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Prognosis and follow-up of psoriatic arthritis with peripheral joint involvement: Development of recommendations for clinical practice based on published evidence and expert opinion
- Source :
- Joint Bone Spine, Joint Bone Spine, Elsevier Masson, 2009, 76 (5), pp.540-546, Joint Bone Spine, Elsevier Masson, 2009, 76 (5), pp.540-6. ⟨10.1016/j.jbspin.2009.03.003⟩
- Publication Year :
- 2009
- Publisher :
- Elsevier BV, 2009.
-
Abstract
- International audience; Objectives: To develop recommendations about prognosis and follow-up of psoriatic arthritis (PsA) with peripheral joint involvement in everyday clinical practice. Methods: The strategy was as following: (a) The choice of five questions, by the scientific committee according to the Delphi method, considered as a basis for the recommendations; (b) the Systematic Literature Research based on Medline, Cochrane and abstracts from the annual meetings of SFR, EULAR and ACR. An expert committee composed with 68 rheumatologists elaborated and validated the recommendations, specifying the strength and the degree of agreement for each of them. Results: The questions selected were: (1) How can articular and cutaneous disease activity of PsA be assessed in usual clinical practice? (2) Which parameters are predictive for functional, radiological and fatal outcome in PsA? (3) Which clinical and biological parameters are useful for the follow-up of PsA? At which frequency? (4) Which X-rays are useful for the follow-up of PsA? At which frequency? (5) How can the response to treatments be assessed in PsA? The literature search identified 1181 abstracts and 123 articles were included and analyzed. Seven recommendations, whose strength ranged from B to D, were drafted and validated by a final vote of the expert committee. Conclusion: Seven recommendations about follow-up of patients with PsA for daily practice were developed. They can be expected to improve clinical practice uniformity and, in the longer term, to optimize the management of patients with PsA. (C) 2009 Societe francaise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.
- Subjects :
- MESH: Inflammation
[SDV]Life Sciences [q-bio]
Delphi method
Alternative medicine
MESH: Monitoring, Physiologic
Arthritis
Recommendations
0302 clinical medicine
MESH: Arthritis, Psoriatic
030212 general & internal medicine
Practice Patterns, Physicians'
MESH: Publishing
Evidence-Based Medicine
Follow-up
MESH: Follow-Up Studies
Prognosis
MESH: Predictive Value of Tests
3. Good health
[SDV] Life Sciences [q-bio]
MESH: Joints
[SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system
Psoriatic arthritis
Radiological weapon
Predictive value of tests
MESH: Expert Testimony
medicine.medical_specialty
MEDLINE
MESH: Prognosis
03 medical and health sciences
Rheumatology
Predictive Value of Tests
medicine
Humans
MESH: Physician's Practice Patterns
Expert Testimony
Monitoring, Physiologic
Inflammation
Publishing
030203 arthritis & rheumatology
MESH: Humans
business.industry
Arthritis, Psoriatic
Everyday clinical practice
Evidence-based medicine
medicine.disease
Radiography
Physical therapy
Joints
business
MESH: Evidence-Based Medicine
Follow-Up Studies
Subjects
Details
- ISSN :
- 1297319X
- Volume :
- 76
- Database :
- OpenAIRE
- Journal :
- Joint Bone Spine
- Accession number :
- edsair.doi.dedup.....c87f0950ad5458e8b638752dadb3d87a