2010 update of the ASAS/EULAR recommendations for the management of ankylosing spondylitis

被引:770
作者
Braun, J. [1 ,2 ]
van den Berg, R. [3 ]
Baraliakos, X. [1 ]
Boehm, H. [4 ]
Burgos-Vargas, R. [5 ,6 ]
Collantes-Estevez, E. [7 ]
Dagfinrud, H. [8 ,9 ]
Dijkmans, B. [10 ]
Dougados, M. [11 ]
Emery, P. [12 ]
Geher, P. [13 ]
Hammoudeh, M. [14 ]
Inman, R. D. [15 ]
Jongkees, M.
Khan, M. A. [16 ]
Kiltz, U. [1 ]
Kvien, T. K. [8 ]
Leirisalo-Repo, M. [17 ]
Maksymowych, W. P. [18 ]
Olivieri, I. [19 ]
Pavelka, K. [20 ,21 ]
Sieper, J. [22 ]
Stanislawska-Biernat, E. [23 ]
Wendling, D. [24 ]
Ozgocmen, S. [25 ]
van Drogen, C.
van Royen, B. J. [26 ]
van der Heijde, D. [3 ]
机构
[1] Rheumazentrum Ruhrgebiet, Landgrafenstr 15, D-44652 Herne, Germany
[2] Ruhr Univ Bochum, Bochum, Germany
[3] Leiden Univ, Med Ctr, Dept Rheumatol, NL-2300 RA Leiden, Netherlands
[4] Wirbelsaulenzentrum, Bad Berka, Germany
[5] Univ Nacl Autonoma Mexico, Hosp Gen Mexico, Dept Rheumatol, Mexico City 04510, DF, Mexico
[6] Univ Nacl Autonoma Mexico, Fac Med, Mexico City 04510, DF, Mexico
[7] Univ Cordoba, IMIBC, E-14071 Cordoba, Spain
[8] Univ Oslo, Diakonhjemmet Hosp, Dept Rheumatol, Oslo, Norway
[9] Univ Oslo, Oslo, Norway
[10] Univ Amsterdam, NL-1012 WX Amsterdam, Netherlands
[11] Descartes Univ Paris, Cochin Hosp, Rheumatol Dept B, Paris, France
[12] Univ Leeds, Sect Musculoskeletal Dis, Leeds, W Yorkshire, England
[13] Univ Budapest, Budapest, Hungary
[14] Hamad Med Corp, Doha, Qatar
[15] Univ Toronto, Toronto, ON, Canada
[16] Case Western Reserve Univ, Cleveland, OH 44106 USA
[17] Univ Helsinki, Cent Hosp, Dept Med, Div Rheumatol, Helsinki, Finland
[18] Univ Alberta, Edmonton, AB, Canada
[19] San Carlo Hosp, Potenza, Italy
[20] Charles Univ Prague, Inst Rheumatol, Prague, Czech Republic
[21] Charles Univ Prague, Clin Rheumatol, Prague, Czech Republic
[22] Charite, Dept Gastroenterol & Rheumatol, D-13353 Berlin, Germany
[23] Inst Rheumatol, Warsaw, Poland
[24] Univ Besancon, F-25030 Besancon, France
[25] Erciyes Univ, Sch Med, Dept Phys Med & Rehabil, Div Rheumatol, Kayseri, Turkey
[26] Vrije Univ Amsterdam Med Ctr, Dept Orthopaed Surg, Amsterdam, Netherlands
关键词
ANTITUMOR-NECROSIS-FACTOR; SOCIETY CLASSIFICATION CRITERIA; DECREASED CLINICAL-RESPONSE; ASAS CONSENSUS STATEMENT; INFLAMMATORY BACK-PAIN; ANTI-TNF THERAPY; DOUBLE-BLIND; RHEUMATOID-ARTHRITIS; RADIOGRAPHIC PROGRESSION; EULAR RECOMMENDATIONS;
D O I
10.1136/ard.2011.151027
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
This first up date of the ASAS/EULAR recommendations on the management of ankylosing spondylitis (AS) is based on the original paper, a systematic review of existing recommendations and the literature since 2005 and the discussion and agreement among 21 international experts, 2 patients and 2 physiotherapists in a meeting in February 2010. Each original bullet point was discussed in de tail and reworded if necessary. Decisions on new recommendations were made - if necessary after voting. The strength of the recommendations (SOR) was scored on an 11-point numerical rating scale after the meeting by email. These recommendations apply to patients of all ages that fulfill the modified NY criteria for AS, independent of extra-articular manifestations, and they take into account all drug and non-drug interventions related to AS. Four overarching principles were introduced, implying that one bullet has been moved to this section. There are now 11 bullet points including 2 new ones, one related to extra-articular manifestations and one to changes in the disease course. With a mean score of 9.1 (range 8-10) the SOR was generally very good.
引用
收藏
页码:896 / 904
页数:9
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