Variations in the clinical practice of physicians managing Takayasu arteritis: a nationwide survey

Open Access Rheumatology : Research and Reviews
Lillian BarraChristian Pagnoux

Abstract

Takayasu arteritis (TAK) is a large vessel vasculitis that predominately affects young women and can cause severe ischemic complications. Given the rarity of TAK, the management of this condition is challenging. We aim to describe current rheumatologist practices for the management of TAK and identify discrepancies and gaps in knowledge. An online survey (developed by the Canadian Vasculitis Network and approved by the Canadian Rheumatology Association) containing 48 questions with regard to the diagnosis, monitoring and treatment of TAK was distributed to 495 Canadian adult and pediatric rheu-matologists by email. Sixty-six rheumatologists completed the survey (13% response rate): the majority (73%) were from academic centers and ≤25% reported managing more than ten patients in their career. For establishing the diagnosis of TAK, they relied on a combination of signs and symptoms of ischemia, elevations of inflammatory markers and vascular imaging (typically computed tomography and magnetic resonance angiography). The frequency of monitoring for disease activity and the methods employed (clinical, laboratory or imaging) were variable. All physicians used corticosteroids for the treatment of TAK, but 42% would treat for at leas...Continue Reading

Citations

Apr 18, 2018·Prague Medical Report·Miroslav PrůchaPavel Zdráhal
Jan 31, 2019·International Journal of Rheumatic Diseases·Durga Prasanna MisraDebashish Danda
Nov 22, 2019·ACR Open Rheumatology·Kathleen C MarinelliPeter C Grayson

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BETA
X-ray
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SurveyMonkey

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