2018 APLAR axial spondyloarthritis treatment recommendations

International Journal of Rheumatic Diseases
Lai Shan TamChak Sing Lau

Abstract

Despite the availability of axial spondyloarthritis (SpA) recommendations proposed by various rheumatology societies, we considered that a region-specific guideline was of substantial added value to clinicians of the Asia-Pacific region, given the wide variations in predisposition to infections and other patient factors, local practice patterns, and access to treatment across countries. Systematic reviews were undertaken of English-language articles published between 2000 and 2016, identified from MEDLINE using PubMed, EMBASE and Cochrane databases. The strength of available evidence was graded using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. Recommendations were developed through consensus using the Delphi technique. Fourteen axial SpA treatment recommendations were developed based on evidence summaries and consensus. The first 2 recommendations cover non-pharmacological approaches to management. Recommendations 3 to 5 describe the following: the use of non-steroidal anti-inflammatory drugs as first-line symptomatic treatment; the avoidance of long-term corticosteroid use; and the utility of conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs) for peripheral or...Continue Reading

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Citations

Jun 22, 2019·International Journal of Rheumatic Diseases·Lai-Shan TamUNKNOWN APLAR Axial Spondyloarthritis Recommendations Working Group
Jul 23, 2019·International Journal of Rheumatic Diseases·Durga Prasanna MisraVed Chaturvedi
Sep 26, 2020·The Korean Journal of Internal Medicine·Mi Ryoung SeoUNKNOWN Korean College of Rheumatology working group
Dec 12, 2020·BMC Musculoskeletal Disorders·Natalia Chu-Oi CiangHo Yin Chung
Jan 6, 2021·BMJ : British Medical Journal·Christopher Ritchlin, Iannis E Adamopoulos
Mar 23, 2021·Rheumatology·Varun DhirJoydeep Samanta
Oct 27, 2020·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Philip Hei LiHo Yin Chung
Jan 20, 2022·International Journal of Rheumatic Diseases·Sakir AhmedLisa Traboco

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