PMID- 32007930 OWN - NLM STAT- MEDLINE DCOM- 20210825 LR - 20210825 IS - 1499-2752 (Electronic) IS - 0315-162X (Linking) VI - 47 IP - 11 DP - 2020 Nov 1 TI - Expert Consensus on a Set of Outcomes to Assess the Effectiveness of Biologic Treatment in Psoriatic Arthritis: The MERECES Study. PG - 1637-1643 LID - 10.3899/jrheum.191056 [doi] AB - OBJECTIVE: To reach a consensus on the instruments to be used in clinical practice to evaluate the effectiveness of biological disease-modifying antirheumatic drug (bDMARD) treatment in patients with psoriatic arthritis (PsA) in the short to medium term (3-6 mos), and to establish the minimum health outcomes for treatment continuation. METHODS: A 2-round Delphi questionnaire was developed based on both the information gathered in the literature review and 4 discussion groups. The suitability and feasibility of the proposed sets of instruments were assessed on a 7-point Likert scale. Consensus was established when at least 75% of healthcare professionals (HCP) reached agreement. To define a minimum health outcome to continue treatment, a combination of 4 disease activity states and 3 health-related quality of life states were defined for 3 hypothetical patient profiles. HCP were given a dichotomous choice (yes/no) to respond to whether they would continue treatment in each case. RESULTS: The second round was completed by 106 HCP. Consensus was reached on the use of (1) Disease Activity in Psoriatic Arthritis + Psoriatic Arthritis Impact of Disease (PsAID12) or minimal disease activity + PsAID12 + C-reactive protein, in peripheral PsA; and (2) Ankylosing Spondylitis Disease Activity Score + PsAID12, in axial PsA. Health outcomes considered sufficient to continue treatment were stricter for bDMARD-naive patients than for patients who failed several bDMARD. CONCLUSION: To the best of our knowledge, this is the first multidisciplinary consensus on a set of outcomes for the evaluation of bDMARD effectiveness in PsA, in routine clinical practice. FAU - Canete, Juan D AU - Canete JD AUID- ORCID: 0000-0003-2606-0573 AD - J.D. Canete, MD, PhD, Arthritis Unit, Rheumatology Department, Hospital Clinic and IDIBAPS, Barcelona; jcanete@clinic.cat. FAU - Nolla, Joan M AU - Nolla JM AUID- ORCID: 0000-0002-2358-6767 AD - J.M. Nolla, MD, PhD, Department of Rheumatology, Hospital Universitario de Bellvitge IDIBELL, L'Hospitalet de Llobregat, Barcelona. FAU - Queiro, Ruben AU - Queiro R AUID- ORCID: 0000-0002-8418-7145 AD - R. Queiro, MD, PhD, Department of Rheumatology, Hospital Universitario Central de Asturias, Oviedo. FAU - Rodriguez, Miguel J AU - Rodriguez MJ AUID- ORCID: 0000-0002-6922-266X AD - M.J. Rodriguez, MD, Management Unit, Hospital Universitario de Cabuenes, Gijon. FAU - Ruiz, Miguel AU - Ruiz M AUID- ORCID: 0000-0002-2734-2196 AD - M. Ruiz, PhD, Department of Social Psychology and Methodology, Facultad de Psicologia, Universidad Autonoma de Madrid, Madrid. FAU - Lizan, Luis AU - Lizan L AUID- ORCID: 0000-0001-6039-2454 CN - MERECES Working Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200201 PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 RN - 0 (Antirheumatic Agents) RN - 0 (Biological Products) SB - IM CIN - J Rheumatol. 2020 Nov 1;47(11):1600-1602. PMID: 33139521 MH - *Antirheumatic Agents/therapeutic use MH - *Arthritis, Psoriatic/drug therapy MH - *Biological Products/therapeutic use MH - Consensus MH - Humans MH - Quality of Life MH - Treatment Outcome OTO - NOTNLM OT - Delphi technique OT - antirheumatic agents OT - consensus OT - patient-reported outcome measures OT - psoriatic arthritis OT - treatment outcome FIR - Belinchon, Isabel IR - Belinchon I FIR - Chamizo, Eugenio IR - Chamizo E FIR - Babio, Jesus IR - Babio J FIR - Almodovar, Raquel IR - Almodovar R FIR - Rio, Tamara Del IR - Rio TD FIR - Poveda, Jose Luis IR - Poveda JL FIR - Abad, Angel IR - Abad A FIR - Mur, Carlos IR - Mur C FIR - de la Cueva, Pablo IR - de la Cueva P FIR - Fernandez-Carballido, Cristina IR - Fernandez-Carballido C FIR - Joven, Beatriz IR - Joven B FIR - Pinto, Jose A IR - Pinto JA FIR - Lozano, Ana IR - Lozano A FIR - Leon, Leticia IR - Leon L FIR - Soto, Jose IR - Soto J FIR - Galindez, Eva IR - Galindez E FIR - Garcia-Vivar, Mari L IR - Garcia-Vivar ML FIR - Ruibal, Ana IR - Ruibal A FIR - Palmou, Natalia IR - Palmou N FIR - Veroz, Raul IR - Veroz R FIR - Rubio, Esteban IR - Rubio E FIR - Alvarez-Vega, Jose L IR - Alvarez-Vega JL FIR - Alonso, Elena IR - Alonso E FIR - Marzo, Jesus IR - Marzo J FIR - Garrido, Laura IR - Garrido L FIR - Fabregas, Lola IR - Fabregas L FIR - Garcia-Martos, Alvaro IR - Garcia-Martos A FIR - Ortega, Maria C IR - Ortega MC FIR - Diaz, Consuelo IR - Diaz C FIR - Nieto, Juan C IR - Nieto JC FIR - Torres, Carmen IR - Torres C FIR - Perez-Venegas, Pepe IR - Perez-Venegas P FIR - Sanz, Jesus IR - Sanz J FIR - Zarco, Pedro IR - Zarco P FIR - Munoz, Santiago IR - Munoz S FIR - Garcia-Vicuna, Txaro IR - Garcia-Vicuna T FIR - Garcia-Porrua, Carlos IR - Garcia-Porrua C FIR - Meceiras, Francisco J IR - Meceiras FJ FIR - Alvarez-Castro, Carolina IR - Alvarez-Castro C FIR - Hernandez-Beriain, Jose A IR - Hernandez-Beriain JA FIR - Gonzalez, Beatriz IR - Gonzalez B FIR - Moreno, Mireia IR - Moreno M FIR - Sellas, Agusti IR - Sellas A FIR - Ramirez, Julio IR - Ramirez J FIR - Urruticoechea, Ana IR - Urruticoechea A FIR - Ponce, Andres IR - Ponce A FIR - Feced, Carlos IR - Feced C FIR - Martinez-Ferrer, Angels IR - Martinez-Ferrer A FIR - Fernandez-Llanio, Nagore IR - Fernandez-Llanio N FIR - Martinez-Cristobal, Anna IR - Martinez-Cristobal A FIR - Campos, Cristina IR - Campos C FIR - Conesa, Arantxa IR - Conesa A FIR - Batlle, Enrique IR - Batlle E FIR - Sivera, Francisca IR - Sivera F FIR - Jovani, Vega IR - Jovani V FIR - Judez, Enrique IR - Judez E FIR - Moreno, Manuel IR - Moreno M FIR - Rodriguez-Martinez, Fernando IR - Rodriguez-Martinez F FIR - Laiz, Ana Maria IR - Laiz AM FIR - Mateo, Lourdes IR - Mateo L FIR - Pujol, Manel IR - Pujol M FIR - Torre, Juan C IR - Torre JC FIR - Coto, Pablo IR - Coto P FIR - Notario, Jaume IR - Notario J FIR - Garcia-Font, Merce IR - Garcia-Font M FIR - Chaves, Antonio J IR - Chaves AJ FIR - Pujol, Conrad IR - Pujol C FIR - Puig, Lluis IR - Puig L FIR - Dauden, Esteban IR - Dauden E FIR - Sanchez-Carazo, Jose L IR - Sanchez-Carazo JL FIR - Carretero, Gregorio IR - Carretero G FIR - Lopez-Estebaranz, Jose L IR - Lopez-Estebaranz JL FIR - Lopez-Ferrer, Anna IR - Lopez-Ferrer A FIR - Pereyra-Rodriguez, Jose-Juan IR - Pereyra-Rodriguez JJ FIR - Rodriguez-Fernandez, Lourdes IR - Rodriguez-Fernandez L FIR - Carrascosa, Jose M IR - Carrascosa JM FIR - Herranz, Pedro IR - Herranz P FIR - Ruiz-Villaverde, Ricardo IR - Ruiz-Villaverde R FIR - Turrion, Ana IR - Turrion A FIR - Cuervo, Andrea M IR - Cuervo AM FIR - Montilla, Carlos A IR - Montilla CA FIR - Delgado, Concepcion IR - Delgado C FIR - Palma, Deseada IR - Palma D FIR - Garcia-Llorente, Jose F IR - Garcia-Llorente JF FIR - Rosales, Jose L IR - Rosales JL FIR - Senabre, Jose M IR - Senabre JM FIR - Lerma, Juan J IR - Lerma JJ FIR - Moreno, Maria J IR - Moreno MJ FIR - Lopez-Lasanta, Maria IR - Lopez-Lasanta M FIR - Oliva, Maria R IR - Oliva MR FIR - Navio, Maria T IR - Navio MT FIR - Tejon, Patricia IR - Tejon P FIR - Castaneda, Santos IR - Castaneda S FIR - Alonso-Castro, Sara IR - Alonso-Castro S FIR - Gonzalez-Suarez, Senen IR - Gonzalez-Suarez S FIR - Torrente, Vicente IR - Torrente V FIR - Garcia-Portales, Rosa IR - Garcia-Portales R FIR - Cancio, Jorge IR - Cancio J FIR - Navarro, Victoria IR - Navarro V FIR - Medina, Julio A IR - Medina JA FIR - Rodriguez-Montero, Sergio IR - Rodriguez-Montero S FIR - Ahijado, Pilar IR - Ahijado P FIR - Hernandez, Azucena IR - Hernandez A FIR - Fernandez-Espartero, Cruz IR - Fernandez-Espartero C FIR - Mosquera, Jose Antonio IR - Mosquera JA FIR - Reina, Delia IR - Reina D FIR - Garcia, Antonio IR - Garcia A FIR - Lopez, Alejandra IR - Lopez A FIR - Uceda, Ana IR - Uceda A FIR - Belzunegui, Joaquin IR - Belzunegui J EDAT- 2020/02/03 06:00 MHDA- 2021/08/26 06:00 CRDT- 2020/02/03 06:00 PHST- 2020/01/16 00:00 [accepted] PHST- 2020/02/03 06:00 [pubmed] PHST- 2021/08/26 06:00 [medline] PHST- 2020/02/03 06:00 [entrez] AID - jrheum.191056 [pii] AID - 10.3899/jrheum.191056 [doi] PST - ppublish SO - J Rheumatol. 2020 Nov 1;47(11):1637-1643. doi: 10.3899/jrheum.191056. Epub 2020 Feb 1.