A standard set of outcome measures for the comprehensive assessment of osteogenesis imperfecta

Osteogenesis Imperfecta (OI) is a genetic disorder also known as 'brittle bone disease'. The clinical manifestation of OI shows a wide variation. Therefore, care for patients with OI requires an interdisciplinary approach. The effectiveness of particular interventions and treatment protoco...

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Published in:	Orphanet journal of rare diseases Vol. 16; no. 1; p. 140
Main Authors:	Nijhuis, Wouter, Franken, Anton, Ayers, Kara, Damas, Chantal, Folkestad, Lars, Forlino, Antonella, Fraschini, Paolo, Hill, Claire, Janus, Guus, Kruse, Richard, Lande Wekre, Lena, Michiels, Lieve, Montpetit, Kathleen, Panzeri, Leonardo, Porquet-Bordes, Valerie, Rauch, Frank, Sakkers, Ralph, Salles, Jean-Pierre, Semler, Oliver, Sun, Jony, To, Michael, Tosi, Laura, Yao, Yangyang, Yeung, Eric Hiu Kwong, Zhytnik, Lidiia, Zillikens, Maria Carola, Verhoef, Marjolein
Format:	Journal Article
Language:	English
Published:	England BioMed Central 20-03-2021 BMC
Subjects:	Adult Adults Bone diseases Bone surgery Brittle bone disease Child Clinical medicine Clinical trials Collagen Consensus Continuous quality improvement Delphi method Ethics Focus Groups Genetic disorders Humans Interdisciplinary aspects Learning health care Measuring instruments Medical research Osteogenesis Osteogenesis imperfecta Osteogenesis Imperfecta - diagnosis Outcome Assessment, Health Care Outcomes Participation Patient-reported outcomes measures Patients Rare diseases Total quality Patient-reported outcomes measures Value-based health care Learning health care Continuous quality improvement Osteogenesis imperfecta Clinical outcome measures Brittle bone disease Outcomes
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Summary:	Osteogenesis Imperfecta (OI) is a genetic disorder also known as 'brittle bone disease'. The clinical manifestation of OI shows a wide variation. Therefore, care for patients with OI requires an interdisciplinary approach. The effectiveness of particular interventions and treatment protocols of interdisciplinary teams is not clear due to a non-standardized and wide variation of patient outcomes thus making the comparison of outcome measures available in the literature difficult. It is only by agreeing on a common, standard set of outcome measures for the comprehensive appraisal of OI that comparisons across interdisciplinary treatment centers for OI will be possible in the future. The Key4OI international interdisciplinary working group of 27 members used a consensus-driven modified Delphi approach to develop a set of global outcome measures for patients with OI. The International Classification of Functioning, Disability and Health (ICF), was used to define domains and organize the outcomes from the literature search. After reviewing the outcomes extracted from the literature, trials and registries, the working group agreed on a final selection of domains and their definition (ICF definition as well as a lay description). These domains were then presented to the focus groups who prioritized the outcome domains by taking into account the items important to the OI community. All content was collected and analyzed and final domains were determined. A consensus of appropriate measuring instruments for each domain was reached with Delphi rounds. The entire approach was in line with the International Consortium for Health Outcomes Measurement ICHOM methodology. More than 400 different outcome measures were identified in our literature search. After three Delphi rounds, 24 domains were selected. After the focus group sessions, the number of domains were reduced to 15. A consensus was reached on the measuring instruments to cover these domains for both children and adults. The Key4OI project resulted in standard set of outcome measures focused on the needs and wishes of individuals with OI and their families. This outcome set will enable healthcare teams and systems to compare and to improve their care pathways and quality of care worldwide. Further studies are needed to evaluate the implementation of this standardized outcome set.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1750-1172 1750-1172
DOI:	10.1186/s13023-021-01682-y