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首页> 外文期刊>Advances in Rheumatology >The Brazilian Society of Rheumatology guidelines for axial spondyloarthritis – 2019
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The Brazilian Society of Rheumatology guidelines for axial spondyloarthritis – 2019

机译:巴西风湿病学会轴向脊柱型关节炎 - 2019年

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摘要

Spondyloarthritis is a group of chronic inflammatory systemic diseases characterized by axial and/or peripheral joints inflammation, as well as extra-articular manifestations. The classification axial spondyloarthritis is adopted when the spine and/or the sacroiliac joints are predominantly involved. This version of recommendations replaces the previous guidelines published in May 2013. A systematic literature review was performed, and two hundred thirty-seven studies were selected and used to formulate 29 recommendations answering 15 clinical questions, which were divided into four sections: diagnosis, non-pharmacological therapy, conventional drug therapy and biological therapy. For each recommendation the level of evidence supporting (highest available), the strength grade according to Oxford, and the degree of expert agreement (inter-rater reliability) is informed. These guidelines bring evidence-based information on clinical management of axial SpA patients, including, diagnosis, treatment, and prognosis.
机译:脊椎炎是一组慢性炎症全身疾病,其特征在于轴向和/或外周接头炎症,以及特关节表现形式。当脊柱和/或骶髂关节主要涉及时,采用分类轴向脊髓灰质炎。此版本的建议取代了2013年5月发布的前一条指南。进行了系统的文献综述,选择了两百三十七项研究,并用于制定29个建议,回答15个临床问题,分为四个部分:诊断,非母种治疗,常规药物治疗和生物疗法。对于每次建议,证据支持(可用最高)的证据水平,根据牛津的强度等级以及专家协议(帧间间可靠性)。这些指南提出了关于轴向水疗患者的临床管理的证据信息,包括诊断,治疗和预后。

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