Turkish Compliance and Adaptation of EULAR 2013 Recommendations for the Management of Rheumatoid Arthritis with Synthetic and Biological Disease-Modifying Antirheumatic Drugs: Expert Opinion of TLAR
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Date
2015Author
Ataman, SebnemSurmeli, Zuhre Sari
Sunar, Ismihan
Ozdemirel, Erhan
Akinci, Aysen
Bodur, Hatice
Akgul, Ozgur
Altan, Lale
Altay, Zuhal
Ayhan, Figen
Birtane, Murat
Soy Bugdayci, Derya
Capkin, Erhan
Cerrahoglu, Lale
Duruoz, Mehmet Tuncay
Gunaydin, Rezzan
Gunendi, Zafer
Gurer, Gulcan
Bal, Ajda
Kacar, Cahit
Kaptanoglu, Ece
Kaya, Taciser
Kocabas, Hilal
Kotevoglu, Nurdan
Nas, Kemal
Rezvani, Aylin
Sen, Nesrin
Sendur, Omer Faruk
Yalcin, Peyman
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Objectives: This study aims to report Turkish League Against Rheumatism's assessment on the compliance of European League Against Rheumatism 2013 treatment recommendations for rheumatoid arthritis with practices in Turkish rheumatology clinics and adaptations for Turkey. Materials and methods: Members of Turkish League Against Rheumatism and one rheumatoid arthritis patient voted for the 2013 recommendations of the European League Against Rheumatism for treatment of rheumatoid arthritis in two sessions. An item was changed and voted again only if at least 70% of participants wanted a change. Strength of recommendations was calculated for the items. Strength of recommendations for the changed items in the first and second voting rounds was compared by Wilcoxon signed-rank test. In case of significant difference, the item with higher strength of recommendation was accepted. In case of no difference, the changed item was selected. Results: Three overarching principles and fourteen recommendations were assessed among which the three overarching principles were changed emphasizing the importance of physiatrists as well as rheumatologists for taking care of the patients. Third item was changed by adding composite indices for assessing disease activity. In the ninth recommendation, rituximab was suggested as a first line drug independent of situations like latent tuberculosis or lymphoma, etc. In the 11th recommendation, unlike European League Against Rheumatism, our committee did not suggest any thought about tofacitinib, as then it had not been approved in Turkey. Remaining principles were accepted as the same. Conclusion: Expert opinion of Turkish League Against Rheumatism for treatment of rheumatoid arthritis patients was formed for practices in Turkish clinics.
Source
ARCHIVES OF RHEUMATOLOGYVolume
30Issue
4Collections
- Makale Koleksiyonu [5200]
- Makale Koleksiyonu [5745]
- Öksüz Yayınlar Koleksiyonu - WoS [6162]