Document Detail

Prognosis and follow-up of psoriatic arthritis with peripheral joint involvement: development of recommendations for clinical practice based on published evidence and expert opinion.
MedLine Citation:
PMID:  19457693     Owner:  NLM     Status:  MEDLINE    
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.
Fr??d??ric Lavie; Carine Salliot; Emmanuelle Dernis; Pascal Claudepierre; Thierry Schaeverbeke; Jacques Tebib; Philippe Goupille; Alain Cantagrel; Ren??-Marc Flipo; Philippe Gaudin; Xavier Le Lo??t; Jean-Francis Maillefert; Carle Paul; Alain Saraux; Daniel Wendling; Bernard Combe
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-05-19
Journal Detail:
Title:  Joint, bone, spine : revue du rhumatisme     Volume:  76     ISSN:  1778-7254     ISO Abbreviation:  Joint Bone Spine     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-26     Completed Date:  2010-01-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100938016     Medline TA:  Joint Bone Spine     Country:  France    
Other Details:
Languages:  eng     Pagination:  540-6     Citation Subset:  IM    
Service de Rhumatologie B, CHU Cochin, Paris, France.
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MeSH Terms
Arthritis, Psoriatic / diagnosis,  radiography,  therapy*
Evidence-Based Medicine
Expert Testimony
Follow-Up Studies
Inflammation / etiology
Joints / physiopathology*
Monitoring, Physiologic / methods
Physician's Practice Patterns
Predictive Value of Tests

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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