Systemic lupus erythematosus: state of the art on clinical practice guidelines

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TitreSystemic lupus erythematosus: state of the art on clinical practice guidelines
Type de publicationJournal Article
Year of Publication2018
AuteursTamirou F, Arnaud L, Talarico R, Scire CAlberto, Alexander T, Amoura Z, Avcin T, Bortoluzzi A, Cervera R, Conti F, Cornet A, Devilliers H, Doria A, Frassi M, Fredi M, Govoni M, Houssiau F, Llado A, Macieira C, Martin T, Massaro L, Moraes-Fontes MFrancisca, Pamfil C, Paolino S, Tani C, Tas SW, Tektonidou M, Tincani A, Van Vollenhoven RF, Bombardieri S, Burmester G, Fonseca JEurico, Galetti I, Hachulla E, Mueller-Ladner U, Schneider M, Smith V, Cutolo M, Mosca M, Costedoat-Chalumeau N
JournalRMD OPEN
Volume4
PaginationUNSP e000793
Date PublishedNOV
Type of ArticleReview
ISSN2056-5933
Résumé

Systemic lupus erythematosus (SLE) is the paradigm of systemic autoimmune diseases characterised by a wide spectrum of clinical manifestations with an unpredictable relapsing-remitting course. The aim of the present work was to identify current available clinical practice guidelines (CPGs) for SLE, to provide their review and to identify physicians' and patients' unmet needs. Twenty-three original guidelines published between 2004 and 2017 were identified. Many aspects of disease management are covered, including global disease management, lupus nephritis and neuropsychiatric involvement, management of pregnancies, vaccinations and comorbidities monitoring. Unmet needs relate with disease management of some clinical manifestations and adherence to treatment. Many patient's unmet needs have been identified starting with faster diagnosis, need for more therapeutic options, guidelines on lifestyle issues, attention to quality of life and adequate education.

DOI10.1136/rmdopen-2018-000793