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© 2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Abstract

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.

Details

Title
The Brazilian Society of Rheumatology guidelines for axial spondyloarthritis – 2019
Author
Gustavo Gomes Resende  VIAFID ORCID Logo  ; de Souza Meirelles, Eduardo; Cláudia Diniz Lopes Marques; Chiereghin, Adriano; Lyrio, Andre Marun; Ximenes, Antônio Carlos; Carla Gonçalves Saad; Gonçalves, Célio Roberto; Kohem, Charles Lubianca; Cláudia Goldenstein Schainberg; Cristiano Barbosa Campanholo; Júlio Silvio de Sousa Bueno Filho; Lenise Brandao Pieruccetti; Keiserman, Mauro Waldemar; Yazbek, Michel Alexandre; Palominos, Penelope Esther; Rafaela Silva Guimarães Goncalves; Ricardo da Cruz Lage; Rodrigo Luppino Assad; Bonfiglioli, Rubens; Sônia Maria Alvarenga Anti; Carneiro, Sueli; Oliveira, Thauana Luíza; Azevedo, Valderílio Feijó; Washington Alves Bianchi; Wanderley Marques Bernardo; Marcelo de Medeiros Pinheiro; Sampaio-Barros, Percival Degrava
Pages
1-35
Section
Position article and guidelines
Publication year
2020
Publication date
2020
Publisher
BioMed Central
ISSN
1321-8867
e-ISSN
25233106
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2546658841
Copyright
© 2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.