Abbonarsi

2024 update of the recommendations of the French Society of Rheumatology for the diagnosis and management of patients with rheumatoid arthritis - 24/11/24

Doi : 10.1016/j.jbspin.2024.105790 
Bruno Fautrel a, b, c, d, , Joanna Kedra a, b, c, d, Claire Rempenault e, f, Pierre-Antoine Juge g, h, i, Juliette Drouet c, Jérôme Avouac j, e, k, Athan Baillet l, Olivier Brocq m, Guillermo Carvajal Alegria n, o, p, Arnaud Constantin q, r, s, Emmanuelle Dernis t, Cécile Gaujoux-Viala u, v, Vincent Goëb w, Jacques-Eric Gottenberg x, Benoit Le Goff y, Hubert Marotte z, aa, Christophe Richez ab, ac, Jean-Hugues Salmon ad, Alain Saraux ae, af, Eric Senbel ag, Raphaèle Seror ah, ai, Anne Tournadre aj, Olivier Vittecoq ak, Pascale Escaffre al, Danielle Vacher am, Philippe Dieudé g, an, Claire Daien h, i, ao
a Sorbonne université, Paris, France 
b Service de rhumatologie, groupe hospitalier Pitié-Salpêtrière, Assistance publique–Hôpitaux de Paris, 75013 Paris, France 
c Inserm UMRS 1136, PEPITES Team, 75013 Paris, France 
d CRI-IMIDIATE Clinical Research Network, 75013 Paris, France 
e Université Paris-Cité, Paris, France 
f Service de rhumatologie, groupe hospitalier Bichat – Claude-Bernard, Assistance publique–Hôpitaux de Paris, 75018 Paris, France 
g Inserm UMRS 1152, équipe 2, 75018 Paris, France 
h Université de Montpellier, Montpellier, France 
i Service de rhumatologie, CHU de Montpellier, CHU Lapeyronie, Montpellier, France 
j Department of Rheumatology, Hôpital Cochin, AP–HP, Paris, France 
k Inserm U1016, UMR 8104, Paris, France 
l TIMC, UMR 5525, university Grenoble-Alpes, Grenoble, France 
m Rheumatology, Princess-Grace Hospital, boulevard Pasteur, 98000 Monaco, Monaco 
n Service de rhumatologie, hôpital Trousseau, CHRU de Tours, 37044 Tours cedex, France 
o UFR Medicine, University of Tours, Tours, France 
p UPR 4301 CNRS Centre de Biophysique Moléculaire, Nanomedicaments et Nanosondes Department, Tours, France 
q Service de rhumatologie, hôpital Pierre-Paul-Riquet, CHU de Purpan, Toulouse, France 
r Université de Toulouse III – Paul-Sabatier, Toulouse, France 
s INFINITY, Inserm UMR 1291, CHU de Purpan, Toulouse, France 
t University of Caen, CHU, Department of Rheumatology, Caen, France 
u Inserm, IDESP, University of Montpellier, Montpellier, France 
v Rheumatology Department, CHU of Nîmes, Nîmes, France 
w Rheumatology, Autonomy Unit, UPJV, CHU of Amiens-Picardie, 80000 Amiens, France 
x Rheumatology Department, CHU of Strasbourg, 68000 Strasbourg, France 
y Rheumatology Department, CHU of Nantes, 44000 Nantes, France 
z Rheumatology Department, Université Jean-Monnet Saint-Étienne, Saint-Étienne, France 
aa Inserm, SAINBIOSE U1059, Mines Saint-Étienne, CHU of Saint-Etienne, 42023 Saint-Étienne, France 
ab Service de rhumatologue, centre national de référence des maladies auto-immunes systémiques rares RESO, Bordeaux, France 
ac UMR/CNRS 5164, ImmunoConcEpT, CNRS, hôpital Pellegrin, université de Bordeaux, CHU de Bordeaux, Bordeaux, France 
ad Rheumatology Department, CHU of Reims, 51000 Reims, France 
ae Université de Bretagne-Occidentale, université de Brest, Brest, France 
af Inserm (U1227), LabEx IGO, Department of Rheumatology, CHU of Brest, 29200 Brest, France 
ag Conseil National Professionnel de Rhumatologie, France 
ah Department of Rheumatology, Hôpital Bicêtre, AP–HP, Paris, France 
ai Inserm-UMR 1184, centre national de référence des maladies auto-immunes systémiques rares, université Paris-Saclay, Le Kremlin-Bicêtre, France 
aj UNH INRAe UCA, Rheumatology Department, CHU of Clermont-Ferrand, Clermont-Ferrand, France 
ak Rheumatology Department, CHU of Rouen, Rouen, France 
al AFPric, 75011 Paris, France 
am ANDAR, 75014 Paris, France 
an Service de rhumatologie, groupe hospitalier Bichat, université de Paris, Assistance publique–Hôpitaux de Paris, 75018 Paris, France 
ao Inserm U1046, CNRS UMR 9214, University of Montpellier, Physiology and Experimental Medicine of the Heart and Muscles (PhyMedExp), Montpellier, France 

Corresponding author. Service de rhumatologie, groupe hospitalier Pitié-Salpêtrière, Assistance publique–Hôpitaux de Paris, 75013 Paris, France.Service de rhumatologie, groupe hospitalier Pitié-Salpêtrière, Assistance publique–Hôpitaux de ParisParis75013France

Graphical abstract




Il testo completo di questo articolo è disponibile in PDF.

Highlights

The topics addressed in this update are: (1) diagnosis and therapeutic management of RA, (2) management of people at risk of RA, (3) management of RA-related interstitial lung disease (RA-ILD).
The general principles emphasize the importance of a shared decision between the rheumatologist and patient and the need for comprehensive management, both drug and non-drug, for people with RA or at risk of RA development.
In terms of diagnosis, the recommendations stress the importance of clinical arthritis and in its absence, the risk factors for progression to RA.
The recommendations incorporate recent data on the cardiovascular and neoplastic risk profile of Janus kinase inhibitors.
The recommendations highlight the need for high-resolution CT scan in the presence of pulmonary symptoms. RA-ILD management requires collaboration between rheumatologists and pulmonologists, and is based on controlling disease activity.

Il testo completo di questo articolo è disponibile in PDF.

Abstract

The French Society of Rheumatology recommendations for managing rheumatoid arthritis (RA) has been updated by a working group of 21 rheumatology experts, 4 young rheumatologists and 2 patient association representatives on the basis of the 2023 version of the European Alliance of Associations for Rheumatology (EULAR) recommendations and systematic literature reviews. Two additional topics were addressed: people at risk of RA development and RA-related interstitial lung disease (RA-ILD). Four general principles and 19 recommendations were issued. The general principles emphasize the importance of a shared decision between the rheumatologist and patient and the need for comprehensive management, both drug and non-drug, for people with RA or at risk of RA development. In terms of diagnosis, the recommendations stress the importance of clinical arthritis and in its absence, the risk factors for progression to RA. In terms of treatment, the recommendations incorporate recent data on the cardiovascular and neoplastic risk profile of Janus kinase inhibitors. With regard to RA-ILD, the recommendations highlight the importance of clinical screening and the need for high-resolution CT scan in the presence of pulmonary symptoms. RA-ILD management requires collaboration between rheumatologists and pulmonologists. The treatment strategy is based on controlling disease activity with methotrexate or targeted therapies (mainly abatacept or rituximab). The prescription for anti-fibrotic treatment should be discussed with a pulmonologist with expertise in RA-ILD.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : Rheumatoid arthritis, People at risk of rheumatoid arthritis, Interstitial lung disease, Therapeutics, Targeted therapies, Biologics, DMARD, JAK inhibitors, Management, Recommendations for clinical practice


Mappa


© 2024  The Authors. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
Aggiungere alla mia biblioteca Togliere dalla mia biblioteca Stampare
Esportazione

    Citazioni Export

  • File

  • Contenuto

Vol 91 - N° 6

Articolo 105790- Dicembre 2024 Ritorno al numero
Articolo precedente Articolo precedente
  • Contents
| Articolo seguente Articolo seguente
  • Chronic pain for rheumatological disorders: Pathophysiology, therapeutics and evidence
  • Yian Chen, Ariana M. Nelson, Steven P. Cohen

Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
L'accesso al testo integrale di questo articolo richiede un abbonamento.

Già abbonato a @@106933@@ rivista ?

Il mio account


Dichiarazione CNIL

EM-CONSULTE.COM è registrato presso la CNIL, dichiarazione n. 1286925.

Ai sensi della legge n. 78-17 del 6 gennaio 1978 sull'informatica, sui file e sulle libertà, Lei puo' esercitare i diritti di opposizione (art.26 della legge), di accesso (art.34 a 38 Legge), e di rettifica (art.36 della legge) per i dati che La riguardano. Lei puo' cosi chiedere che siano rettificati, compeltati, chiariti, aggiornati o cancellati i suoi dati personali inesati, incompleti, equivoci, obsoleti o la cui raccolta o di uso o di conservazione sono vietati.
Le informazioni relative ai visitatori del nostro sito, compresa la loro identità, sono confidenziali.
Il responsabile del sito si impegna sull'onore a rispettare le condizioni legali di confidenzialità applicabili in Francia e a non divulgare tali informazioni a terzi.


Tutto il contenuto di questo sito: Copyright © 2024 Elsevier, i suoi licenziatari e contributori. Tutti i diritti sono riservati. Inclusi diritti per estrazione di testo e di dati, addestramento dell’intelligenza artificiale, e tecnologie simili. Per tutto il contenuto ‘open access’ sono applicati i termini della licenza Creative Commons.