Update of EULAR recommendations for the treatment of systemic sclerosis

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Kowal-Bielecka, OtyliaMedical University of Bialystok (author)

Update of EULAR recommendations for the treatment of systemic sclerosis

Article/chapterEnglish2017

Publisher, publication year, extent ...

2016-11-09
BMJ,2017

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LIBRIS-ID:oai:lup.lub.lu.se:05ffc73d-5a3d-4169-8510-6237a8ad36b9
https://lup.lub.lu.se/record/05ffc73d-5a3d-4169-8510-6237a8ad36b9URI
https://doi.org/10.1136/annrheumdis-2016-209909DOI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

Notes

The aim was to update the 2009 European League against Rheumatism (EULAR) recommendations for the treatment of systemic sclerosis (SSc), with attention to new therapeutic questions. Update of the previous treatment recommendations was performed according to EULAR standard operating procedures. The task force consisted of 32 SSc clinical experts from Europe and the USA, 2 patients nominated by the pan-European patient association for SSc (Federation of European Scleroderma Associations (FESCA)), a clinical epidemiologist and 2 research fellows. All centres from the EULAR Scleroderma Trials and Research group were invited to submit and select clinical questions concerning SSc treatment using a Delphi approach. Accordingly, 46 clinical questions addressing 26 different interventions were selected for systematic literature review. The new recommendations were based on the available evidence and developed in a consensus meeting with clinical experts and patients. The procedure resulted in 16 recommendations being developed (instead of 14 in 2009) that address treatment of several SSc-related organ complications: Raynaud's phenomenon (RP), digital ulcers (DUs), pulmonary arterial hypertension (PAH), skin and lung disease, scleroderma renal crisis and gastrointestinal involvement. Compared with the 2009 recommendations, the 2016 recommendations include phosphodiesterase type 5 (PDE-5) inhibitors for the treatment of SSc-related RP and DUs, riociguat, new aspects for endothelin receptor antagonists, prostacyclin analogues and PDE-5 inhibitors for SSc-related PAH. New recommendations regarding the use of fluoxetine for SSc-related RP and haematopoietic stem cell transplantation for selected patients with rapidly progressive SSc were also added. In addition, several comments regarding other treatments addressed in clinical questions and suggestions for the SSc research agenda were formulated. These updated data-derived and consensus-derived recommendations will help rheumatologists to manage patients with SSc in an evidence-based way. These recommendations also give directions for future clinical research in SSc.

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Fransen, JaapRadboud University Nijmegen (author)
Avouac, JeromeParis Descartes University (author)
Becker, MikeUniversity Hospital of Zurich (author)
Kulak, AgnieszkaMedical University of Bialystok (author)
Allanore, YannickParis Descartes University (author)
Distler, OliverUniversity Hospital of Zurich (author)
Clements, PhilipUniversity of California, Los Angeles (author)
Cutolo, MaurizioOspedale Policlinico San Martino (author)
Czirjak, LaszloUniversity of Pécs (author)
Damjanov, NemanjaUniversity of Belgrade (author)
del Galdo, FrancescoUniversity of Leeds (author)
Denton, Christopher P.Royal Free Hospital (author)
Distler, Jörg H WFriedrich-Alexander University Erlangen-Nürnberg (author)
Foeldvari, IvanHamburg Center for Pediatric and Adolescent Rheumatology (author)
Figelstone, KimFederation of European Scleroderma Associations aisbl (FESCA) (author)
Frerix, MarcJustus Liebig University Giessen (author)
Furst, Daniel E.University of California, Los Angeles (author)
Guiducci, SerenaUniversity of Florence (author)
Hunzelmann, NicolasUniversity of Cologne (author)
Khanna, DineshUniversity of Michigan (author)
Matucci-Cerinic, MarcoUniversity of Florence (author)
Herrick, Ariane L.Great Ormond Street Hospital (author)
van den Hoogen, FrankRadboud University Nijmegen (author)
van Laar, Jacob M.University Medical Center Utrecht (author)
Riemekasten, GabrielaBritish Columbia Children's Hospital (author)
Silver, RichardMedical University of South Carolina (author)
Smith, VanessaGhent University Hospital (author)
Sulli, AlbertoOspedale Policlinico San Martino (author)
Tarner, IngoJustus Liebig University Giessen (author)
Tyndall, AlanUniversity of Basel (author)
Welling, JoepFESCA Patient Research Partner (author)
Wigley, FredericJohns Hopkins University (author)
Valentini, GabrieleSecond University of Napels (author)
Walker, Ulrich A.University of Basel (author)
Zulian, FrancescoUniversity of Padova (author)
Müller-Ladner, UlfJustus Liebig University Giessen (author)
Daikeler, ThomasUniversity Hospital Basel (author)
Lanciano, ElisabettaUniversity of Bari Aldo Moro (author)
Becvár, RadimCharles University in Prague (author)
Tomcik, MichalCharles University in Prague (author)
Gindzienska-Sieskiewicz, EwaMedical University of Bialystok (author)
Iudici, Michele (author)
Rednic, SimonaUniversity of Medicine and Pharmacy, Cluj-Napoca (author)
Vlachoyiannopoulos, Panayiotis G.National and Kapodistrian University of Athens (author)
Caporali, RobertoPoliclinico San Matteo Pavia Fondazione (author)
Carreira, Patricia E.12 de Octubre University Hospital (author)
Novak, Srdan (author)
Minier, TündeUniversity of Pécs (author)
Kucharz, Eugene J.Medical University of Silesia (author)
Gabrielli, ArmandoMarche Polytechnic University (author)
Moroncini, GianlucaMarche Polytechnic University (author)
Airo, PaoloSpedali Civili Di Brescia (author)
Hesselstrand, RogerLund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Hjärt-lungsjukdom - information, stöd och bemötande,Forskargrupper vid Lunds universitet,Forskargruppen för systemisk skleros, Lund,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Cardiopulmonary disease - information, support and reception,Lund University Research Groups,Lund Systemic Sclerosis Research Group,Skåne University Hospital(Swepub:lu)reum-rhe (author)
Martinovic, DuskaClinical Hospital Split (author)
Radic, MislavClinical Hospital Split (author)
Marasovic-Krstulovic, DanielaClinical Hospital Split (author)
Braun-Moscovici, YolandaRambam Medical Center (author)
Monaco, Andrea LoUniversity Hospital Verona (author)
Morovic-Vergles, JadrankaUniversity Hospital of Infectious Diseases (author)
Culo, Melanie I.University Hospital of Infectious Diseases (author)
Henes, JörgUniversity Hospital of Tubingen (author)
Santamaria, Vera OrtizHospital General de Granollers (author)
Heitmann, Stefan (author)
Krasowska, DorotaMedical University of Lublin (author)
Michalska-Jakubus, MalgorzataMedical University of Lublin (author)
Seidel, Matthias F.University Hospital Bonn (author)
Klinik, MedizinischeUniversity Hospital Bonn (author)
Hasler, PaulCantonal Hospital Aarau (author)
Da Silva, José A PereiraUniversity Hospital of Coimbra (author)
Salvador, Maria J.University Hospital of Coimbra (author)
Stamenkovic, BojanaUniversity of Niš (author)
Stankovic, AleksandraUniversity of Niš (author)
Tikly, MohammedUniversity of the Witwatersrand (author)
Ananieva, Lidia P.V.A. Nasonova Research Institute of Rheumatology (author)
Beretta, LorenzoMaggiore Hospital Policlinico (author)
Szucs, GabriellaUniversity of Debrecen (author)
Szamosi, SzilviaUniversity of Debrecen (author)
de la Puente Bujidos, CarlosHospital Ramón Y Cajal (author)
Midtvedt, ØyvindNorwegian Radium Hospital (author)
Hoffmann-Vold, Anna MariaNorwegian Radium Hospital (author)
Launay, DavidUniversity of Lille (author)
Hachulla, EricLille University Hospital (author)
Riccieri, ValeriaSapienza University of Rome (author)
Ionescu, RuxandraCarol Davila University of Medicine and Pharmacy(Swepub:lu)orgk1-ru (author)
Opris, DanielaCarol Davila University of Medicine and Pharmacy (author)
Mihai, CarinaCarol Davila University of Medicine and Pharmacy (author)
Herrgott, IlkaUniversity of Münster (author)
Beyer, ChristianUniversity Hospital Erlangen (author)
Ingegnoli, FrancescaUniversity of Milan (author)
von Mühlen, Carlos AlbertoRheuma Clinic (author)
Alegre-Sancho, Juan JoséHospital Universitario Doctor Peset (author)
Beltran-Catalan, EmmaHospital Universitario Doctor Peset (author)
Aringer, MartinMedizinsche Klinik und Poliklinik I, Dresden (author)
Fantana, JuliaMedizinsche Klinik und Poliklinik I, Dresden (author)
Leuchten, NicolaiMedizinsche Klinik und Poliklinik I, Dresden (author)
Tausche, Anne KathrinMedizinsche Klinik und Poliklinik I, Dresden (author)
Langhe, Ellen DeUniversity Hospitals Leuven (author)
Vanthuyne, MarieSaint-Luc University Hospital (author)
Anic, BranimirUniversity Hospital of Infectious Diseases (author)
Barešic, MarkoUniversity Hospital of Infectious Diseases (author)
Mayer, MiroslavUniversity Hospital of Infectious Diseases (author)
üprus, MariaEast Tallinn Central Hospital (author)
Otsa, KatiEast Tallinn Central Hospital (author)
Yavuz, SuleMarmara University (author)
Granel, BrigitteFederal University of Paraná (author)
Jimenez, Sergio A.Thomas Jefferson University (author)
Popa, SergheiNicolae Testemitanu, State Medical and Pharmaceutical University (author)
Agachi, SvetlanaNicolae Testemitanu, State Medical and Pharmaceutical University (author)
Zenone, ThierryCentre Hospitalier de Valence (author)
Stebbings, SimonDunedin School of Medicine (author)
Dockerty, JoanneDunedin School of Medicine (author)
Vacca, AlessandraUniversity of Cagliari (author)
Schollum, JoannaUniversity of Waikato (author)
Veale, Douglas J.St Vincent's University Hospital (author)
Toloza, SergioHospital San Juan Batista (author)
Xu, DongPeking Union Medical College (author)
Olas, JacekSzpital Specjalistyczny im. J. Dietla (author)
Rosato, EdoardoSapienza University of Rome (author)
Foti, RosarioUniversity Hospital Vittorio Emanuele (author)
Adler, SabineUniversity of Bern (author)
Dan, DianaUniversity of Bern (author)
Wiesik-Szewczyk, EwaNational Institute of Geriatrics, Rheumatology and Rehabilitation (author)
Olesinska, MarzenaNational Institute of Geriatrics, Rheumatology and Rehabilitation (author)
Kayser, CristianeEscola Paulista de Medicina (author)
Fathi, NihalAssiut University (author)
de la Peña Lefebvre, Paloma GarcíaHospital Universitario Madrid Norte Sanchinarro (author)
Imbert, BernardGrenoble University Hospital (author)
Medical University of BialystokRadboud University Nijmegen (creator_code:org_t)

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In:Annals of the Rheumatic Diseases: BMJ76, s. 1327-13390003-49671468-2060

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By the author/editor: Kowal-Bielecka, ...; Fransen, Jaap; Avouac, Jerome; Becker, Mike; Kulak, Agnieszka; Allanore, Yannic ...; show more...; Distler, Oliver; Clements, Philip; Cutolo, Maurizio; Czirjak, Laszlo; Damjanov, Nemanj ...; del Galdo, Franc ...; Denton, Christop ...; Distler, Jörg H ...; Foeldvari, Ivan; Figelstone, Kim; Frerix, Marc; Furst, Daniel E.; Guiducci, Serena; Hunzelmann, Nico ...; Khanna, Dinesh; Matucci-Cerinic, ...; Herrick, Ariane ...; van den Hoogen, ...; van Laar, Jacob ...; Riemekasten, Gab ...; Silver, Richard; Smith, Vanessa; Sulli, Alberto; Tarner, Ingo; Tyndall, Alan; Welling, Joep; Wigley, Frederic; Valentini, Gabri ...; Walker, Ulrich A ...; Zulian, Francesc ...; Müller-Ladner, U ...; Daikeler, Thomas; Lanciano, Elisab ...; Becvár, Radim; Tomcik, Michal; Gindzienska-Sies ...; Iudici, Michele; Rednic, Simona; Vlachoyiannopoul ...; Caporali, Robert ...; Carreira, Patric ...; Novak, Srdan; Minier, Tünde; Kucharz, Eugene ...; Gabrielli, Arman ...; Moroncini, Gianl ...; Airo, Paolo; Hesselstrand, Ro ...; Martinovic, Dusk ...; Radic, Mislav; Marasovic-Krstul ...; Braun-Moscovici, ...; Monaco, Andrea L ...; Morovic-Vergles, ...; Culo, Melanie I.; Henes, Jörg; Santamaria, Vera ...; Heitmann, Stefan; Krasowska, Dorot ...; Michalska-Jakubu ...; Seidel, Matthias ...; Klinik, Medizini ...; Hasler, Paul; Da Silva, José A ...; Salvador, Maria ...; Stamenkovic, Boj ...; Stankovic, Aleks ...; Tikly, Mohammed; Ananieva, Lidia ...; Beretta, Lorenzo; Szucs, Gabriella; Szamosi, Szilvia; de la Puente Buj ...; Midtvedt, Øyvind; Hoffmann-Vold, A ...; Launay, David; Hachulla, Eric; Riccieri, Valeri ...; Ionescu, Ruxandr ...; Opris, Daniela; Mihai, Carina; Herrgott, Ilka; Beyer, Christian; Ingegnoli, Franc ...; von Mühlen, Carl ...; Alegre-Sancho, J ...; Beltran-Catalan, ...; Aringer, Martin; Fantana, Julia; Leuchten, Nicola ...; Tausche, Anne Ka ...; Langhe, Ellen De; Vanthuyne, Marie; Anic, Branimir; Barešic, Marko; Mayer, Miroslav; üprus, Maria; Otsa, Kati; Yavuz, Sule; Granel, Brigitte; Jimenez, Sergio ...; Popa, Serghei; Agachi, Svetlana; Zenone, Thierry; Stebbings, Simon; Dockerty, Joanne; Vacca, Alessandr ...; Schollum, Joanna; Veale, Douglas J ...; Toloza, Sergio; Xu, Dong; Olas, Jacek; Rosato, Edoardo; Foti, Rosario; Adler, Sabine; Dan, Diana; Wiesik-Szewczyk, ...; Olesinska, Marze ...; Kayser, Cristian ...; Fathi, Nihal; de la Peña Lefeb ...; Imbert, Bernard; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Rheumatology and ...

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