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Updated: Sep 13, 2025
02:28
Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
Published on: March 1, 2024
490
Toward Harmonized Recommendations for Psoriatic Arthritis: A Comparative Viewpoint on Global Guidelines
Andre L Ribeiro1, Mohamad Bittar2, Wafa Hamdi3
1A.L. Ribeiro, MD, Rheumatology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
The Journal of Rheumatology
|August 1, 2025
Summary
Comparing psoriatic arthritis (PsA) treatment guidelines reveals shared core principles but differing methodologies. A hybrid global and regional approach may enhance consistency and local relevance for PsA management.
Area of Science:
- Rheumatology
- Clinical Practice Guidelines
- Evidence-Based Medicine
Background:
- Psoriatic arthritis (PsA) treatment guidelines aim for consistent, evidence-based recommendations.
- Multiple regional guidelines exist, often based on similar evidence but with varying methodologies and contexts.
Purpose of the Study:
- To compare recent PsA treatment guidelines from major rheumatology societies.
- To identify similarities, differences, and opportunities for global harmonization with regional adaptation.
Main Methods:
- Narrative comparative review of guideline documents published between 2018 and 2024.
- Extraction and synthesis of data on methodology, panel composition, treatment domains, pharmacologic recommendations, and update strategies.
Main Results:
- Guidelines share core principles: domain-based approaches, treat-to-target strategies, use of conventional synthetic disease-modifying antirheumatic drugs, and biologics.
- Differences observed in methodological frameworks (e.g., GRADE, domain-based, adolopment), stakeholder composition, and consideration of regional drug access.
Conclusions:
- A hybrid framework combining global core recommendations with modular regional adaptations can optimize resource use and guideline sustainability.
- Living systematic reviews and artificial intelligence can support more timely guideline updates for psoriatic arthritis.
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