Assessment of skin involvement in systemic sclerosis

作者：Kumanovics Gabor; Pentek Marta; Bae Sangmee; Opris Daniela; Khanna Dinesh; Furst Daniel E; Czirjak Laszlo^*

来源：Rheumatology, 2017, 56(suppl_5): V53-V66.

DOI：10.1093/rheumatology/kex202

• scleroderma
• systemic sclerosis
• skin involvement
• randomized controlled trials
• outcome measuring
• OMERACT filter
• validation

Skin involvement in SSc is an important marker of disease activity, severity and prognosis, making the assessment of skin a key issue in SSc clinical research. We reviewed the published data assessing skin involvement in clinical trials and summarized the major conclusions important in SSc clinical research. A systematic literature review identified randomized controlled trials using skin outcomes in SSc. Analysis examined the validity of the different skin measures based on literature findings. Twenty-two randomized controlled trials were found. The average study duration was 10.2 (S.D. 4.5) months, mean (S.D.) sample size 32.4 (32.6) and 26.7 (27.8) in intervention and control arms, respectively. The 17-site modified Rodnan skin score is a fully validated primary outcome measure in diffuse cutaneous SSc. Skin histology seems to be an appropriate method for evaluation of skin thickness. These findings have important implications for clinical trial design targeting skin involvement in SSc.

• 出版日期2017-9
• 单位UCLA