Recommendations of the Mexican College of Rheumatology for the management of psoriatic arthritis.

Autor: Casasola-Vargas J; Servicio de Reumatología, Hospital General de México Dr. Eduardo Liceaga, Mexico City, Mexico., Flores-Alvarado D; Facultad de Medicina y Hospital Universitario de la Universidad Autónoma de Monterrey, Nuevo León, Nuevo León, Mexico., Silveira LH; Departamento de Reumatología, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico., Sicsik-Ayala S; Hospital De Especialidades 71, Unidad Médica De Alta Especialidad, Instituto Mexicano del Seguro Social, Torreón, Coahuila, Mexico., Reyes-Cordero G; Hospital Ángeles Chihuahua, Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua, Chihuahua, Mexico., Villanueva Quintero G; Dermatóloga/Investigadora Clínica Centro de Atención en Enfermedades Inflamatorias, Guadalajara, Mexico., Amaya Guerra M; Centro de Salud y Desarrollo, Universidad de Monterrey, Monterrey, Nuevo León, Mexico., Reyes Orozco SG; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua, Chihuahua, Mexico., Zazueta Montiel BE; Centro Médico del Ángel S.C. Centro de Investigación de Enfermedades Reumáticas, Mexicali, Baja California, Mexico., Hernández-Paz R; Hospital Regional ISSSTE León, León, Guanajuato, Mexico., Mendoza-Fuentes A; Centro Médico ISSEMyM, Toluca, Estado de México, Mexico., Bernard-Medina AG; Hospital Civil de Guadalajara, Guadalajara, Jalisco, Mexico., López Rodriguez A; Centro Dermatológico del Country, Guadalajara, Jalisco, Mexico., Barbosa Cobos RE; Departamento de Reumatología, Hospital Juárez de México, Mexico City, Mexico., Burgos-Vargas R; Servicio de Reumatología, Hospital General de México Dr. Eduardo Liceaga, Mexico City, Mexico., Pacheco-Tena C; Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua, Chihuahua, Mexico. Electronic address: dr.cesarpacheco@gmail.com.
Jazyk: angličtina
Zdroj: Reumatologia clinica [Reumatol Clin (Engl Ed)] 2021 Dec; Vol. 17 (10), pp. 611-621. Date of Electronic Publication: 2021 Jul 23.
DOI: 10.1016/j.reumae.2020.12.002
Abstrakt: Psoriatic arthritis is a chronic systemic inflammatory disease that affects the skin, musculoskeletal structures and other organs and systems compromising functionality, quality of life and reducing the life expectancy of patients. It is a complex disease that requires specialist and timely care and management. The alternatives for treating the manifestations of psoriatic arthritis have increased and the effect of the different agents on specific manifestations has been clarified in recent studies. Therefore, we should incorporate the available evidence to build a strategy for the treatment of these patients. The Mexican College of Rheumatology selected a committee to evaluate these different alternatives and make recommendations.
Methods: The study group included 16 rheumatologists and 3 certified dermatologists, selected from different health institutions and regions of the country. An executive committee was formed to coordinate the meetings and a committee of experts selected the literature search criteria, prepared the research questions, rated the quality of the evidence, and produced the recommendations in the different disease domains based on the GRADE methodology.
Results: 24 updated recommendations were generated for the treatment of patients with psoriatic arthritis. The recommendations establish the role of the drugs currently available in our country. The importance of adequate disease control is emphasized, individualizing the level of involvement of each patient in each of the six domains potentially affected by the disease. In addition, the sequence in the choice of treatments available for each domain is established, based on their efficacy, safety profile and accessibility.
Conclusions: With this consensus document, it will be possible to improve the care of patients with psoriatic arthritis. The recommendations were generated based on the best available information and in consideration of the Mexican health system.
(Copyright © 2021 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.)
Databáze: MEDLINE
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