Differences and similarities between the EULAR/ASAS-EULAR and national recommendations for treatment of patients with psoriatic arthritis and axial spondyloarthritis across Europe

被引：12

作者：

Michelsen, Brigitte ^{[1
,2
,3
]}

Ostergaard, Mikkel ^{[1
,4
]}

Nissen, Michael John ^{[5
]}

Ciurea, Adrian ^{[6
]}

Moeller, Burkhard ^{[7
]}

Ornbjerg, Lykke Midtboll ^{[1
]}

Zavada, Jakub ^{[8
,9
]}

Glintborg, Bente ^{[1
,4
,10
]}

Macdonald, Alan ^{[11
]}

Laas, Karin ^{[12
]}

Nordstrom, Dan ^{[13
]}

Gudbjornsson, Bjorn ^{[14
,15
]}

Iannone, Florenzo ^{[16
]}

Hellmand, Pasoon ^{[17
]}

Kvien, Tore Kristian ^{[2
]}

Rodrigues, Ana Maria ^{[18
,19
,20
]}

Codreanu, Catalin ^{[21
]}

Rotar, Ziga ^{[22
,23
]}

Fernandez, Isabel Castrejon ^{[24
,25
]}

Wallman, Johan Karlsson ^{[26
]}

Vencovsky, Jiri ^{[8
,9
]}

Loft, Anne Gitte ^{[27
,28
]}

Heddle, Maureen ^{[29
]}

Vorobjov, Sigrid ^{[30
]}

Hokkanen, Anna-Mari ^{[31
,32
]}

Groendal, Gerdur ^{[14
]}

Sebastiani, Marco ^{[33
]}

van de Sande, Marleen ^{[34
,35
]}

Kristianslund, Eirik Klami ^{[2
]}

Santos, Maria Jose ^{[36
,37
,38
]}

Mogosan, Corina ^{[21
]}

Tomsic, Matija ^{[22
,23
]}

Diaz-Gonzalez, Federico ^{[39
,40
]}

Di Giuseppe, Daniela ^{[41
]}

Hetland, Merete Lund ^{[1
,4
]}

机构：

[1] Rigshosp, Copenhagen Ctr Arthrit Res COPECARE, Ctr Rheumatol & Spine Dis, Ctr Head & Orthopaed, Glostrup, Denmark

[2] Diakonhjemmet Hosp, Ctr treatment Rheumat & Musculoskeletal Dis REMED, Oslo, Norway

[3] Sorlandet Hosp, Res Unit, Kristiansand, Norway

[4] Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark

[5] Geneva Univ Hosp, Dept Rheumatol, Geneva, Switzerland

[6] Univ Zurich, Univ Hosp Zurich, Dept Rheumatol, Zurich, Switzerland

[7] Inselspital Univ Hosp Bern, Dept Rheumatol & Immunol, Bern, Switzerland

[8] Inst Rheumatol, Prague, Czech Republic

[9] Charles Univ Prague, Fac Med 1, Dept Rheumatol, Prague, Czech Republic

[10] Rigshosp, DANBIO, Glostrup, Denmark

[11] NHS Grampian, Grampian, Scotland

[12] East Tallinn Cent Hosp, Dept Rheumatol, Tallinn, Estonia

[13] Helsinki Univ Hosp, Dept Med & Rheumatol, Helsinki, Finland

[14] Landspitali Univ Hosp, Ctr Rheumatol Res, Reykjavik, Iceland

[15] Univ Iceland, Fac Med, Reykjavik, Iceland

[16] Univ Bari, Rheumatol Unit, DETO, Bari, Italy

[17] Univ Amsterdam, Med Ctr, Dept Rheumatol & Clin Immunol, Amsterdam, Netherlands

[18] Reuma Pt, Soc Portuguesa Reumatol, Lisbon, Portugal

[19] NOVA Med Sch, EpiDoC Unit, Lisbon, Portugal

[20] Hosp Lusiadas, Rheumatol Unit, Lisbon, Portugal

[21] Univ Med & Pharm, Ctr Rheumat Dis, Bucharest, Romania

[22] Univ Med Ctr Ljubljana, Dept Rheumatol, Ljubljana, Slovenia

[23] Univ Ljubljana, Fac Med, Ljubljana, Slovenia

[24] Univ Gregorio Maranon, Dept Rheumatol, Hosp Gen, Madrid, Spain

[25] Univ Complutense Madrid, Fac Med, Madrid, Spain

[26] Lund Univ, Skane Univ Hosp, Dept Clin Sci Lund, Rheumatol, Lund, Sweden

[27] Aarhus Univ Hosp, Dept Rheumatol, Aarhus, Denmark

[28] Aarhus Univ, Dept Clin Med, Aarhus, Denmark

[29] Univ Aberdeen, Aberdeen Ctr Arthrit & Musculoskeletal Hlth, Epidemiol Grp, Aberdeen, Scotland

[30] Natl Inst Hlth Dev, Tallinn, Estonia

[31] Univ Helsinki, Dept Med, Helsinki, Finland

[32] Helsinki Univ Hosp, Helsinki, Finland

[33] Univ Modena & Reggio Emilia, Rheumatol Unit, Modena, Italy

[34] Univ Amsterdam, Amsterdam Inst Infect & Immun, Dept Rheumatol & Clin Immunol, Amsterdam UMC, Amsterdam, Netherlands

[35] Univ Amsterdam, Amsterdam Inst Infect & Immun, Dept Expt Immunol, Amsterdam UMC, Amsterdam, Netherlands

[36] Amsterdam Rheumatol Immunol Ctr ARC, Amsterdam, Netherlands

[37] Hosp Garcia Orta, Dept Rheumatol, Almada, Portugal

[38] Univ Lisbon, Fac Med, Inst Mol Med, P-1649028 Lisbon, Portugal

[39] Univ La Laguna, Dept Internal Med Dermatol & Psychiat, San Cristobal la Laguna, Spain

[40] Hosp Univ Canarias, Rheumatol Serv, San Cristobal la Laguna, Spain

[41] Karolinska Inst, Dept Med Solna, Clin Epidemiol Div, Stockholm, Sweden

来源：

LANCET REGIONAL HEALTH-EUROPE | 2023年 / 33卷

关键词：

Health policy; Psoriatic arthritis; Axial spondyloarthritis; Treatment recommendations;

D O I：

10.1016/j.lanepe.2023.100706

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This is the first report comparing EULAR and national treatment recommendations for PsA patients across Europe, and the first this decade to compare ASAS-EULAR and national treatment recommendations in axSpA patients. An electronic survey was completed from October 2021-April 2022 by rheumatologists in 15 European countries. One and four countries followed all EULAR and ASAS-EULAR recommendations, respectively. Five countries had no national treatment recommendations for PsA and/or axSpA, but followed other regulations. In several countries, national treatment recommendations predated the most recent EULAR/ASAS-EULAR recommendations. Entry criteria for starting biologic/targeted synthetic disease-modifying anti-rheumatic drugs varied considerably. In several countries, for PsA patients with significant skin involvement, interleukin-17 inhibitors were not given preference. The positioning of Janus Kinase inhibitors differed and Phosphodiesterase-4 inhibitors were not in use/reimbursed in most countries. This study may motivate European countries to update their national treatment recommendations, to align them better with the latest international recommendations.Copyright & COPY; 2023 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

引用

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