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Longitudinal Reliability of the OMERACT Thumb Base Osteoarthritis Magnetic Resonance Imaging Scoring System (TOMS)

  • Féline P B Kroon
  • , Sjoerd van Beest
  • , Frédérique Gandjbakhch
  • , Charles G Peterfy
  • , Su Chen
  • , Philip G Conaghan
  • , Iris Eshed
  • , Violaine Foltz
  • , Harry K Genant
  • , Ida K Haugen
  • , Jeroen K Medema
  • , Mikkel Østergaard
  • , Lanju Zhang
  • , Marc C Levesque
  • , Margreet Kloppenburg
5 Citationer (Scopus)

Abstract

OBJECTIVE: To assess the longitudinal reliability of the Outcome Measures in Rheumatology (OMERACT) Thumb base Osteoarthritis Magnetic resonance imaging (MRI) Scoring system (TOMS).

METHODS: Paired MRI of patients with hand osteoarthritis were scored in 2 exercises (6-mo and 2-yr followup) for synovitis, subchondral bone defects (SBD), osteophytes, cartilage assessment, bone marrow lesions (BML), and subluxation. Interreader reliability of delta scores was assessed.

RESULTS: Little change occurred. Average-measure intraclass correlation coefficients were good-excellent (≥ 0.71), except synovitis (0.55-0.83) and carpometacarpal-1 osteophytes/cartilage assessment (0.47/0.39). Percentage exact/close agreement was 52-92%/68-100%, except BML in 2 years (28%/64-76%). Smallest detectable change was below the scoring increment, except in SBD and BML.

CONCLUSION: TOMS longitudinal reliability was moderate-good. Limited change hampered assessment.

OriginalsprogEngelsk
TidsskriftJournal of Rheumatology
Vol/bind46
Udgave nummer9
Sider (fra-til)1228-1231
Antal sider4
ISSN0315-162X
DOI
StatusUdgivet - 2019

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