1. The Brazilian Society of Rheumatology guidelines for axial spondyloarthritis - 2019.
- Author
-
Resende GG, Meirelles ES, Marques CDL, Chiereghin A, Lyrio AM, Ximenes AC, Saad CG, Gonçalves CR, Kohem CL, Schainberg CG, Campanholo CB, Bueno Filho JSS, Pieruccetti LB, Keiserman MW, Yazbek MA, Palominos PE, Goncalves RSG, Lage RDC, Assad RL, Bonfiglioli R, Anti SMA, Carneiro S, Oliveira TL, Azevedo VF, Bianchi WA, Bernardo WM, Pinheiro MM, and Sampaio-Barros PD
- Subjects
- Anti-Inflammatory Agents, Non-Steroidal therapeutic use, Antirheumatic Agents therapeutic use, Biological Therapy methods, Brazil, Exercise, Exercise Therapy, Glucocorticoids therapeutic use, HLA-B27 Antigen blood, Humans, Magnetic Resonance Imaging, Patient Education as Topic, Prognosis, Reproducibility of Results, Sacroiliac Joint, Sacroiliitis diagnosis, Spine diagnostic imaging, Biological Therapy standards, Rheumatology standards, Societies, Medical standards, Spondylarthritis classification, Spondylarthritis diagnostic imaging, Spondylarthritis therapy
- Abstract
Spondyloarthritis is a group of chronic inflammatory systemic diseases characterized by axial and/or peripheral joints inflammation, as well as extra-articular manifestations. The classification axial spondyloarthritis is adopted when the spine and/or the sacroiliac joints are predominantly involved. This version of recommendations replaces the previous guidelines published in May 2013.A systematic literature review was performed, and two hundred thirty-seven studies were selected and used to formulate 29 recommendations answering 15 clinical questions, which were divided into four sections: diagnosis, non-pharmacological therapy, conventional drug therapy and biological therapy. For each recommendation the level of evidence supporting (highest available), the strength grade according to Oxford, and the degree of expert agreement (inter-rater reliability) is informed.These guidelines bring evidence-based information on clinical management of axial SpA patients, including, diagnosis, treatment, and prognosis.
- Published
- 2020
- Full Text
- View/download PDF