针对牛皮关节炎的协调建议:对全球指导方针的比较观点
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
概括
将牛皮关节炎 (PsA) 治疗指南进行比较,揭示了共同的核心原则,但方法不同. 一种混合的全球和区域方法可以提高PsA管理的一致性和本地相关性.
科学领域:
- 类风湿病学 类风湿病学
- 临床实践指南 临床实践指南
- 基于证据的医学基于证据的医学.
背景情况:
- 牛皮关节炎 (PsA) 治疗指南旨在提供一致的,基于证据的建议.
- 存在多个区域指导方针,通常基于类似的证据,但采用不同的方法和背景.
研究的目的:
- 为了比较主要的风湿病学学会最近的PsA治疗指南.
- 识别相似之处,差异,以及全球协调与区域适应的机会.
主要方法:
- 2018年至2024年间出版的指南文件的叙述性比较审查.
- 提取和综合有关方法,小组组成,治疗领域,药理学建议和更新策略的数据.
主要成果:
- 这些指导方针共享核心原则:基于领域的方法,治疗到目标的策略,使用常规合成修饰疾病的抗风湿药物和生物制剂.
- 在方法框架 (例如,GRADE,基于域的,adopment) 中观察到的差异,利益相关者的组成,以及考虑区域药物获取的考虑.
结论:
- 混合框架将全球核心建议与模块化的区域适应相结合,可以优化资源使用和指导可持续性.
- 生活系统审查和人工智能可以支持更及时的牛皮关节炎指南更新.
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