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Diagnostic criteria, severity classification and guidelines of systemic sclerosis
Yoshihide Asano1, Masatoshi Jinnin2, Yasushi Kawaguchi3
1Department of Dermatology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
The Journal of Dermatology
|April 25, 2018
Summary
Early diagnosis and treatment are crucial for systemic sclerosis (SSc) management, as drug effectiveness decreases and side effects increase in advanced stages. Revised diagnostic criteria and evidence-based clinical guidelines improve SSc patient care.
Area of Science:
- Rheumatology
- Immunology
- Internal Medicine
Background:
- Systemic sclerosis (SSc) treatment faces challenges in advanced stages, with reduced drug efficacy and increased adverse effects.
- Early diagnosis and intervention are paramount for effective management of SSc.
- Previous diagnostic criteria for SSc required updates to enhance sensitivity and specificity.
Framework:
- Established diagnostic criteria for SSc in 2003 and early diagnostic criteria in 2011.
- Incorporated joint 2013 American College of Rheumatology and European Rheumatology Association diagnostic criteria for SSc.
- Revised SSc diagnostic criteria and severity classification based on updated evidence.
Implementation:
- Developed clinical guidelines for SSc treatment based on evidence-based medicine principles.
- Utilized the New Minds Clinical Practice Guideline Creation Manual (version 1.0).
- Focused on creating a user-friendly and reliable guideline for SSc management.
Implications:
- The revised guidelines provide specific, evidence-based recommendations for various clinical challenges in SSc treatment.
- Improved diagnostic criteria aim to facilitate earlier detection and intervention in SSc.
- Enhanced clinical guidelines support optimal patient outcomes in systemic sclerosis care.
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