Group for Research and Assessment of Psoriasis and Psoriatic Arthritis 2015 Treatment Recommendations for Psoriatic Arthritisстатья из журнала
Аннотация: Objective To update the 2009 Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations for the spectrum of manifestations affecting patients with psoriatic arthritis (PsA). Methods GRAPPA rheumatologists, dermatologists, and PsA patients drafted overarching principles for the management of PsA, based on consensus achieved at face‐to‐face meetings and via online surveys. We conducted literature reviews regarding treatment for the key domains of PsA (arthritis, spondylitis, enthesitis, dactylitis, skin disease, and nail disease) and convened a new group to identify pertinent comorbidities and their effect on treatment. Finally, we drafted treatment recommendations for each of the clinical manifestations and assessed the level of agreement for the overarching principles and treatment recommendations among GRAPPA members, using an online questionnaire. Results Six overarching principles had ≥80% agreement among both health care professionals (n = 135) and patient research partners (n = 10). We developed treatment recommendations and a schema incorporating these principles for arthritis, spondylitis, enthesitis, dactylitis, skin disease, nail disease, and comorbidities in the setting of PsA, using the Grading of Recommendations, Assessment, Development and Evaluation process. Agreement of >80% was reached for approval of the individual recommendations and the overall schema. Conclusion We present overarching principles and updated treatment recommendations for the key manifestations of PsA, including related comorbidities, based on a literature review and consensus of GRAPPA members (rheumatologists, dermatologists, other health care providers, and patient research partners). Further updates are anticipated as the therapeutic landscape in PsA evolves.
Год издания: 2016
Авторы: Laura C. Coates, Arthur Kavanaugh, Philip J. Mease, Enrique R. Soriano, Maria Laura Acosta‐Felquer, April W. Armstrong, Wilson Bautista‐Molano, Wolf‐Henning Boehncke, Willemina Campbell, Alberto Cauli, Luis R. Espinoza, Oliver FitzGerald, Dafna D. Gladman, Alice B. Gottlieb, Philip Helliwell, M. Elaine Husni, Þorvarður Jón Löve, Ennio Lubrano, Neil McHugh, Peter Nash, Alexis Ogdie, Ana‐Maria Orbai, Andrew Parkinson, Denis O’Sullivan, Cheryl F. Rosen, Sergio Schwartzman, Evan Siegel, Sergio Toloza, William Tuong, Christopher T. Ritchlin
Издательство: Wiley
Источник: Arthritis & Rheumatology
Ключевые слова: Spondyloarthritis Studies and Treatments, Psoriasis: Treatment and Pathogenesis, Autoimmune and Inflammatory Disorders Research
Другие ссылки: Arthritis & Rheumatology (PDF)
Arthritis & Rheumatology (HTML)
Pure (University of Bath) (PDF)
Pure (University of Bath) (HTML)
Pure (University of Bath) (HTML)
PubMed (HTML)
Arthritis & Rheumatology (HTML)
Pure (University of Bath) (PDF)
Pure (University of Bath) (HTML)
Pure (University of Bath) (HTML)
PubMed (HTML)
Открытый доступ: bronze
Том: 68
Выпуск: 5
Страницы: 1060–1071