Step forward towards treat-to-target management of giant cell arteritis: patients stratification aiming to targeted remission - updated guidelines

被引：1

作者：

El Miedany, Y. ^{[1
]}

El Gaafary, M. ^{[2
]}

Toth, M. ^{[3
]}

Azim, A. Abdel ^{[4
]}

Palmer, D. ^{[5
]}

Dolbear, G. ^{[1
]}

Affam, D. ^{[6
]}

Hassan, W. ^{[7
]}

Tabra, Sa ^{[8
]}

Saber, S. ^{[9
]}

Abu-zaid, Mh ^{[8
,10
]}

机构：

[1] Canterbury Christ Church Univ, Canterbury, England

[2] Ain Shams Univ, Community & Publ Hlth, Cairo, Egypt

[3] Darent Valley Hosp, Dartford, England

[4] Cairo Univ, Giza, Egypt

[5] North Middlesex Univ Hosp, London, England

[6] Darent Valley Hosp, Dartford, England

[7] Benha Univ, Rheumatol & Rehabil, Banha, Egypt

[8] Tanta Univ, Fac Med, Rheumatol & Rehabil, Tanta, Egypt

[9] Ain Shams Univ, Rheumatol & Rehabil, Cairo, Egypt

[10] Tanta Fac Med, Rheumatol & Rehabil Dept, El Geish St, Tanta 31527, Egypt

来源：

EGYPTIAN RHEUMATOLOGY AND REHABILITATION | 2024年 / 51卷 / 01期

关键词：

Giant cell arteritis; GCA; Guidelines; Treat to target; Patient reported outcomes; DELPHI TECHNIQUE; AORTIC-ANEURYSM; POLYMYALGIA-RHEUMATICA; RISK-FACTORS; RECOMMENDATIONS; VESSEL; POPULATION; TRIAL; MULTICENTER; PREDICTORS;

D O I：

10.1186/s43166-024-00237-w

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BackgroundThe aim of this work is to develop guidelines for health care professionals in the giant cell arteritis diagnosis and management, based on patients' stratification and targeted outcome measures.ResultsFourteen expert panel had completed the two rounds surveys. After the end of round two, twenty three recommendations were released distributed on 8 domains. The percentage of the agreement on the recommendations was 76.9% to 100%. All 23 key questions were answered at the end of the second round with agreement upon.ConclusionPatient stratification facilitate the initiation of an appropriate management approach for patients with giant cell arteritis aiming at achieving targeted disease remission state and prevention of visual loss and/or development of ischaemic events. Treat to Target approach is a new concept in giant cell arteritis management which aims to provide tight control to achieve and maintain disease remission. This work defined the treatment targets in relation to the disease stage.

引用

页数：17

共 12 条

[1] Step forward towards treat-to-target management of giant cell arteritis: patients stratification aiming to targeted remission – updated guidelines
Y El Miedany
M El Gaafary
M Toth
A Abdel Azim
D Palmer
G Dolbear
D Affam
W Hassan
SA Tabra
S Saber
MH Abu-zaid
Egyptian Rheumatology and Rehabilitation, 51
[2] Treat-to-target recommendations in giant cell arteritis and polymyalgia rheumatica
Dejaco, Christian
Kerschbaumer, Andreas
Aletaha, Daniel
Bond, Milena
Hysa, Elvis
Camellino, Dario
Ehlers, Lisa
Abril, Andy
Appenzeller, Simone
Cid, Maria C.
Dasgupta, Bhaskar
Duftner, Christina
Grayson, Peter C.
Hellmich, Bernhard
Hocvar, Alojzija
Kermani, Tanaz A.
Matteson, Eric L.
Mollan, Susan P.
Neill, Lorna
Ponte, Cristina
Salvarani, Carlo
Sattui, Sebastian Eduardo
Schmidt, Wolfgang A.
Seo, Philip
Smolen, Josef S.
Thiel, Jens
Toro-Gutierrez, Carlos Enrique
Whitlock, Madeline
Buttgereit, Frank
ANNALS OF THE RHEUMATIC DISEASES, 2024, 83 (01) : 48 - 57
[3] TREAT-TO-TARGET RECOMMENDATIONS IN GIANT CELL ARTERITIS AND POLYMYALGIA RHEUMATICA
Dejaco, C.
Kerschbaumer, A.
Aletaha, D.
Bond, M.
Hysa, E.
Camellino, D.
Ehlers, L.
Abril, A.
Appenzeller, S.
Cid, M. C.
Dasgupta, B.
Duftner, C.
Grayson, P.
Hellmich, B.
Hocevar, A.
Kermani, T.
Matteson, E.
Mollan, S.
Neill, L.
Ponte, C.
Salvarani, C.
Sattui, S. E.
Schmidt, W. A.
Seo, P.
Smolen, J.
Thiel, J.
Toro Gutierrez, C.
Whitlock, M.
Buttgereit, F.
ANNALS OF THE RHEUMATIC DISEASES, 2023, 82 : 643 - 644
[4] Treat-to-target in polymyalgia rheumatica and giant cell arteritis: an impending, multifaceted challenge
Liew, David F. L.
Owen, Claire E.
RHEUMATOLOGY, 2024, 63 (08) : 2044 - 2046
[5] Treat to Target A Valid Concept for Management of Polymyalgia Rheumatica and Giant Cell Arteritis?
Camellino, Dario
Dejaco, Christian
Buttgereit, Frank
Matteson, Eric L.
RHEUMATIC DISEASE CLINICS OF NORTH AMERICA, 2019, 45 (04) : 549 - +
[6] TOWARDS TREAT-TO-TARGET PATIENT CENTRED CARE: DEVELOPMENT OF MULTIDIMENSIONAL DISEASE SPECIFIC PATIENT REPORTED OUTCOME MEASURES QUESTIONNAIRE FOR GIANT CELL ARTERITIS
El Miedany, Y.
Palmer, D.
Toth, M.
Elgaafary, M.
Bahlas, S.
Mahran, S. A.
Abu-Zaid, M. H.
Hassan, W.
Elwakil, W.
ANNALS OF THE RHEUMATIC DISEASES, 2023, 82 : 1555 - 1555
[7] TREAT-TO-TARGET STRATEGIES IN GIANT CELL ARTERITIS AND POLYMYALGIA RHEUMATICA: A SYSTEMATIC LITERATURE REVIEW INFORMING AN INTERNATIONAL TASKFORCE
Hysa, E.
Bond, M.
Ehlers, L.
Camellino, D.
Falzon, L.
Dejaco, C.
Buttgereit, F.
Aletaha, D.
Kerschbaumer, A.
ANNALS OF THE RHEUMATIC DISEASES, 2023, 82 : 658 - 658
[8] Correction: Updated clinical practice treat-to-target guidelines for JIA management: the Egyptian College of Pediatric Rheumatology initiative
Y. El Miedany
S. Salah
H. Lotfy
M. El Gaafary
H. Abdulhady
H. Salah
S. I. Nasef
E. Abd El-Latif
Y. Farag
M. Eissa
S. Esam Maher
A. Radwan
Amira T. El-Shanawany
B. M. Medhat
D. El Mikkawy
D. M. Mosa
G. El Deriny
M. Mortada
N. S. Osman
N. A. Fouad
N. E. Elkaraly
S. S. Mohamed
S. A. Tabra
W. A. Hassan
Y. Amer
M. H. Abu-Zaid
Egyptian Rheumatology and Rehabilitation, 2022, 49
[9] Treat-to-Target Strategy Aiming At Achievement of Structural and Functional Remission in Patients with Active Elderly-Onset Rheumatoid Arthritis.
Sugihara, Takahiko
Ishizaki, Tatsuro
Hosoya, Tadashi
Iga, Shoko
Yokoyama, Waka
Hirano, Fumio
Miyasaka, Nobuyuki
Harigai, Masayoshi
ARTHRITIS AND RHEUMATISM, 2012, 64 (10): : S161 - S162
[10] Updated clinical practice treat-to-target guidelines for JIA management: the Egyptian College of Pediatric Rheumatology initiative (vol 49, 27, 2022)
El Miedany, Y.
Salah, S.
Lotfy, H.
El Gaafary, M.
Abdulhady, H.
Salah, H.
Nasef, S. I.
Abd El-Latif, E.
Farag, Y.
Eissa, M.
Maher, S. Esam
Radwan, A.
El-Shanawany, Amira T.
Medhat, B. M.
El Mikkawy, D.
Mosa, D. M.
El Deriny, G.
Mortada, M.
Osman, N. S.
Fouad, N. A.
Elkaraly, N. E.
Mohamed, S. S.
Tabra, S. A.
Hassan, W. A.
Amer, Y.
Abu-Zaid, M. H.
EGYPTIAN RHEUMATOLOGY AND REHABILITATION, 2022, 49 (01)

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