Recommendations of the Moroccan Society of Rheumatology (SMR) for the Therapeutic Management of Spondyloarthritis (SpA) including Psoriatic Arthritis (PsA).

Autor:	Jaouad N; Department of Rheumatology A, El Ayachi Hospital, Ibn Sina University Hospital, Salé, Morocco., Oulkadi L; Department of Rheumatology A, El Ayachi Hospital, Ibn Sina University Hospital, Salé, Morocco., Bentaleb I; Department of Rheumatology A, El Ayachi Hospital, Ibn Sina University Hospital, Salé, Morocco., Bezza A; Department of Rheumatology, Military Hospital Mohammed V, Ibn Sina University Hospital, Rabat, Morocco., Maghraoui AE; Private Medical Office of Rheumatology, Rabat, Morocco.; Mohamed V University, Rabat, Morocco., Niamane R; Department of Rheumatology, Military Hospital Avicenne, Mohammed VI University Hospital, Marrakech, Morocco., Bouchti IE; Department of Rheumatology, Arrazi University Hospital, Marrakech, Morocco., Larhrissi S; Private Medical Office, Rabat, Morocco., Ichchou L; Department of Rheumatology, Mohammed VI University Hospital, Oujda, Morocco., Janani S; Department of Rheumatology, Ibn Rochd University Hospital, Casablanca, Morocco., Abourazzak FE; Department of Rheumatology, Tanger-Tetouan- Al Hoceima University Hospital, Tanger, Morocco., Akasbi N; Department of Rheumatology, Hassan II University Hospital, Fez, Morocco., Erraoui M; Department of Rheumatology, Hassan II Hospital, CHU Souss Massa, Agadir, Morocco.; CARBONE Research Team, LARISS Laboratory, FMPA, Ibn Zohr University, Agadir, Morocco., Karkouri S; Department of Physical Medicine and Rehabilitation, El Ayachi Hospital, Ibn Sina University Hospital, Salé, Morocco., Hmamouchi I; Laboratory of Clinical Research and Epidemiology, Faculty of Medicine, Mohammed V University, Rabat, Morocco.; Department of Medicine, Health Science College, International University of Rabat (UIR), Rabat, Morocco., Bahiri R; Department of Rheumatology A, El Ayachi Hospital, Ibn Sina University Hospital, Salé, Morocco.
Jazyk:	angličtina
Zdroj:	Mediterranean journal of rheumatology [Mediterr J Rheumatol] 2023 Jun 30; Vol. 34 (2), pp. 139-151. Date of Electronic Publication: 2023 Jun 30 (Print Publication: 2023).
DOI:	10.31138/mjr.34.2.139
Abstrakt:	The advent of new therapeutic classes and the updating of international recommendations have justified the development of recent recommendations by the Moroccan Society of Rheumatology. Methods Guidelines were drafted by a core steering committee after performing a literature search. A multidisciplinary task force, including three fellows, eleven rheumatologists, a specialist in physical medicine and rehabilitation, an epidemiologist from hospital-university, hospital and liberal sectors and one patient assessed the Best Practice Guidelines using 2 rounds of anonymous online voting by modified Delphi process. Thus, 19 recommendations were developed. Recommendation 1 concerns the therapeutic principles, recommendation 2 insists on the information and education of the patient, recommendation 3 concerns the general measures to be adopted, namely physical activity, smoking cessation and psychological support, recommendation 4 concerns Non-Steroidal Anti-Inflammatory Drugs which constitute the first-line treatment, recommendations 5 to 7 concern the use of analgesics, of general and local corticosteroid therapy and conventional synthetic disease-modifying antirheumatic drugs, recommendations 8 to 13 deal with the use of biologic agents, including new classes and their indications in radiographic and nonradiographic axial and peripheral spondyloarthritis, follow-up and management in case of failure or remission, recommendation 14 deals with the indication for Janus kinase inhibitors drugs, recommendation 15 deals with physical treatment and recommendation 16 deals with the indication of surgery. Recommendations 17 to 19 deal with special situations, namely fibromyalgia, vaccination and pregnancy. A well-defined therapeutic strategy with first- and second-line treatments has been established. Competing Interests: The authors declare no conflict of interest. (© 2023 The Mediterranean Journal of Rheumatology (MJR).)
Databáze:	MEDLINE
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