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Korean treatment recommendations for patients with axial spondyloarthritis
We aimed to develop evidence-based recommendations for treating axial spondylarthritis (axSpA) in Korea. The development committee was constructed, key clinical questions were determined, and the evidence was searched through online databases including MEDLINE, Embase, Cochrane, KoreaMed, and Kmbase...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Association of Internal Medicine
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10493447/ https://www.ncbi.nlm.nih.gov/pubmed/37482652 http://dx.doi.org/10.3904/kjim.2023.194 |
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author | Seo, Mi Ryoung Yeo, Jina Park, Jun Won Lee, Yeon-Ah Lee, Ju Ho Kang, Eun Ha Ji, Seon Mi Kwon, Seong-Ryul Kim, Seong-Kyu Kim, Tae-Jong Kim, Tae-Hwan Kim, Hye Won Park, Min-Chan Shin, Kichul Lee, Sang-Hoon Lee, Eun Young Cha, Hoon Suk Shim, Seung Cheol Yoon, Youngim Lee, Seung Ho Lim, Jun Hong Baek, Han Joo |
author_facet | Seo, Mi Ryoung Yeo, Jina Park, Jun Won Lee, Yeon-Ah Lee, Ju Ho Kang, Eun Ha Ji, Seon Mi Kwon, Seong-Ryul Kim, Seong-Kyu Kim, Tae-Jong Kim, Tae-Hwan Kim, Hye Won Park, Min-Chan Shin, Kichul Lee, Sang-Hoon Lee, Eun Young Cha, Hoon Suk Shim, Seung Cheol Yoon, Youngim Lee, Seung Ho Lim, Jun Hong Baek, Han Joo |
author_sort | Seo, Mi Ryoung |
collection | PubMed |
description | We aimed to develop evidence-based recommendations for treating axial spondylarthritis (axSpA) in Korea. The development committee was constructed, key clinical questions were determined, and the evidence was searched through online databases including MEDLINE, Embase, Cochrane, KoreaMed, and Kmbase. Systematic literature reviews were conducted, quality of evidence was determined, and draft recommendations were formulated according to the Grading of Recommendations Assessment, Development, and Evaluations methodology. Recommendations that reached 80% consensus among a voting panel were finalized. Three principles and 21 recommendations were determined. Recommendations 1 and 2 pertain to treatment strategies, regular disease status assessment, and rheumatologist-steered multidisciplinary management. Recommendations 3 and 4 strongly recommend patient education, exercise, and smoking cessation. Recommendations 5–12 address pharmacological treatment of active disease using nonsteroidal anti-inflammatory drugs, glucocorticoids, sulfasalazine, biologics, and Janus kinase inhibitors. Recommendations 13–16 address treatment in stable disease. We suggest against spa and acupuncture as therapies (Recommendation 17). Recommendations 18 and 19 pertain to total hip arthroplasty and spinal surgery. Monitoring of comorbidities and drug toxicities are recommended (Recommendations 20 and 21). Recommendations for axSpA treatment in a Korean context were developed based on comprehensive clinical questions and evidence. These are intended to guide best practice in the treatment of axSpA. |
format | Online Article Text |
id | pubmed-10493447 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Association of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-104934472023-09-12 Korean treatment recommendations for patients with axial spondyloarthritis Seo, Mi Ryoung Yeo, Jina Park, Jun Won Lee, Yeon-Ah Lee, Ju Ho Kang, Eun Ha Ji, Seon Mi Kwon, Seong-Ryul Kim, Seong-Kyu Kim, Tae-Jong Kim, Tae-Hwan Kim, Hye Won Park, Min-Chan Shin, Kichul Lee, Sang-Hoon Lee, Eun Young Cha, Hoon Suk Shim, Seung Cheol Yoon, Youngim Lee, Seung Ho Lim, Jun Hong Baek, Han Joo Korean J Intern Med Guideline We aimed to develop evidence-based recommendations for treating axial spondylarthritis (axSpA) in Korea. The development committee was constructed, key clinical questions were determined, and the evidence was searched through online databases including MEDLINE, Embase, Cochrane, KoreaMed, and Kmbase. Systematic literature reviews were conducted, quality of evidence was determined, and draft recommendations were formulated according to the Grading of Recommendations Assessment, Development, and Evaluations methodology. Recommendations that reached 80% consensus among a voting panel were finalized. Three principles and 21 recommendations were determined. Recommendations 1 and 2 pertain to treatment strategies, regular disease status assessment, and rheumatologist-steered multidisciplinary management. Recommendations 3 and 4 strongly recommend patient education, exercise, and smoking cessation. Recommendations 5–12 address pharmacological treatment of active disease using nonsteroidal anti-inflammatory drugs, glucocorticoids, sulfasalazine, biologics, and Janus kinase inhibitors. Recommendations 13–16 address treatment in stable disease. We suggest against spa and acupuncture as therapies (Recommendation 17). Recommendations 18 and 19 pertain to total hip arthroplasty and spinal surgery. Monitoring of comorbidities and drug toxicities are recommended (Recommendations 20 and 21). Recommendations for axSpA treatment in a Korean context were developed based on comprehensive clinical questions and evidence. These are intended to guide best practice in the treatment of axSpA. Korean Association of Internal Medicine 2023-09 2023-07-24 /pmc/articles/PMC10493447/ /pubmed/37482652 http://dx.doi.org/10.3904/kjim.2023.194 Text en Copyright © 2023 The Korean Association of Internal Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Guideline Seo, Mi Ryoung Yeo, Jina Park, Jun Won Lee, Yeon-Ah Lee, Ju Ho Kang, Eun Ha Ji, Seon Mi Kwon, Seong-Ryul Kim, Seong-Kyu Kim, Tae-Jong Kim, Tae-Hwan Kim, Hye Won Park, Min-Chan Shin, Kichul Lee, Sang-Hoon Lee, Eun Young Cha, Hoon Suk Shim, Seung Cheol Yoon, Youngim Lee, Seung Ho Lim, Jun Hong Baek, Han Joo Korean treatment recommendations for patients with axial spondyloarthritis |
title | Korean treatment recommendations for patients with axial spondyloarthritis |
title_full | Korean treatment recommendations for patients with axial spondyloarthritis |
title_fullStr | Korean treatment recommendations for patients with axial spondyloarthritis |
title_full_unstemmed | Korean treatment recommendations for patients with axial spondyloarthritis |
title_short | Korean treatment recommendations for patients with axial spondyloarthritis |
title_sort | korean treatment recommendations for patients with axial spondyloarthritis |
topic | Guideline |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10493447/ https://www.ncbi.nlm.nih.gov/pubmed/37482652 http://dx.doi.org/10.3904/kjim.2023.194 |
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