Nonpharmacological treatments in early rheumatoid arthritis: clinical practice guidelines based on published evidence and expert opinion

Joint, Bone, Spine : Revue Du Rhumatisme
Laure GossecMaxime Dougados

Abstract

To develop clinical practice guidelines for the use of nonpharmacological treatments in patients with early rheumatoid arthritis (RA), using the evidence-based approach and expert opinion. A scientific committee used a Delphi prioritization procedure to select five questions. Evidence providing answers to the five questions was sought in the literature and presented to a panel of rheumatologists. The panel developed five detailed recommendations, filling gaps in evidence with their expert opinion. The strength of each recommendation was determined. Of the 565 publications retrieved by the literature review, 198 were included in the analysis. The five recommendations on nonpharmacological treatments for early RA were validated by a final vote among all participants. The recommendations are as follows: (1) physicians may decide to provide joint protection education to patients with potentially severe early RA, with the knowledge that structured joint protection programs have not been found effective; (2) physical exercise and sports can be recommended to patients with early RA; muscle strength exercises are advisable; (3) in patients with early RA, metatarsal pain and/or foot alignment abnormalities should be looked for regularly...Continue Reading

References

Jan 1, 1988·Annals of the Rheumatic Diseases·D BeriR R Singh
Jan 1, 1994·Comprehensive Therapy·L G Darlington, N W Ramsey
Nov 1, 1995·Baillière's Clinical Rheumatology·L G ClelandM J James
May 5, 1998·British Journal of Rheumatology·M T NenonenO O Hänninen
Jul 17, 1998·British Journal of Rheumatology·C H Van den EndeJ M Hazes
Nov 10, 1998·Scandinavian Journal of Rheumatology·S E Holst-JensenK Stengaard-Pedersen
Feb 26, 1999·BMJ : British Medical Journal·P G ShekelleJ Grimshaw
Nov 28, 2000·Scandinavian Journal of Rheumatology·P Sarzi-PuttiniA Salvaggio
Mar 17, 2001·Scandinavian Journal of Rheumatology·H MüllerK L Resch
Mar 14, 2002·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·John McDougallMary McDougall
Jan 11, 2003·Arthritis and Rheumatism·Esther M J SteultjensCornelia H M van den Ende
Feb 21, 2003·Annals of the Rheumatic Diseases·L SköldstamG Johansson
Aug 28, 2003·JAMA : the Journal of the American Medical Association·Isabelle BoutronPhilippe Ravaud
Dec 16, 2003·Annals of the Rheumatic Diseases·A HammondR Kidao
Aug 11, 2004·Best Practice & Research. Clinical Rheumatology·Alison Hammond
Dec 14, 2004·Best Practice & Research. Clinical Rheumatology·David L ScottGabrielle Kingsley
Apr 22, 2006·Joint, Bone, Spine : Revue Du Rhumatisme·Stephan PavyMaxime Dougados

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Citations

Mar 31, 2007·Nature Clinical Practice. Rheumatology·Yukiko Kimura, Gary A Walco
Jul 23, 2010·Nature Reviews. Rheumatology·Theodora P M Vliet Vlieland
Dec 23, 2006·BMC Musculoskeletal Disorders·Deborah E TurnerJames Woodburn
Aug 8, 2013·Annals of the Rheumatic Diseases·Michaela A StofferUNKNOWN eumusc.net-working group
Nov 10, 2006·Current Rheumatology Reports·Yukiko Kimura, Gary A Walco
Apr 13, 2012·Musculoskeletal Care·E J HurkmansT P M Vliet Vlieland
Apr 22, 2006·Joint, Bone, Spine : Revue Du Rhumatisme·Stephan PavyMaxime Dougados
Feb 24, 2009·Best Practice & Research. Clinical Rheumatology·Theodora P M Vliet Vlieland, Dorothy Pattison
Aug 23, 2016·Journal of Foot and Ankle Research·Kym HennessyMartijn Steultjens
Sep 7, 2016·Journal of Foot and Ankle Research·K CarterK Rome
Mar 9, 2018·The Open Rheumatology Journal·Humeira Badsha
Nov 18, 2014·Cadernos de saúde pública·Fabíola Bagatini BuendgensMareni Rocha Farias
Sep 16, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Mariangela RondanelliChiara Rigon

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