2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative

Dejaco, Christian; Singh, Yogesh P.; Perel, Pablo; Hutchings, Andrew; Camellino, Dario; Mackie, Sarah L.; Abril, Andy; Bachta, Artur; Balint, Peter; Barraclough, Kevin; Bianconi, Lina; Buttgereit, Frank; Carsons, Steven; Ching, Daniel; Cid Xutglà, M. Cinta; Cimmino, Marco A.; Diamantopoulos, Andreas P.; Docken, William; Duftner, Christina; Fashanu, Billy; Gilbert, Kate; Hildreth, Pamela; Hollywood, Jane; Jayne, David; Lima, Manuella; Maharaj, Ajesh; Mallen, Christian; Martínez Taboada, Víctor Manuel; Maz, Mehrdad; Merry, Steven; Miller, Jean; Mori, Shunsuke; Neill, Lorna; Nordborg, Elisabeth; Nott, Jenifer; Padbury, Hannah; Pease, Colin; Salvarani, Carlo; Schirmer, Michael; Schmidt, Wolfgang; Spiera, Robert; Tronnier, David; Wagner, Alexandre; Whitlock, Madeleine; Matteson, Eric L; Dasgupta, Bhaskar

2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative

Therapy for polymyalgia rheumatica (PMR) varies widely in clinical practice as international recommendations for PMR treatment are not currently available. In this paper, we report the 2015 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) recommendations for the mana...

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Autores:	Dejaco, Christian, Singh, Yogesh P., Perel, Pablo, Hutchings, Andrew, Camellino, Dario, Mackie, Sarah L., Abril, Andy, Bachta, Artur, Balint, Peter, Barraclough, Kevin, Bianconi, Lina, Buttgereit, Frank, Carsons, Steven, Ching, Daniel, Cid Xutglà, M. Cinta, Cimmino, Marco A., Diamantopoulos, Andreas P., Docken, William, Duftner, Christina, Fashanu, Billy, Gilbert, Kate, Hildreth, Pamela, Hollywood, Jane, Jayne, David, Lima, Manuella, Maharaj, Ajesh, Mallen, Christian, Martínez Taboada, Víctor Manuel, Maz, Mehrdad, Merry, Steven, Miller, Jean, Mori, Shunsuke, Neill, Lorna, Nordborg, Elisabeth, Nott, Jenifer, Padbury, Hannah, Pease, Colin, Salvarani, Carlo, Schirmer, Michael, Schmidt, Wolfgang, Spiera, Robert, Tronnier, David, Wagner, Alexandre, Whitlock, Madeleine, Matteson, Eric L, Dasgupta, Bhaskar
Tipo de recurso:	artículo
Estado:	Versión publicada
Fecha de publicación:	2015
País:	España
Institución:	Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:	Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:	oai:recercat.cat:2445/115060
Acceso en línea:	https://hdl.handle.net/2445/115060
Access Level:	acceso abierto
Palabra clave:	Reumatologia Miàlgia Inflamació Rheumatology Myalgia Inflammation

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spelling	2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiativeDejaco, ChristianSingh, Yogesh P.Perel, PabloHutchings, AndrewCamellino, DarioMackie, Sarah L.Abril, AndyBachta, ArturBalint, PeterBarraclough, KevinBianconi, LinaButtgereit, FrankCarsons, StevenChing, DanielCid Xutglà, M. CintaCimmino, Marco A.Diamantopoulos, Andreas P.Docken, WilliamDuftner, ChristinaFashanu, BillyGilbert, KateHildreth, PamelaHollywood, JaneJayne, DavidLima, ManuellaMaharaj, AjeshMallen, ChristianMartínez Taboada, Víctor ManuelMaz, MehrdadMerry, StevenMiller, JeanMori, ShunsukeNeill, LornaNordborg, ElisabethNott, JeniferPadbury, HannahPease, ColinSalvarani, CarloSchirmer, MichaelSchmidt, WolfgangSpiera, RobertTronnier, DavidWagner, AlexandreWhitlock, MadeleineMatteson, Eric LDasgupta, BhaskarReumatologiaMiàlgiaInflamacióRheumatologyMyalgiaInflammationTherapy for polymyalgia rheumatica (PMR) varies widely in clinical practice as international recommendations for PMR treatment are not currently available. In this paper, we report the 2015 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) recommendations for the management of PMR. We used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology as a framework for the project. Accordingly, the direction and strength of the recommendations are based on the quality of evidence, the balance between desirable and undesirable effects, patients'and clinicians'values and preferences, and resource use. Eight overarching principles and nine specific recommendations were developed covering several aspects of PMR, including basic and follow-up investigations of patients under treatment, risk factor assessment, medical access for patients and specialist referral, treatment strategies such as initial glucocorticoid (GC) doses and subsequent tapering regimens, use of intramuscular GCs and disease modifying anti-rheumatic drugs (DMARDs), as well as the roles of non-steroidal anti-rheumatic drugs and non-pharmacological interventions. These recommendations will inform primary, secondary and tertiary care physicians about an international consensus on the management of PMR. These recommendations should serve to inform clinicians about best practices in the care of patients with PMR.BMJ Publishing Group2017201720152017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion11 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/115060Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1136/annrheumdis-2015-207492Annals of the Rheumatic Diseases, 2015, vol. 74, num. 10, p. 1799-1807https://doi.org/10.1136/annrheumdis-2015-207492(c) BMJ Publishing Group, 2015info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1150602026-05-29T05:05:01Z
dc.title.none.fl_str_mv	2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative
title	2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative
spellingShingle	2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative Dejaco, Christian Reumatologia Miàlgia Inflamació Rheumatology Myalgia Inflammation
title_short	2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative
title_full	2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative
title_fullStr	2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative
title_full_unstemmed	2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative
title_sort	2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative
dc.creator.none.fl_str_mv	Dejaco, Christian Singh, Yogesh P. Perel, Pablo Hutchings, Andrew Camellino, Dario Mackie, Sarah L. Abril, Andy Bachta, Artur Balint, Peter Barraclough, Kevin Bianconi, Lina Buttgereit, Frank Carsons, Steven Ching, Daniel Cid Xutglà, M. Cinta Cimmino, Marco A. Diamantopoulos, Andreas P. Docken, William Duftner, Christina Fashanu, Billy Gilbert, Kate Hildreth, Pamela Hollywood, Jane Jayne, David Lima, Manuella Maharaj, Ajesh Mallen, Christian Martínez Taboada, Víctor Manuel Maz, Mehrdad Merry, Steven Miller, Jean Mori, Shunsuke Neill, Lorna Nordborg, Elisabeth Nott, Jenifer Padbury, Hannah Pease, Colin Salvarani, Carlo Schirmer, Michael Schmidt, Wolfgang Spiera, Robert Tronnier, David Wagner, Alexandre Whitlock, Madeleine Matteson, Eric L Dasgupta, Bhaskar
author	Dejaco, Christian
author_facet	Dejaco, Christian Singh, Yogesh P. Perel, Pablo Hutchings, Andrew Camellino, Dario Mackie, Sarah L. Abril, Andy Bachta, Artur Balint, Peter Barraclough, Kevin Bianconi, Lina Buttgereit, Frank Carsons, Steven Ching, Daniel Cid Xutglà, M. Cinta Cimmino, Marco A. Diamantopoulos, Andreas P. Docken, William Duftner, Christina Fashanu, Billy Gilbert, Kate Hildreth, Pamela Hollywood, Jane Jayne, David Lima, Manuella Maharaj, Ajesh Mallen, Christian Martínez Taboada, Víctor Manuel Maz, Mehrdad Merry, Steven Miller, Jean Mori, Shunsuke Neill, Lorna Nordborg, Elisabeth Nott, Jenifer Padbury, Hannah Pease, Colin Salvarani, Carlo Schirmer, Michael Schmidt, Wolfgang Spiera, Robert Tronnier, David Wagner, Alexandre Whitlock, Madeleine Matteson, Eric L Dasgupta, Bhaskar
author_role	author
author2	Singh, Yogesh P. Perel, Pablo Hutchings, Andrew Camellino, Dario Mackie, Sarah L. Abril, Andy Bachta, Artur Balint, Peter Barraclough, Kevin Bianconi, Lina Buttgereit, Frank Carsons, Steven Ching, Daniel Cid Xutglà, M. Cinta Cimmino, Marco A. Diamantopoulos, Andreas P. Docken, William Duftner, Christina Fashanu, Billy Gilbert, Kate Hildreth, Pamela Hollywood, Jane Jayne, David Lima, Manuella Maharaj, Ajesh Mallen, Christian Martínez Taboada, Víctor Manuel Maz, Mehrdad Merry, Steven Miller, Jean Mori, Shunsuke Neill, Lorna Nordborg, Elisabeth Nott, Jenifer Padbury, Hannah Pease, Colin Salvarani, Carlo Schirmer, Michael Schmidt, Wolfgang Spiera, Robert Tronnier, David Wagner, Alexandre Whitlock, Madeleine Matteson, Eric L Dasgupta, Bhaskar
author2_role	author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author
dc.subject.none.fl_str_mv	Reumatologia Miàlgia Inflamació Rheumatology Myalgia Inflammation
topic	Reumatologia Miàlgia Inflamació Rheumatology Myalgia Inflammation
description	Therapy for polymyalgia rheumatica (PMR) varies widely in clinical practice as international recommendations for PMR treatment are not currently available. In this paper, we report the 2015 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) recommendations for the management of PMR. We used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology as a framework for the project. Accordingly, the direction and strength of the recommendations are based on the quality of evidence, the balance between desirable and undesirable effects, patients'and clinicians'values and preferences, and resource use. Eight overarching principles and nine specific recommendations were developed covering several aspects of PMR, including basic and follow-up investigations of patients under treatment, risk factor assessment, medical access for patients and specialist referral, treatment strategies such as initial glucocorticoid (GC) doses and subsequent tapering regimens, use of intramuscular GCs and disease modifying anti-rheumatic drugs (DMARDs), as well as the roles of non-steroidal anti-rheumatic drugs and non-pharmacological interventions. These recommendations will inform primary, secondary and tertiary care physicians about an international consensus on the management of PMR. These recommendations should serve to inform clinicians about best practices in the care of patients with PMR.
publishDate	2015
dc.date.none.fl_str_mv	2015 2017 2017 2017
dc.type.none.fl_str_mv	info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion
format	article
status_str	publishedVersion
dc.identifier.none.fl_str_mv	https://hdl.handle.net/2445/115060
url	https://hdl.handle.net/2445/115060
dc.language.none.fl_str_mv	Inglés
language_invalid_str_mv	Inglés
dc.relation.none.fl_str_mv	Reproducció del document publicat a: https://doi.org/10.1136/annrheumdis-2015-207492 Annals of the Rheumatic Diseases, 2015, vol. 74, num. 10, p. 1799-1807 https://doi.org/10.1136/annrheumdis-2015-207492
dc.rights.none.fl_str_mv	(c) BMJ Publishing Group, 2015 info:eu-repo/semantics/openAccess
rights_invalid_str_mv	(c) BMJ Publishing Group, 2015
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	11 p. application/pdf application/pdf
dc.publisher.none.fl_str_mv	BMJ Publishing Group
publisher.none.fl_str_mv	BMJ Publishing Group
dc.source.none.fl_str_mv	Articles publicats en revistes (Medicina) reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str	Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str	Recercat. Dipósit de la Recerca de Catalunya
collection	Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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2015 recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative

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