2016 update of the EULAR recommendations for the management of early arthritis

Bernard Combe, Robert Landewe, Claire I Daien, Charlotte Hua, Daniel Aletaha, Jose María Álvaro-Gracia, Margôt Bakkers, Nina Brodin, Gerd R Burmester, Catalin Codreanu, Richard Conway, Maxime Dougados, Paul Emery, Gianfranco Ferraccioli, Joao Fonseca, Karim Raza, Lucía Silva-Fernández, Josef S Smolen, Diana Skingle, Zoltan Szekanecz & 3 others Tore K Kvien, Annette van der Helm-van Mil, Ronald van Vollenhoven

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVES: Since the 2007 recommendations for the management of early arthritis have been presented, considerable research has been published in the field of early arthritis, mandating an update of the 2007 European League Against Rheumatism (EULAR) recommendations for management of early arthritis.

METHODS: In accordance with the 2014 EULAR Standardised Operating Procedures, the expert committee pursued an approach that was based on evidence in the literature and on expert opinion. The committee involved 20 rheumatologists, 2 patients and 1 healthcare professional representing 12 European countries. The group defined the focus of the expert committee and target population, formulated a definition of 'management' and selected the research questions. A systematic literature research (SLR) was performed by two fellows with the help of a skilled librarian. A set of draft recommendations was proposed on the basis of the research questions and the results of the SLR. For each recommendation, the categories of evidence were identified, the strength of recommendations was derived and the level of agreement was determined through a voting process.

RESULTS: The updated recommendations comprise 3 overarching principles and 12 recommendations for managing early arthritis. The selected statements involve the recognition of arthritis, referral, diagnosis, prognostication, treatment (information, education, pharmacological and non-pharmacological interventions), monitoring and strategy. Eighteen items were identified as relevant for future research.

CONCLUSIONS: These recommendations provide rheumatologists, general practitioners, healthcare professionals, patients and other stakeholders with an updated EULAR consensus on the entire management of early arthritis.

Original languageEnglish
Pages (from-to)948-959
Number of pages12
JournalAnnals of the Rheumatic Diseases
Volume76
Issue number6
DOIs
Publication statusPublished - Jun 2017

Cite this

Combe, Bernard ; Landewe, Robert ; Daien, Claire I ; Hua, Charlotte ; Aletaha, Daniel ; Álvaro-Gracia, Jose María ; Bakkers, Margôt ; Brodin, Nina ; Burmester, Gerd R ; Codreanu, Catalin ; Conway, Richard ; Dougados, Maxime ; Emery, Paul ; Ferraccioli, Gianfranco ; Fonseca, Joao ; Raza, Karim ; Silva-Fernández, Lucía ; Smolen, Josef S ; Skingle, Diana ; Szekanecz, Zoltan ; Kvien, Tore K ; van der Helm-van Mil, Annette ; van Vollenhoven, Ronald. / 2016 update of the EULAR recommendations for the management of early arthritis. In: Annals of the Rheumatic Diseases. 2017 ; Vol. 76, No. 6. pp. 948-959.
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abstract = "OBJECTIVES: Since the 2007 recommendations for the management of early arthritis have been presented, considerable research has been published in the field of early arthritis, mandating an update of the 2007 European League Against Rheumatism (EULAR) recommendations for management of early arthritis.METHODS: In accordance with the 2014 EULAR Standardised Operating Procedures, the expert committee pursued an approach that was based on evidence in the literature and on expert opinion. The committee involved 20 rheumatologists, 2 patients and 1 healthcare professional representing 12 European countries. The group defined the focus of the expert committee and target population, formulated a definition of 'management' and selected the research questions. A systematic literature research (SLR) was performed by two fellows with the help of a skilled librarian. A set of draft recommendations was proposed on the basis of the research questions and the results of the SLR. For each recommendation, the categories of evidence were identified, the strength of recommendations was derived and the level of agreement was determined through a voting process.RESULTS: The updated recommendations comprise 3 overarching principles and 12 recommendations for managing early arthritis. The selected statements involve the recognition of arthritis, referral, diagnosis, prognostication, treatment (information, education, pharmacological and non-pharmacological interventions), monitoring and strategy. Eighteen items were identified as relevant for future research.CONCLUSIONS: These recommendations provide rheumatologists, general practitioners, healthcare professionals, patients and other stakeholders with an updated EULAR consensus on the entire management of early arthritis.",
keywords = "Anti-Inflammatory Agents, Non-Steroidal, Antirheumatic Agents, Arthritis, Exercise Therapy, Glucocorticoids, Humans, Life Style, Occupational Therapy, Journal Article, Practice Guideline",
author = "Bernard Combe and Robert Landewe and Daien, {Claire I} and Charlotte Hua and Daniel Aletaha and {\'A}lvaro-Gracia, {Jose Mar{\'i}a} and Marg{\^o}t Bakkers and Nina Brodin and Burmester, {Gerd R} and Catalin Codreanu and Richard Conway and Maxime Dougados and Paul Emery and Gianfranco Ferraccioli and Joao Fonseca and Karim Raza and Luc{\'i}a Silva-Fern{\'a}ndez and Smolen, {Josef S} and Diana Skingle and Zoltan Szekanecz and Kvien, {Tore K} and {van der Helm-van Mil}, Annette and {van Vollenhoven}, Ronald",
note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.",
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Combe, B, Landewe, R, Daien, CI, Hua, C, Aletaha, D, Álvaro-Gracia, JM, Bakkers, M, Brodin, N, Burmester, GR, Codreanu, C, Conway, R, Dougados, M, Emery, P, Ferraccioli, G, Fonseca, J, Raza, K, Silva-Fernández, L, Smolen, JS, Skingle, D, Szekanecz, Z, Kvien, TK, van der Helm-van Mil, A & van Vollenhoven, R 2017, '2016 update of the EULAR recommendations for the management of early arthritis' Annals of the Rheumatic Diseases, vol. 76, no. 6, pp. 948-959. https://doi.org/10.1136/annrheumdis-2016-210602

2016 update of the EULAR recommendations for the management of early arthritis. / Combe, Bernard; Landewe, Robert; Daien, Claire I; Hua, Charlotte; Aletaha, Daniel; Álvaro-Gracia, Jose María; Bakkers, Margôt; Brodin, Nina; Burmester, Gerd R; Codreanu, Catalin; Conway, Richard; Dougados, Maxime; Emery, Paul; Ferraccioli, Gianfranco; Fonseca, Joao; Raza, Karim; Silva-Fernández, Lucía; Smolen, Josef S; Skingle, Diana; Szekanecz, Zoltan; Kvien, Tore K; van der Helm-van Mil, Annette; van Vollenhoven, Ronald.

In: Annals of the Rheumatic Diseases, Vol. 76, No. 6, 06.2017, p. 948-959.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - 2016 update of the EULAR recommendations for the management of early arthritis

AU - Combe, Bernard

AU - Landewe, Robert

AU - Daien, Claire I

AU - Hua, Charlotte

AU - Aletaha, Daniel

AU - Álvaro-Gracia, Jose María

AU - Bakkers, Margôt

AU - Brodin, Nina

AU - Burmester, Gerd R

AU - Codreanu, Catalin

AU - Conway, Richard

AU - Dougados, Maxime

AU - Emery, Paul

AU - Ferraccioli, Gianfranco

AU - Fonseca, Joao

AU - Raza, Karim

AU - Silva-Fernández, Lucía

AU - Smolen, Josef S

AU - Skingle, Diana

AU - Szekanecz, Zoltan

AU - Kvien, Tore K

AU - van der Helm-van Mil, Annette

AU - van Vollenhoven, Ronald

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

PY - 2017/6

Y1 - 2017/6

N2 - OBJECTIVES: Since the 2007 recommendations for the management of early arthritis have been presented, considerable research has been published in the field of early arthritis, mandating an update of the 2007 European League Against Rheumatism (EULAR) recommendations for management of early arthritis.METHODS: In accordance with the 2014 EULAR Standardised Operating Procedures, the expert committee pursued an approach that was based on evidence in the literature and on expert opinion. The committee involved 20 rheumatologists, 2 patients and 1 healthcare professional representing 12 European countries. The group defined the focus of the expert committee and target population, formulated a definition of 'management' and selected the research questions. A systematic literature research (SLR) was performed by two fellows with the help of a skilled librarian. A set of draft recommendations was proposed on the basis of the research questions and the results of the SLR. For each recommendation, the categories of evidence were identified, the strength of recommendations was derived and the level of agreement was determined through a voting process.RESULTS: The updated recommendations comprise 3 overarching principles and 12 recommendations for managing early arthritis. The selected statements involve the recognition of arthritis, referral, diagnosis, prognostication, treatment (information, education, pharmacological and non-pharmacological interventions), monitoring and strategy. Eighteen items were identified as relevant for future research.CONCLUSIONS: These recommendations provide rheumatologists, general practitioners, healthcare professionals, patients and other stakeholders with an updated EULAR consensus on the entire management of early arthritis.

AB - OBJECTIVES: Since the 2007 recommendations for the management of early arthritis have been presented, considerable research has been published in the field of early arthritis, mandating an update of the 2007 European League Against Rheumatism (EULAR) recommendations for management of early arthritis.METHODS: In accordance with the 2014 EULAR Standardised Operating Procedures, the expert committee pursued an approach that was based on evidence in the literature and on expert opinion. The committee involved 20 rheumatologists, 2 patients and 1 healthcare professional representing 12 European countries. The group defined the focus of the expert committee and target population, formulated a definition of 'management' and selected the research questions. A systematic literature research (SLR) was performed by two fellows with the help of a skilled librarian. A set of draft recommendations was proposed on the basis of the research questions and the results of the SLR. For each recommendation, the categories of evidence were identified, the strength of recommendations was derived and the level of agreement was determined through a voting process.RESULTS: The updated recommendations comprise 3 overarching principles and 12 recommendations for managing early arthritis. The selected statements involve the recognition of arthritis, referral, diagnosis, prognostication, treatment (information, education, pharmacological and non-pharmacological interventions), monitoring and strategy. Eighteen items were identified as relevant for future research.CONCLUSIONS: These recommendations provide rheumatologists, general practitioners, healthcare professionals, patients and other stakeholders with an updated EULAR consensus on the entire management of early arthritis.

KW - Anti-Inflammatory Agents, Non-Steroidal

KW - Antirheumatic Agents

KW - Arthritis

KW - Exercise Therapy

KW - Glucocorticoids

KW - Humans

KW - Life Style

KW - Occupational Therapy

KW - Journal Article

KW - Practice Guideline

U2 - 10.1136/annrheumdis-2016-210602

DO - 10.1136/annrheumdis-2016-210602

M3 - Article

VL - 76

SP - 948

EP - 959

JO - Annals of the Rheumatic Diseases

JF - Annals of the Rheumatic Diseases

SN - 0003-4967

IS - 6

ER -