Management of Peripheral Arthritis in Patients With Psoriatic Arthritis: An Updated Literature Review Informing the 2021 GRAPPA Treatment Recommendations

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Management of Peripheral Arthritis in Patients With Psoriatic Arthritis : An Updated Literature Review Informing the 2021 GRAPPA Treatment Recommendations

Leung, Ying-Ying (författare): Singapore Gen Hosp, Dept Rheumatol & Immunol, Level 4, 20 Coll Rd, Singapore 169856, Singapore.

V. Korotaeva, Tatiana (författare): Singapore Gen Hosp, Duke NUS Med Sch, Dept Rheumatol & Immunol, Singapore, Singapore.;VA Nasonova Res Inst Rheumatol, Moscow, Russia.

Candia, Liliana (författare): Univ Juarez Estado Durango, Durango, Mexico.

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Pedersen, Susanne Juhl (författare): Rigshosp, Ctr Rheumatol & Spine Dis, Copenhagen, Denmark.

Molano, Wilson Bautista (författare): Univ Bosque, Univ Hosp Fdn Santa Fe Bogota, Bogota, Colombia.

Ruderman, Eric M. (författare): Northwestern Univ, Feinberg Sch Med, Chicago, IL USA.

Bisoendial, Radjesh (författare): Maasstad Hosp, Rotterdam, Netherlands.

Perez-Alamino, Rodolfo (författare): Hosp Avellaneda, Rheumatol Sect, San Miguel De Tucuman, Argentina.

Olsder, Wendy (författare): Eindhoven Univ Technol, Sch Ind Engn, Eindhoven, Netherlands.

Moeller, Burkhard (författare): Univ Hosp Bern, Dept Rheumatol & Immunol, Inselspital, Bern, Switzerland.

Grazio, Simeon (författare)

Gudu, Tania (författare): Cambridge Univ Hosp NHS FT, Rheumatol Dept, Cambridge, Cambs, England.

Mody, Girish M. (författare): Univ KwaZulu Natal, Dept Rheumatol, Durban, South Africa.

Pineda, Carlos (författare): Inst Nacl Rehabil Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.

Raffayova, Helena (författare): Natl Inst Rheumat Dis, Piestany, Slovakia.

Rohekar, Sherry (författare): Western Univ, London, ON, Canada.

Goldenstein-Schainberg, Claudia (författare): Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med, Sao Paulo, Brazil.

Urena, Sergio R. Gutierrez (författare): Univ Guadalajara, Hosp Civil Guadalajara FAA, Guadalajara, Mexico.

Vargas, Julio Cesar Casasola (författare): Univ Nacl Autonoma Mexico, Hosp Gen Mexico, Mexico City, Mexico.

Meghnathi, Bhowmik (författare): CIMS Hosp, Dept Rheumatol & Clin Immunol, Ahmadabad, India.

Prasad, Roopa (författare): Univ Hosp Wales, Cardiff, Wales.

Richette, Pascal (författare): Univ Paris, Hop Lariboisiere, Rheumatol Dept, INSERM U1132, Paris, France.

Miranda, Jose Roberto S. (författare)

Malliotis, Nikolas (författare): Uppsala Univ Hosp, Dept Rheumatol, Uppsala, Sweden

Lindqvist, Ulla, 1948- (författare): Uppsala universitet,Reumatologi

Simon, David (författare): Friedrich Alexander Univ Erlangen Nurnberg & Unive, Dept Internal Med 3, Rheumatol & Immunol, Erlangen, Germany.;Univ Klinikum Erlangen, Erlangen, Germany.

Ezeonyeli, Amara (författare): St Georges Univ Hosp NHS Fdn Trust, London, England.

Soriano, Enrique R. (författare): Hosp Italiano Buenos Aires, Rheumatol Unit, Buenos Aires, Argentina.;Hosp Italiano Buenos Aires, Univ Inst, Buenos Aires, Argentina.

FitzGerald, Oliver (författare): Univ Coll Dublin, Conway Inst Biomol Res, Dublin, Ireland.

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Singapore Gen Hosp, Dept Rheumatol & Immunol, Level 4, 20 Coll Rd, Singapore 169856, Singapore Singapore Gen Hosp, Duke NUS Med Sch, Dept Rheumatol & Immunol, Singapore, Singapore.;VA Nasonova Res Inst Rheumatol, Moscow, Russia. (creator_code:org_t)

2022-10-15
2023
Engelska.
Ingår i: Journal of Rheumatology. - : The Journal of Rheumatology. - 0315-162X .- 1499-2752. ; 50:1, s. 119-130

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Objective We aimed to compile evidence for the efficacy and safety of therapeutic options for the peripheral arthritis domain of psoriatic arthritis (PsA) for the revised 2021 Group in Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations.Methods A working group consisting of clinicians and patient research partners was convened. We reviewed the evidence from new randomized controlled trials (RCTs) for PsA treatment from February 19, 2013, to August 28, 2020. We used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE)-informed approach to derive evidence for the classes of therapeutic options for 3 patient groups: (1) naïve to treatment, (2) inadequate response to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), and (3) inadequate response to biologic DMARDs (bDMARDs). Recommendations were derived through consensus meetings.Results The evidence review included 69 RCTs. We derived GRADE evidence for each class of therapeutic options and achieved consensus for the recommendations. For patients naïve to treatment, the working group strongly recommends csDMARDs (methotrexate, sulfasalazine, leflunomide) and phosphodiesterase 4 inhibitors, and emphasizes regular assessment and early escalation to achieve treatment target. bDMARDs (tumor necrosis factor inhibitors [TNFi], interleukin 17 inhibitors [IL-17i], IL-12/23i, IL-23i) and Janus kinase inhibitors (JAKi) are also strongly recommended. For patients with inadequate response to csDMARDs, we strongly recommend TNFi, IL-17i, IL-12/23i, IL-23i, and JAKi. For those who had prior experience with bDMARDs, we strongly recommend a second TNFi, IL-17i, IL-23i, and JAKi. The evidence supporting nonpharmacological interventions was very low. An expert panel conditionally recommends adequate physical activity, smoking cessation, and diet to control weight gain.Conclusion Evidence supporting optimal therapy for the peripheral arthritis domain of PsA was compiled for the revised 2021 GRAPPA treatment recommendations.

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Management of Peripheral Arthritis in Patients With Psoriatic Arthritis : An Updated Literature Review Informing the 2021 GRAPPA Treatment Recommendations

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