The APLAR Recommendations for the Management of Psoriatic Arthritis

被引：0

作者：

Leung, Ying-Ying ^{[1
,2
]}

Bird, Paul ^{[3
]}

Haroon, Muhammad ^{[4
,5
]}

Kishimoto, Mitsumasa ^{[6
]}

Shin, Kichul ^{[7
]}

Mathew, Ashish Jacob ^{[8
]}

Reyes, Heizel ^{[9
]}

Chau, Jeffrey ^{[10
]}

Neuen, Dennis ^{[11
]}

Chiowchanwisawakit, Praveena

Ridha, Asal Adnan ^{[12
]}

Xu, Chuanhui ^{[13
,14
]}

Taylor, William ^{[15
]}

Yahya, Fariz ^{[16
]}

So, Ho ^{[17
]}

Fukui, Sho ^{[18
]}

Van Hung, Nguyen ^{[19
,20
]}

Soroosh, Soosan G. ^{[21
]}

Wahono, Cesarius Singgih ^{[22
]}

Pok, Lydia Say Lee ^{[16
]}

Gonzales, Juan Raphael ^{[23
]}

Yeo, Yi Wei ^{[2
,24
]}

Dandeniya, Chathurika ^{[25
]}

Morita, Akimichi ^{[26
]}

Rahman, Perdana Aditya ^{[22
]}

Basim, Shahlaa ^{[27
]}

Deshapriya, Kalum ^{[28
]}

Satti, Eman ^{[29
]}

Phong, Nguyen Duc ^{[19
]}

Kim, Min Jung ^{[30
]}

Jha, Avanish ^{[8
]}

Cackamvalli, Priyanka Moovara ^{[29
]}

Rafique, Ahmed ^{[31
]}

Islam, Md. Nazrul ^{[32
]}

Tam, Lai-Shan ^{[17
]}

机构：

[1] Sengkang Gen Hosp, Dept Rheumatol, Singapore, Singapore

[2] Duke NUS Med Sch, Singapore, Singapore

[3] Univ New South Wales, Sydney, NSW, Australia

[4] Fatima Mem Hosp, Lahore, Pakistan

[5] FMH Coll Med & Dent, Lahore, Pakistan

[6] Kyorin Univ, Sch Med, Dept Nephrol & Rheumatol, Tokyo, Japan

[7] Seoul Natl Univ, Coll Med, Div Rheumatol, Seoul, South Korea

[8] Christian Med Coll & Hosp, Dept Clin Immunol & Rheumatol, Vellore, India

[9] Univ Philippines, Manila, Philippines

[10] Patient Res Partner, Hong Kong, Peoples R China

[11] Royal Prince Alfred Hosp, Sydney, NSW, Australia

[12] Univ Baghdad, Coll Med, Dept Internal Med, Rheumatol Unit, Baghdad, Iraq

[13] Tan Tock Seng Hosp, Dept Rheumatol Allergy & Immunol, Singapore, Singapore

[14] Nanyang Technol Univ, Lee Kong Chian Sch Med, Singapore, Singapore

[15] Hutt Hosp, Rheumatol Unit, Hlth New Zealand Te Whatu Ora, Wellington, New Zealand

[16] Univ Malaya, Fac Med, Kuala Lumpur, Malaysia

[17] Chinese Univ Hong Kong, Dept Med & Therapeut, Hong Kong, Peoples R China

[18] Kyorin Univ Hosp, Emergency & Gen Med, Tokyo, Japan

[19] Bach Mai Hosp, Ctr Rheumatol, Hanoi, Vietnam

[20] Hanoi Med Univ, Dept Internal Med, Hanoi, Vietnam

[21] Med Univ, Tehran Rheumatol Res Ctr, Tehran, Iran

[22] Univ Brawijaya, Saiful Anwar Gen Hosp, Dept Internal Med, Div Rheumatol,Fac Med, Malang, Indonesia

[23] Univ Philippines, Philippine Gen Hosp, Manila, Philippines

[24] Singapore Gen Hosp, Dept Dermatol, Singapore, Singapore

[25] Univ Peradeniya, Fac Med, Dept Med, Peradeniya, Sri Lanka

[26] Nagoya City Univ, Grad Sch Med Sci, Dept Geriatr & Environm Dermatol, Nagoya, Japan

[27] Al Imamain Al Kadhimain Med City, Dept Med, Baghdad, Iraq

[28] Teaching Hosp, Dept Rheumatol & Rehabil, Karapitiya, Sri Lanka

[29] Hamad Med Corp, Dept Rheumatol, Doha, Qatar

[30] Seoul Natl Univ Hosp, Boramae Med Ctr, Dept Internal Med, Div Rheumatol,Seoul Metropolitan Govt, Seoul, South Korea

[31] Patient Res Partner, Islamabad, Pakistan

[32] Bangabandhu Sheikh Mujib Med Univ BSMMU, Dept Rheumatol, Dhaka, Bangladesh

来源：

INTERNATIONAL JOURNAL OF RHEUMATIC DISEASES | 2025年 / 28卷 / 08期

关键词：

psoriatic arthritis; quality of evidence; treatment recommendation; EULAR RECOMMENDATIONS; DISEASE; RISK;

D O I：

10.1111/1756-185x.70372

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

ObjectivesUnder the auspices of the Asia-Pacific League of Associations for Rheumatology (APLAR), we aimed to develop broad, evidence- and consensus-based guidelines to aid health professionals managing patients with psoriatic arthritis (PsA) in the region.MethodsA working group of 35 members comprising rheumatologists, dermatologists, and patient research partners from 18 APLAR countries was convened. The working group conducted systematic literature reviews to derive the quality of evidence via GRADE methods in supporting the efficacy and safety of classes of therapeutic agents for the management of active PsA, its comorbidities, and screening for specific infection concerns in the region. Recommendation statements on the principles of management and the best use of therapeutic drugs were developed. Consensus within the working group was achieved. An external voting panel, five from each of the 18 APLAR countries, was convened to confirm further agreement on the recommendation statements.ResultsThe main literature review included 178 articles from clinical trials for PsA. Additional articles on the evidence for managing comorbidities, uveitis, inflammatory bowel disease, and screening for chronic hepatitis B and latent tuberculosis were reviewed. The working group discussed and reached consensus on eight management principles and 16 recommendation statements for managing PsA. Endorsement from an external voting panel (n = 90, response rate 80%) was achieved.ConclusionThese first recommendations for the management of PsA patients in the APLAR regions were developed based on the best available evidence and region-specific considerations through discussion among rheumatologists, dermatologists, and patients, with strong agreement from an external expert panel.

引用

页数：10

共 34 条

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