Back to the future: forget ultrasound and focus on clinical assessment in rheumatoid arthritis management

被引：38

作者：

Caporali, Roberto ^{[1
]}

Smolen, Josef S. ^{[2
]}

机构：

[1] Univ Pavia, Div Rheumatol, IRCCS Policlin San Matteo Fdn, Pavia, Italy

[2] Med Univ Vienna, Div Rheumatol, Dept Med 3, Vienna, Austria

来源：

ANNALS OF THE RHEUMATIC DISEASES | 2018年 / 77卷 / 01期

关键词：

LOW DISEASE-ACTIVITY; SCORING SYSTEMS; REMISSION; SYNOVITIS; ULTRASONOGRAPHY; CRITERIA; DOPPLER; PREDICT; METHOTREXATE; DEFINITIONS;

D O I：

10.1136/annrheumdis-2017-211458

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Ultrasound (US) unquestionably improves many aspects of rheumatoid arthritis (RA) diagnosis and management, but no consensus has been reached regarding the optimal US methodology that should be used, and high levels of standardisation have not yet been attained. Current evidence from two randomised controlled trials does not support the US in directing treatment decisions. A return to the endorsement of clinical assessment and the adoption of T2T strategies aiming at ACR/EULAR remission still represent the standard of care for RA and should be pursued through appropriate educational programmes. Thus, for now, the major application of sonography in arthritis should have a focus on diagnostic and especially differential diagnostic aspects.

引用

页码：18 / 20

页数：3

共 42 条

[1] A systematic literature review of US definitions, scoring systems and validity according to the OMERACT filter for tendon lesion in RA and other inflammatory joint diseases [J].

Alcalde, Maria ;

D'Agostino, Maria Antonietta ;

Bruyn, George A. W. ;

Moeller, Ingrid ;

Iagnocco, Annamaria ;

Wakefield, Richard J. ;

Naredo, Esperanza .

RHEUMATOLOGY, 2012, 51 (07) :1246-1260

[2] Optimisation of a treat-to-target approach in rheumatoid arthritis: strategies for the 3-month time point [J].

Aletaha, Daniel ;

Alasti, Farideh ;

Smolen, Josef S. .

ANNALS OF THE RHEUMATIC DISEASES, 2016, 75 (08) :1479-1485

[3] Ultrasound colour Doppler is associated with synovial pathology in biopsies from hand joints in rheumatoid arthritis patients: a cross-sectional study [J].

Andersen, Martin ;

Ellegaard, Karen ;

Hebsgaard, Josephine B. ;

Christensen, Robin ;

Torp-Pedersen, Soren ;

Kvist, Peter H. ;

Soe, Niels ;

Romer, John ;

Vendel, Nina ;

Bartels, Else Marie ;

Danneskiold-Samsoe, Bente ;

Bliddal, Henning .

ANNALS OF THE RHEUMATIC DISEASES, 2014, 73 (04) :678-683

[4]

[Anonymous], ANN RHEUM DIS

[5] Let's stop fooling ourselves. In RA, only ACR/EULAR criteria define remission and equate with absence of disease! [J].

Boers, Maarten .

ANNALS OF THE RHEUMATIC DISEASES, 2016, 75 (10) :E68-E68

[6] An Explanation for the Apparent Dissociation Between Clinical Remission and Continued Structural Deterioration in Rheumatoid Arthritis [J].

Brown, A. K. ;

Conaghan, P. G. ;

Karim, Z. ;

Quinn, M. A. ;

Ikeda, K. ;

Peterfy, C. G. ;

Hensor, E. ;

Wakefield, R. J. ;

O'Connor, P. J. ;

Emery, P. .

ARTHRITIS AND RHEUMATISM, 2008, 58 (10) :2958-2967

[7]

Caporali R, 2014, CLIN EXP RHEUMATOL, V32, P471

[8] EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis [J].

Colebatch, Alexandra N. ;

Edwards, Christopher John ;

Ostergaard, Mikkel ;

van der Heijde, Desiree ;

Balint, Peter V. ;

D'Agostino, Maria-Antonietta ;

Forslind, Kristina ;

Grassi, Walter ;

Haavardsholm, Espen A. ;

Haugeberg, Glenn ;

Jurik, Anne-Grethe ;

Landewe, Robert B. M. ;

Naredo, Esperanza ;

O'Connor, Philip J. ;

Ostendorf, Ben ;

Potocki, Kristina ;

Schmidt, Wolfgang A. ;

Smolen, Josef S. ;

Sokolovic, Sekib ;

Watt, Iain ;

Conaghan, Philip G. .

ANNALS OF THE RHEUMATIC DISEASES, 2013, 72 (06) :804-814

[9] Is it time to revisit the role of ultrasound in rheumatoid arthritis management? [J].

D'Agostino, M. A. ;

Boers, M. ;

Wakefield, R. J. ;

Emery, P. ;

Conaghan, P. G. .

ANNALS OF THE RHEUMATIC DISEASES, 2017, 76 (01) :7-8

[10] Novel algorithms for the pragmatic use of ultrasound in the management of patients with rheumatoid arthritis: from diagnosis to remission [J].

D'Agostino, Maria Antonietta ;

Terslev, Lene ;

Wakefield, Richard ;

Ostergaard, Mikkel ;

Balint, Peter ;

Naredo, Esperanza ;

Iagnocco, Annamaria ;

Backhaus, Marina ;

Grassi, Walter ;

Emery, Paul .

ANNALS OF THE RHEUMATIC DISEASES, 2016, 75 (11) :1902-1908

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