Jacqueline Uson1, Estibaliz Loza2, Ingrid Möller3, Carlos Acebes4, Jose Luis Andreu5, Enrique Batlle6, Ángel Bueno7, Paz Collado8, Juan Manuel Fernández-Gallardo9, Carlos González10, Mercedes Jiménez Palop5, María Pilar Lisbona11, Pilar Macarrón12, Joan Maymó11, Jose Antonio Narváez13, Victoria Navarro-Compán14, Jesús Sanz5, M Piedad Rosario15, Esther Vicente16, Esperanza Naredo10. 1. Servicio de Reumatología, Hospital Universitario de Móstoles, Móstoles, Madrid, España. 2. Instituto de Salud Musculoesquelética, Madrid, España. Electronic address: estibaliz.loza@inmusc.eu. 3. Servicio de Reumatología, Instituto Poal de Reumatología, Barcelona, España. 4. Servicio de Reumatología, Hospital General de Villalba, Collado Villalba, Madrid, España. 5. Servicio de Reumatología, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España. 6. Servicio de Reumatología, Hospital Universitario Sant Joan d'Alacant, Sant Joan d'Alacant, Alicante, España. 7. Servicio de Radiología, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España. 8. Servicio de Reumatología, Hospital Universitario Severo Ochoa, Leganés, Madrid, España. 9. Servicio de Radiología, Hospital Universitario Severo Ochoa, Leganés, Madrid, España. 10. Servicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, España. 11. Servicio de Reumatología, Hospital del Mar, Barcelona, España. 12. Servicio de Reumatología, Hospital Universitario Clínico San Carlos, Madrid, España. 13. Servicio de Radiodiagnóstico, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España. 14. Servicio de Reumatología, Hospital Universitario La Paz, IdiPAZ, Madrid, España. 15. Servicio Andaluz de Salud, Sevilla, España. 16. Servicio de Reumatología, Hospital Universitario de La Princesa, Madrid, España.
Abstract
OBJECTIVE: To develop evidence-based recommendations on the use of ultrasound (US) and magnetic resonance imaging in patients with spondyloarthritis, including psoriatic arthritis, and juvenile idiopathic arthritis. METHODS: Recommendations were generated following a nominal group technique. A panel of experts (15 rheumatologists and 3 radiologists) was established in the first panel meeting to define the scope and purpose of the consensus document, as well as chapters, potential recommendations and systematic literature reviews (we used and updated those from previous EULAR documents). A first draft of recommendations and text was generated. Then, an electronic Delphi process (2 rounds) was carried out. Recommendations were voted from 1 (total disagreement) to 10 (total agreement). We defined agreement if at least 70% of participants voted≥7. The level of evidence and grade or recommendation was assessed using the Oxford Centre for Evidence Based Medicine levels of evidence. The full text was circulated and reviewed by the panel. The consensus was coordinated by an expert methodologist. RESULTS: A total of 12 recommendations were proposed for each disease. They include, along with explanations of the validity of US and magnetic resonance imaging regarding inflammation and damage detection, diagnosis, prediction (structural damage progression, flare, treatment response, etc.), monitoring and the use of US guided injections/biopsies. CONCLUSIONS: These recommendations will help clinicians use US and magnetic resonance imaging in patients with spondyloarthritis and juvenile idiopathic arthritis.
OBJECTIVE: To develop evidence-based recommendations on the use of ultrasound (US) and magnetic resonance imaging in patients with spondyloarthritis, including psoriatic arthritis, and juvenile idiopathic arthritis. METHODS: Recommendations were generated following a nominal group technique. A panel of experts (15 rheumatologists and 3 radiologists) was established in the first panel meeting to define the scope and purpose of the consensus document, as well as chapters, potential recommendations and systematic literature reviews (we used and updated those from previous EULAR documents). A first draft of recommendations and text was generated. Then, an electronic Delphi process (2 rounds) was carried out. Recommendations were voted from 1 (total disagreement) to 10 (total agreement). We defined agreement if at least 70% of participants voted≥7. The level of evidence and grade or recommendation was assessed using the Oxford Centre for Evidence Based Medicine levels of evidence. The full text was circulated and reviewed by the panel. The consensus was coordinated by an expert methodologist. RESULTS: A total of 12 recommendations were proposed for each disease. They include, along with explanations of the validity of US and magnetic resonance imaging regarding inflammation and damage detection, diagnosis, prediction (structural damage progression, flare, treatment response, etc.), monitoring and the use of US guided injections/biopsies. CONCLUSIONS: These recommendations will help clinicians use US and magnetic resonance imaging in patients with spondyloarthritis and juvenile idiopathic arthritis.
Authors: Raquel Almodóvar; Ángel Bueno; Enrique Batlle; Emma Beltrán-Catalán; Daniel Bernabeu; Carmen Castro Copete; Angela Cepero; Concha Crespo; Fernando Díez; Cristina Fernández-Carballido; Fran García Lorente; Angel Gil De Miguel; Xavier Juanola; Luis Linares; Rafael Montero Pérez-Barquero; Carmen Castro; Manuel José Moreno Ramos; Mireia Moreno; Victoria Navarro-Compán; Christopher Pack; Carlos Quiles; Maite Veintemillas; Pedro Zarco Journal: Rheumatol Int Date: 2019-09-18 Impact factor: 2.631
Authors: Marloes Tenten-Diepenmaat; Marike van der Leeden; Thea P M Vliet Vlieland; Joost Dekker Journal: J Foot Ankle Res Date: 2018-07-04 Impact factor: 2.303