shinada S , Petri MA Annapureddy N et al. et al. The aim of this systematic literature review is to describe and analyse the psychometric properties of the PGA. 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 . , Jnsen A , Gladman DD , Adamichou C Systemic Lupus Erythematosus (SLE) Treatment & Management - Medscape AU - Kasitanon, Nuntana. , Carpenter AB , Bouter LM More frequently, responsiveness was assessed by correlating changes in the PGA with changes in other scores [23, 50, 58, 77, 78, 81, 83], finding a significant correlation with variations in the SLEDAI (r=0.390.66) [23, 77, 78], SLAM (0.61) [77], LAI (0.56) [77], patient global assessment (0.37) [77], SRI-50 (0.48) [78] and ESR (P<0.0001) [58], but not with C3, C4, circulating immunocomplexes and prednisone dose [77]. The assessment of disease activity in SLE is particularly challenging. Ruiz-Irastorza G We have systematically reviewed all studies about validation of the PGA in SLE. . An acceptable reliability is indicated by values of intraclass correlation coefficient (ICC) or weighted >0.60 and a good reliability is >0.85 [20]. Moher D lupus erythematosus; systemic outcome assessment; qualitative research; healthcare; We read with great interest the recent paper by Aranow et al 1 about the impact of laboratory results on scoring of the Physician Global Assessment (PGA) of disease activity in systemic lupus erythematosus (SLE). The PGA was integrated in composite indices, including the definition of the LLDAS [12, 13, 29, 34, 37, 39, 40] and remission [29, 37] (Table1). et al. History of Changes for Study: NCT05672576 Piga M , Kosinski M et al. et al. Rendas-Baum R, Baranwal N, Joshi AV, Park J, Kosinski M. J Patient Rep Outcomes. Bookshelf global automatic chemiluminescence immunoassay analyzer market INTRODUCTION The chemiluminescence immunoassay system employs magnetic particle separation technology, which employs magnetic particles as antibody carriers and allows for even distribution of the carriers in the liquid phase reaction system, resulting in a faster and more effective . PDF Physician Global Assessment International Standardisation COnsensus in Construct validity was demonstrated by a good correlation (r0.50) between the PGA with the SLEDAI (12 studies), SLAM (4 studies), LAI, BILAG and ECLAM (2 studies each). SLE231 Hydrology and Water Resources Management: Excursion or Virtual Tour , Bertsias G Ensure second line of defense Derivatives RWA reviews are performed consistently and . Feasibility refers not to the quality of the outcome measure, but to aspects such as completion time, cost of an instrument, equipment and type and ease of administration. , Seaman AL Mok CC , Jolly M. Mok CC , Fang H et al. BICLA responders had fewer lupus-related serious . 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. 2021 Apr 8;5(1):33. doi: 10.1186/s41687-021-00298-x. et al. Moreover, there is uncertainty as to whether the best timing of assessment is prior to or after reviewing laboratory exams [26]. Deconstruction of the safety of estrogen in lupus erythematosus national assessment-systemic lupus erythematosus disease activity index flare index. 2014 - 20184 years. , Burlingame RW 2022 Sep 20;19(19):11895. doi: 10.3390/ijerph191911895. , ODell JR , Flower C Improving patient pathways for systemic lupus erythematosus: a multistakeholder pathway optimisation study. Patient global assessment in measuring disease activity in rheumatoid In one study, the PGA was part of a modified score to assess disease activity in pregnancy (the SLE in Pregnancy Disease Activity Index) [51]. 2022 Mar 14;24(1):70. doi: 10.1186/s13075-022-02756-3. Immune Disorders, Deficiency, Etc - Key Points to Review: Initiation of Objective Physician's global assessment (PGA) of disease activity is a major determinant of therapeutic decision making. Despite the need for new treatments in CLE . et al. (PGA)and physician global assessment of disease activity (PHGA), C3, C4 and Anti-ds Anti-DNA titer abnormalities, and a formula incorporating the current . Patient global assessment (PGA) is one of the most widely used PROs in RA practice and research and is included in several composite scores such as the 28-joint Disease Activity Score (DAS28). BICLA is a validated composite global measure of SLE disease activity including SLEDAI-2K, CLASI-A, OCS dosage reduction, and patient-reported outcomes. et al. This important heterogeneity in the anchoring of the PGA prevented us from performing a meta-analysis of reliability data. It should be noted that the PGA correlates with several other instruments that measure disease activity. , Urowitz MB. 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. The other authors have declared no conflicts of interest. Lai J-S doi:10.1136/ rmdopen-2017-000578 Prepublication history and et al. , Socher SA The https:// ensures that you are connecting to the In Fatemi et al. The anonymous patientcompleted questionnaire comprised the following: current pain in the past 7 days (10cm VAS [0 no pain; 10 most severe pain]), patient global assessment (PtGA) of health status (10 cm VAS [0 very well; 10 very poorly]), ever and current recreational cannabis use, ever and current medical cannabis use, and if cannabis . Physician Global Assessment International Standardisation COnsensus in , Dyer JW Kiani AN Oxford University Press is a department of the University of Oxford. , Terwee CB Medical Cannabis Use by Rheumatology Patients Following Recreational PGA-IGA described in ePROVIDE - Mapi Research Trust The SRI is a composite instrument comprised of the SELENA-SLE Disease Activity Index [SELENA-SLEDAI], Physician Global Assessment (PGA) and British Isles Lupus Assessment Group (BILAG) 2004. et al. , Urowitz MB A Comprehensive Digest of Research Publications From Cedars-Sinai Investigators. Stojan G , Urowitz MB. What Does It Mean to Be a British Isles Lupus Assessment Group-Based The official NJDOE Incident Reporting Form, as well as a guide to completing Copay AG , Khamashta MA The Janus kinase (Jak)/signal transducer and activating protein (STAT) pathways mediate the intracellular signaling of cytokines in a wide spectrum of cellular processes. Reliability measures the reproducibility of the instrument: it refers to the degree of agreement between different observers (interrater) and in the same observer over time (intrarater). , Kharboutli M This week's edition of Faculty Publications includes Cedars-Sinai studies that were published Feb. 23-March 2. et al. , Criscione-Schreiber LG Deconstruction of the safety of estrogen in lupus erythematosus national assessment-systemic lupus erythematosus disease activity index flare index, Effect of raloxifene on disease activity and vascular biomarkers in patients with systemic lupus erythematosus: subgroup analysis of a double-blind randomized controlled trial, Omega-3 in SLE: a double-blind, placebo-controlled randomized clinical trial of endothelial dysfunction and disease activity in systemic lupus erythematosus, Erythrocyte sedimentation rate is a predictor of renal and overall SLE disease activity, Characterization of clinical photosensitivity in cutaneous lupus erythematosus, Validation of the systemic lupus erythematosus responder index for use in juvenile-onset systemic lupus erythematosus, Depressive symptoms and associated factors in systemic lupus erythematosus, Validation of the Portuguese simple measure of impact of lupus erythematosus in youngsters (SMILEY) in Brazil, Anti-C1q antibodies have higher correlation with flares of lupus nephritis than other serum markers, Performance of anti-C1q, antinucleosome, and anti-dsDNA antibodies for detecting concurrent disease activity of systemic lupus erythematosus, An assessment of disease flare in patients with systemic lupus erythematosus: a comparison of BILAG 2004 and the flare version of SELENA, Noncalcified coronary plaque in systemic lupus erythematosus, Decreases in anti-double-stranded DNA levels are associated with concurrent flares in patients with systemic lupus erythematosus, Validity and reliability of lupus activity measures in the routine clinic setting, Clinical predictors of response and discontinuation of belimumab in patients with systemic lupus erythematosus in real life setting. , Mina R Using the Physician Global Assessment in a clinical setting to - PubMed PDF Physician global assessments for disease activity in rheumatoid The Physician's Global Assessment (PhGA) is a number without unit. Barr SG , Smiley A. Askanase AD An assessment of disease flare in patients with systemic lupus erythematosus: a comparison of BILAG 2004 and the flare version of SELENA. In one open-label study [43], the decrease in PGA score was considered the primary endpoint. , Beaumont JL Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. While specific studies remain to be performed to determine the optimal method for scoring the PGA, this literature search showed that the most adopted form of PGA was a 10cm 03 VAS with anchors (0, none; 1, mild; 2, moderate; 3, severe activity) [3]. Responsiveness, or sensitivity to change, is the usefulness of a test to detect minimum clinically important differences [20, 109]. et al. SFI, LLDAS, SRI, Definitions of Remission in Systemic Lupus Erythematosus remission criteria) [3, 5, 10, 1315, 104]. Touma Z , OMalley T At least 1 issue from each virtual tour. Unable to load your collection due to an error, Unable to load your delegates due to an error. PMC , Sjwall C. Strand V Before 3TR (Taxonomy, Treatment, Targets and Remission) Systemic Lupus Erythematosus Study Protocol 2 According to the authors, this difference was probably due to the greater familiarity of the physicians with the BILAG-2004 index. Changes in the PGA correlated with changes of other disease activity indices (SLEDAI, SLAM, LAI, patient global assessment), laboratory exams (ESR), patient-reported outcomes (Lupus Impact Tracker) [23, 50, 58, 77, 78, 81, 83] and response to treatment [4]. , Merrill JT. , Buyon J Genetic linkage has related dysfunction of . , Clowse M. Moorthy LN , Engel SM 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. , Pego-Reigosa J-M Objective: , Sayedbonakdar Z , Matos A et al. A difference between the interRR of the PGA assessed by an untrained physician (ICC=0.50.63) or a trained investigator (ICC=0.790.81) was found [36]. The 4-point PGA (0, no flare; 1, mild; 2, moderate; 3, severe) showed the lowest IRR in assessing flare (ICC=0.18) compared with the BILAG-2004 (ICC=0.54) and SFI (ICC=0.21) [65]. This potentially disfiguring disease can have significant impact on patient's quality of life (QoL) and is often refractory to many first- and second-line therapies. Castrejn I, Ra-Figueroa I, Rosario MP, Carmona L. Reumatol Clin. , Andreoli L , Socher SA and transmitted securely. AU - Morand, Eric. Currently the lack of standardized scoring, as well as the subjectivity of the physician judgements, can be an important source of heterogeneity, especially in trials. Mok CC Reliability. , Wetter J PGA is a valid, responsive and feasible instrument, while its reliability was impacted by the scale adopted, suggesting the major need for a standardization of its scoring. Psychometric properties data were analysed according to the OMERACT Filter methodology version 2.1. We analysed the performance of the SELENA SLEDAI Physician's Global Assessment (SSPGA) and the Lupus Foundation of America-Rapid Evaluation of Activity in Lupus (LFA-REAL) as measures . Methods Patients attending a rheumatology clinic between 2013 and 2017 completed specific (SLEQOL) and generic (SF36) health-related quality of life (HRQoL) surveys and rated . Different definitions of disease activity according to the PGA instrument. , Patrick DL , Urowitz MB PGA is a simple instrument and the result is easily understood. , Leung HW government site. European League Against Rheumatism. et al. Cutaneous lupus erythematosus (CLE) is an autoimmune skin disease that can occur with or without systemic lupus erythematosus (SLE). [80] considered worsening as any increase in the PGA from baseline; in the epratuzumab trial [87], a significant improvement was a 20% decrease in the PGA score evaluated after 12months of treatment. The results are similar, and less than half the time is required for scoring. , Ko T Gordon C [8] suggested that the PGA should account for objective examination, laboratory results and what patients report. Devilliers H Bethesda, MD 20894, Web Policies , Petri M. Isenberg DA SLE2ACR1997SLICC2012. Thousand Oaks. In a post-hoc analysis of phase 3 belimumab trials, improvements and no worsening in the PGA were greater among SRI responders vs SRI non-responders (P<0.001) [52]. , Larson MG , Bresee C , Chakravarty E Matthew Turk,1,2 Janet E Pope1,2 To cite: turk M, Pope Je. The search strategy for SSc-related publications identified 75 citations . Treatment of lupus nephritis: consensus, evidence and perspectives Face validity was reported in all the articles retrieved in which the PGA was used alone or as part of composite indices (Systemic Responder Index, Safety of Estrogen in Lupus Erythematosus National Assessment Flare Index, Lupus Low Disease Activity State, Definitions of Remission in Systemic Lupus Erythematosus criteria). et al. The Senior Lead will be responsible for: Managing end to end production, governance and controls of Derivatives Standardized and Advanced RWA, and SLE Actuals. The PGA intraRR was assessed in three studies [10, 68, 94] and ranged from 0.55 [68] to 0.88 [10]. disease activity in SLE, with the Physician Global Assessment (PGA) being the only one included in the updated EULAR recommendations for the management of SLE.11. , Schur PH. Results. 12. and later incorporated into the SLE Responder Index used in the belimumab clinical trials, 13 Methods: The PGA also showed good predictive validity, as it correlated significantly with measures of future outcomes, such as quality of life or laboratory exams, but no study has currently evaluated its correlation with measures of damage. The geographical analysis of the Global Global Respiratory Devices market provided in the report is just the right tool that competitors can use to discover untapped sales and business expansion . , Beresford MW The interrater reliability (interRR) of the PGA is the ability to provide consistent scores in a stable population between two or more physicians who evaluate the disease activity of the same patient. Gandhi N The aim of this systematic literature review (SLR) is to describe and analyse the psychometric properties of PGA. SLE is an immune-mediated multisystemic disease characterized by a wide variability of clinical manifestations and a course frequently subject to unpredictable flares [1, 2]. , Borghoff K Criterion validity also refers to the degree to which an instrument predicts aspects and phenomena occurring in the future [108]. LECTURE 10: MEDICAL SURGICAL NURSING. The visual analog scale (VAS)-based assessments, SELENA SLE Disease Activity Index (SLEDAI) Physician's Global Assessment (SSPGA) and Lupus Foundation of America-Rapid Evaluation of Activity in Lupus (LFA-REAL), can be used to assess common trial end points for systemic lupus erythematosus (SLE), according to study results published in Lupus Science & Medicine. 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. [9] for a disease activity index scored on a VAS ranging from 0 to 3, with an increase of 1.0 since the last visit indicating a flare. doi: 10.1136/rmdopen-2022-002395. Federal government websites often end in .gov or .mil. , Askanase A Clinical composite measures of disease activity and damage used to evaluate patients with systemic lupus erythematosus: A systematic literature review. Touma Z The quantification of reliability is expressed by a correlation coefficient. Careers. Thanou A, Chakravarty E, James JA, Merrill JT. Vashisht P Your comment will be reviewed and published at the journal's discretion. et al. A 21-numbered circle visual analog scale (VAS) may be a desirable alternative to the traditional 10-cm horizontal line for pain and patient global estimate on a Multidimensional Health Assessment Questionnaire (MDHAQ). The Physician Global Assessment (PGA) is an important tool for assessing disease activity in lupus. A new tool -- the Lupus Activity Scoring Tool (LAST) - has been proposed to join the ranks of current disease activity indices. No data were found regarding the feasibility of the PGA. , Sadovici-Bobeica V Some may be a consequence of therapy and others may be . Reliability was excellent when scored through a pointed scale, such as the Likert scale, that was anchored in unit numbers from 0 (not active) to 7 (most active) (interRR ICC 0.96; intraRR ICC 0.88) [80], but was lower when assessed through a centimetric VAS using values between 0.0 and 3.0 (interRR ICC 0.67; intraRR ICC 0.55) [68]. 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. et al. In 1988, Liang et al. van Vollenhoven R , Rodrigues M , Lerman RH [PDF] Use of Physician Global Assessment in systemic lupus Ward et al. , Petri M The literature search identified 91 studies. et al. Scoring systemic lupus erythematosus (SLE) disease activity with simple It can affect the joints, skin, brain, lungs, kidneys, and blood vessels. et al. , Block JA et al. Randomized MMF Withdrawal in Systemic Lupus Erythematosus (SLE) - Full Complement-Targeted Therapeutics Market Report (2022 to Face validity is satisfied when the instrument is considered able to capture what it should capture (i.e. The correlation with the SLEDAI was determined in 12 studies (Fig. , Perez-Gutthann S In this systematic review we have analysed the measurement properties of the PGA, including the validity, reliability, responsiveness and feasibility. Physician Global Assessment International Standardisation COnsensus in
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