Data to be collected for an optimal management of axial spondyloarthritis in daily practice: Proposal from evidence-based and consensual approaches
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Titre | Data to be collected for an optimal management of axial spondyloarthritis in daily practice: Proposal from evidence-based and consensual approaches |
Type de publication | Journal Article |
Year of Publication | 2020 |
Auteurs | Baillet A, Romand X, Pflimlin A, Dalecky M, Claudepierrec P, Flipo R-M, Ruyssen-Witrand A, Gaudin P, Gossec L, Molto A, Lukas C, Pouplin S, Soubrier M, Wendling D, Fayet F, Hudry C, Senbel E, Schwartz M, Hacquard-Bouder C, Dougados M |
Journal | JOINT BONE SPINE |
Volume | 87 |
Pagination | 405-411 |
Date Published | OCT |
Type of Article | Article |
ISSN | 1297-319X |
Mots-clés | Comorbidities, Management, Physical examination, Spondyloarthritis |
Résumé | Objective: To propose a list of variables to be collected right after the diagnosis has been made and during the follow-up of patients with axial spondyloarthritis (ax-SpA) for an optimal management in daily practice. Methods: The process comprised (1) the evaluation of the interest of 51 variables proposed for the assessment of ax-SpA by means of a systematic literature research; (2) a consensus process involving 78 hospital-based or office-based rheumatologists, considering the collection of each variable in a 4 grade scale from ``not very useful/useless'' to ``mandatory''; (3) a consensus on the minimum interval of time for periodic assessment of the selected variables on a 5 grade scale from ``at each visit'' to ``never to be re-collected''. Results: The systematic literature research retrieved a total of 14,133 abstracts, of which 213 were included in the final qualitative synthesis. Data to be collected at the initial systematic review comprised 5 patient's self-administered questionnaires, 3 variables of the physician's interview, 2 variables of the physical examination, 2 variables of the specific ax-SpA imaging and 2 other investigations. Two variables were recommended to be systematically collected at each visit, 1 variable twice a year, 6 variables yearly and 1 variable every 2 years. Conclusions: Using an evidence-based and an expert consensus approaches, this initiative defined a core set of variables to be collected and reported right after the diagnosis and during follow-up of patients with ax-SpA in daily practice. (C) 2020 Societe francaise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved. |
DOI | 10.1016/j.jbspin.2020.04.019 |