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Recommendations for the pragmatic use of ultrasound in rheumatoid arthritis by the GEISPER French group.
Mouterde, Gaël; Gandjbakhch, Frédérique; Le Goff, Benoît; Gaudin, Philippe; D'Agostino, Maria-Antonietta.
  • Mouterde G; Rheumatology Department, CHU Montpellier, Montpellier University, Montpellier, France.
  • Gandjbakhch F; Sorbonne Université, Paris, France; Pitié Salpêtrière hospital, AP-HP, Rheumatology department, Paris, France.
  • Le Goff B; Rheumatology Department, Centre Hospitalier Universitaire de Nantes, Nantes, France; Inserm UMR 1238, Faculty of Biology of Nantes, Nantes, France.
  • Gaudin P; Rheumatology Department, CHU Grenoble Alpes Hôpital Sud, Échirolles, France; GREPI - Université Grenoble Alpes, EA7408, St Martin d'Hères, France.
  • D'Agostino MA; Ambroise Paré Hospital, AP-HP, Université Versailles-Saint-Quentin en Yvelines - Rheumatology, Boulogne-Billancourt, France. Electronic address: maria-antonietta.dagostino@aphp.fr.
Joint Bone Spine ; 88(4): 105187, 2021 Jul.
Article en En | MEDLINE | ID: mdl-33892194
ABSTRACT

OBJECTIVE:

To develop recommendations for the appropriate use of ultrasound in the management of rheumatoid arthritis (RA) in routine practice based on data from the literature and of experts opinion.

METHODS:

Based on a systematic literature review, a scientific committee decided on themes and relevant questions to draw up an initial draft of recommendations. These recommendations were submitted to a group of experts in ultrasound in rheumatic and musculoskeletal diseases using a Delphi method, which produced preliminary recommendations. These were submitted to an expanded group of ultrasound experts for relevance, comprehensibility and comprehensiveness. The level of agreement of the experts were recorded during a face-to-face meeting.

RESULTS:

Following two rounds of the Delphi, a consensus was reached on three overarching principles, including definitions of joints, tendons and articular sites to be examined, and 10 recommendations. These recommendations underline the benefit of ultrasound for the diagnosis of RA in cases of inflammatory arthralgia or undifferentiated arthritis as well as in assessing the extent of initial structural and inflammatory damage. They also define the role of ultrasound during follow-up or when considering treatment reduction once clinical remission has been achieved. Lastly, they illustrate the utility of ultrasound in facilitating technical procedures.

CONCLUSION:

These 10 consensus-based recommendations should harmonize and optimize clinical practice and thus improve the management of RA patients.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Artritis Reumatoide / Medicina Basada en la Evidencia Tipo de estudio: Diagnostic_studies / Guideline Límite: Humans Idioma: En Año: 2021 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Artritis Reumatoide / Medicina Basada en la Evidencia Tipo de estudio: Diagnostic_studies / Guideline Límite: Humans Idioma: En Año: 2021 Tipo del documento: Article