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2023 EULAR recommen...
2023 EULAR recommendations for the management of fatigue in people with inflammatory rheumatic and musculoskeletal diseases
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Dures, E. (author)
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Farisogullari, B. (author)
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Santos, E. J. F. (author)
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Molto, A. (author)
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- Feldthusen, Caroline, 1977 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
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Harris, C. (author)
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Elling-Audersch, C. (author)
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Connolly, D. (author)
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Elefante, E. (author)
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Estévez-López, F. (author)
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Bini, I. (author)
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Primdahl, J. (author)
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Hoeper, K. (author)
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Urban, M. (author)
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van de Laar, Mafj (author)
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Redondo, M. (author)
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Böhm, P. (author)
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Amarnani, R. (author)
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Hayward, R. (author)
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Geenen, R. (author)
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Rednic, S. (author)
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- Pettersson, S. (author)
- Karolinska Institutet
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Thomsen, T. (author)
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Uhlig, T. (author)
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Ritschl, V. (author)
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Machado, P. M. (author)
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(creator_code:org_t)
- 2023
- 2023
- English.
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In: Annals of the Rheumatic Diseases. - 0003-4967 .- 1468-2060.
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Abstract
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- Objectives Fatigue is prevalent in people with inflammatory rheumatic and musculoskeletal diseases (I-RMDs) and recognised as one of the most challenging symptoms to manage. The existence of multiple factors associated with driving and maintaining fatigue, and the evidence about what improves fatigue has led to a multifaceted approach to its management. However, there are no recommendations for fatigue management in people with I-RMDs. This lack of guidance is challenging for those living with fatigue and health professionals delivering clinical care. Therefore, our aim was to develop EULAR recommendations for the management of fatigue in people with I-RMDs.Methods A multidisciplinary taskforce comprising 26 members from 14 European countries was convened, and two systematic reviews were conducted. The taskforce developed the recommendations based on the systematic review of evidence supplemented with taskforce members' experience of fatigue in I-RMDs.Results Four overarching principles (OAPs) and four recommendations were developed. OAPs include health professionals' awareness that fatigue encompasses multiple biological, psychological and social factors which should inform clinical care. Fatigue should be monitored and assessed, and people with I-RMDs should be offered management options. Recommendations include offering tailored physical activity and/or tailored psychoeducational interventions and/or, if clinically indicated, immunomodulatory treatment initiation or change. Patient-centred fatigue management should consider the individual's needs and preferences, their clinical disease activity, comorbidities and other psychosocial and contextual factors through shared decision-making.Conclusions These 2023 EULAR recommendations provide consensus and up-to-date guidance on fatigue management in people with I-RMDs.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
Keyword
- health services research
- rehabilitation
- therapeutics
- quality-of-life
- british society
- psoriatic-arthritis
- patient
- perspective
- biologics register
- depression
- improvements
- exercise
- program
- impact
- Rheumatology
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Dures, E.
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Farisogullari, B ...
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Santos, E. J. F.
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Molto, A.
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Feldthusen, Caro ...
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Harris, C.
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show more...
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Elling-Audersch, ...
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Connolly, D.
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Elefante, E.
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Estévez-López, F ...
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Bini, I.
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Primdahl, J.
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Hoeper, K.
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Urban, M.
-
van de Laar, Maf ...
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Redondo, M.
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Böhm, P.
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Amarnani, R.
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Hayward, R.
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Geenen, R.
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Rednic, S.
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Pettersson, S.
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Thomsen, T.
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Uhlig, T.
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Ritschl, V.
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Machado, P. M.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Rheumatology and ...
- Articles in the publication
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Annals of the Rh ...
- By the university
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University of Gothenburg
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Karolinska Institutet