EULAR recommendations for intra-articular therapies
| Autor: | Mikael Boesen, Hemant Pandit, Raul Castellanos-Moreira, Terence W O'Neill, V. Vardanyan, Loreto Carmona, Esperanza Naredo, Francis Berenbaum, Sebastian C. Rodriguez-García, Irene A Pitsillidou, Maria Antonietta D'Agostino, Jenny de la Torre-Aboki, W. U. Kampen, Lene Terslev, Jacqueline Uson, Ingrid Möller Parera, Elena Nikiphorou, Michael Doherty |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Settore MED/16 - REUMATOLOGIA Gout Hand Joints Immunology Delphi method General Biochemistry Genetics and Molecular Biology Injections Intra-Articular Joint injections 03 medical and health sciences 0302 clinical medicine Intra articular Rheumatology Multidisciplinary approach Health care medicine Humans Immunology and Allergy Hyaluronic Acid Glucocorticoids Societies Medical arthritis 030203 arthritis & rheumatology 030222 orthopedics Viscosupplements Scope (project management) Task force business.industry Evidence-based medicine Recommendation Osteoarthritis Knee outcome and process assessment health care Europe osteoarthritis Antirheumatic Agents Family medicine Drainage Joint Diseases business |
| Zdroj: | ANNALS OF THE RHEUMATIC DISEASES r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante instname Annals of the Rheumatic Diseases Uson, J, Rodriguez-Garciá, S C, Castellanos-Moreira, R, O'Neill, T W, Doherty, M, Boesen, M, Pandit, H, Möller Parera, I, Vardanyan, V, Terslev, L, Kampen, W U, D'Agostino, M A, Berenbaum, F, Nikiphorou, E, Pitsillidou, I A, De La Torre-Aboki, J, Carmona, L & Naredo, E 2021, ' EULAR recommendations for intra-articular therapies ', Annals of the Rheumatic Diseases, vol. 80, no. 10, pp. 1299-1305 . https://doi.org/10.1136/annrheumdis-2021-220266 |
| ISSN: | 1468-2060 0003-4967 |
| Popis: | ObjectivesTo establish evidence-based recommendations to guide health professionals using intra-articular therapies (IAT) in adult patients with peripheral arthropathies.MethodsA multidisciplinary international task force established the objectives, users and scope and the need for background information, including systematic literature reviews) and two surveys addressed to healthcare providers and patients throughout Europe. The evidence was discussed in a face-to-face meeting, recommendations were formulated and subsequently voted for anonymously in a three-round Delphi process to obtain the final agreement. The level of evidence was assigned to each recommendation with the Oxford levels of evidence.ResultsRecommendations focus on practical aspects to guide health professionals before, during and after IAT in adult patients with peripheral arthropathies. Five overarching principles and 11 recommendations were established, addressing issues related to patient information, procedure and setting, accuracy, routine and special aseptic care, safety issues and precautions to be addressed in special populations, efficacy and safety of repeated joint injections, use of local anaesthetics and aftercare.ConclusionWe have developed the first evidence and expert opinion-based recommendations to guide health professionals using IAT. We hope that these recommendations will be included in different educational programmes, used by patient associations and put into practice via scientific societies to help improve uniformity and quality of care when performing IAT in peripheral adult joints. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|