Pan American League of Associations for Rheumatology Recommendations for the Treatment of Psoriatic Arthritis

• Autores: Fernández Ávila, Daniel G.; Bautista Molano, Wilson; Brance, María Lorena; Ávila Pedretti, María Gabriela; Burgos Vargas, Rubén; Díaz Coto, José Francisco; Gutiérrez, Luis Arturo; Gutiérrez, Marwin; Giraldo Ho, Enrique; Ibáñez Vodnizza, Sebastián Eduardo; Jáuregui, Edwin; Ocampo, Vanessa; Palominos, Penélope Esther; Palleiro Rivero, Daniel Ruben; Andrés Quiceno, Guillermo; Sommerfleck, Fernando Andrés; Vega Espinoza, Luis Enrique; Vega Hinojosa, Oscar; Vera Barrezueta, Claudia; Corbacho, Inés; Cosentino, Vanesa Laura; Goecke Sariego, Annelise; Resende, Gustavo Gomes; Saldarriaga Rivera, Lina María; Pacheco Tena, Cesar Francisco; Citera, Gustavo; Lozada, Carlos; Ranza, Roberto; Sampaio Barros, Percival D.; Schneeberger, Emilce; Soriano, Enrique R.
• Año de publicación: 2024
• Idioma: inglés
• Tipo de recurso: artículo
• Materia: practice guideline; psoriatic arthritis; treatment
• Institución: Consejo Nacional de Investigaciones Científicas y Técnicas

Objective: Psoriatic arthritis (PsA) is chronic disease that compromises multiple domains and might be associated with progressive joint damage, increased mortality, functional limitation, and considerably impaired quality of life. Our objective was to generate evidence-based recommendations on the management of PsA in Pan American League of Associations for Rheumatology (PANLAR) countries.Methods: We used the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE)-ADOLOPMENT approach to adapt the 2019 recommendations of the European Alliance of Associations for Rheumatology. A working group consisting of rheumatologists from various countries in Latin America identified relevant topics for the treatment of PsA in the region. The methodology team updated the evidence and synthesized the information used to generate the final recommendations. These were then discussed and defined by a panel of 31 rheumatologists from 15 countries.Results: Theses guidelines report 15 recommendations addressing therapeutic targets, use of antiinflammatory agents and corticosteroids, treatment with disease-modifying antirheumatic drugs (conventional synthetic, biologic, and targeted synthetic), therapeutic failure, optimization of biologic therapy, nonpharmacological interventions, assessment tools, and follow-up of patients with PsA.Conclusion: Here we present a set of recommendations to guide decision making in the treatment of PsA in Latin America, based on the best evidence available, considering resources, medical expertise, and the patient´s values and preferences. The successful implementation of these recommendations should be based on clinical practice conditions, healthcare settings in each country, and a tailored evaluation of patients.
Fil: Fernández Ávila, Daniel G.. Pontificia Universidad Javeriana; Colombia
Fil: Bautista Molano, Wilson. Universidad El Bosque; . Universidad Militar Nueva Granada; Granada
Fil: Brance, María Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Ávila Pedretti, María Gabriela. Universidad Nacional de Asunción; Paraguay
Fil: Burgos Vargas, Rubén. Hospital General de México; México
Fil: Díaz Coto, José Francisco. Centro de Contacto de Servicios de Salud; Costa Rica
Fil: Gutiérrez, Luis Arturo. UMIR Internal Medicine and Rheumatology Unit; Venezuela
Fil: Gutiérrez, Marwin. National Institute of Rehabilitation; México
Fil: Giraldo Ho, Enrique. Pacífica Salud-Hospital Punta Pacífica; Panamá
Fil: Ibáñez Vodnizza, Sebastián Eduardo. Clínica Alemana de Santiago; Chile
Fil: Jáuregui, Edwin. Pan American League of Associations for Rheumatology; Argentina
Fil: Ocampo, Vanessa. Pan American League of Associations for Rheumatology; Argentina
Fil: Palominos, Penélope Esther. Pan American League of Associations for Rheumatology; Argentina
Fil: Palleiro Rivero, Daniel Ruben. Pan American League of Associations for Rheumatology; Argentina
Fil: Andrés Quiceno, Guillermo. Pan American League of Associations for Rheumatology; Argentina
Fil: Sommerfleck, Fernando Andrés. Pan American League of Associations for Rheumatology; Argentina
Fil: Vega Espinoza, Luis Enrique. Pan American League of Associations for Rheumatology; Argentina
Fil: Vega Hinojosa, Oscar. Pan American League of Associations for Rheumatology; Argentina
Fil: Vera Barrezueta, Claudia. Pan American League of Associations for Rheumatology; Argentina
Fil: Corbacho, Inés. Pan American League of Associations for Rheumatology; Argentina
Fil: Cosentino, Vanesa Laura. Pan American League of Associations for Rheumatology; Argentina
Fil: Goecke Sariego, Annelise. Pan American League of Associations for Rheumatology; Argentina
Fil: Resende, Gustavo Gomes. Pan American League of Associations for Rheumatology; Argentina
Fil: Saldarriaga Rivera, Lina María. Pan American League of Associations for Rheumatology; Argentina
Fil: Pacheco Tena, Cesar Francisco. Pan American League of Associations for Rheumatology; Argentina
Fil: Citera, Gustavo. Pan American League of Associations for Rheumatology; Argentina
Fil: Lozada, Carlos. Pan American League of Associations for Rheumatology; Argentina
Fil: Ranza, Roberto. Pan American League of Associations for Rheumatology; Argentina
Fil: Sampaio Barros, Percival D.. Pan American League of Associations for Rheumatology; Argentina
Fil: Schneeberger, Emilce. Pan American League of Associations for Rheumatology; Argentina
Fil: Soriano, Enrique R.. Pan American League of Associations for Rheumatology; Argentina