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Treatment Algorithms in Systemic Lupus Erythematosus.

Identifieur interne : 000264 ( PubMed/Curation ); précédent : 000263; suivant : 000265

Treatment Algorithms in Systemic Lupus Erythematosus.

Auteurs : Chayawee Muangchan [Canada] ; Ronald F. Van Vollenhoven [Suède] ; Sasha R. Bernatsky [Canada] ; C Douglas Smith [Canada] ; Marie Hudson [Canada] ; Murat Inanç [Turquie] ; Naomi F. Rothfield ; Peter T. Nash [Australie] ; Richard A. Furie [États-Unis] ; Jean-Luc Senécal [Canada] ; Vinod Chandran [Canada] ; Ruben Burgos-Vargas [Mexique] ; Rosalind Ramsey-Goldman [États-Unis] ; Janet E. Pope [Canada]

Source :

RBID : pubmed:25777803

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English descriptors

Abstract

To establish agreement on systemic lupus erythematosus (SLE) treatment.

DOI: 10.1002/acr.22589
PubMed: 25777803

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pubmed:25777803

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Naomi F. Rothfield
<affiliation>
<nlm:affiliation>University of Connecticut Health Center, Farmington.</nlm:affiliation>
<wicri:noCountry code="subField">Farmington</wicri:noCountry>
</affiliation>

Le document en format XML

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<name sortKey="Inanc, Murat" sort="Inanc, Murat" uniqKey="Inanc M" first="Murat" last="Inanç">Murat Inanç</name>
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<name sortKey="Senecal, Jean Luc" sort="Senecal, Jean Luc" uniqKey="Senecal J" first="Jean-Luc" last="Senécal">Jean-Luc Senécal</name>
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<nlm:affiliation>Centre Hospitalier and School of Medicine of the University of Montreal, Montreal, Quebec, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<name sortKey="Ramsey Goldman, Rosalind" sort="Ramsey Goldman, Rosalind" uniqKey="Ramsey Goldman R" first="Rosalind" last="Ramsey-Goldman">Rosalind Ramsey-Goldman</name>
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<nlm:affiliation>Northwestern University Feinberg School of Medicine, Chicago, Illinois.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Illinois</region>
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<name sortKey="Pope, Janet E" sort="Pope, Janet E" uniqKey="Pope J" first="Janet E" last="Pope">Janet E. Pope</name>
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<nlm:affiliation>University of Western Ontario, London, Ontario, Canada.</nlm:affiliation>
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<series>
<title level="j">Arthritis care & research</title>
<idno type="eISSN">2151-4658</idno>
<imprint>
<date when="2015" type="published">2015</date>
</imprint>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Aged</term>
<term>Algorithms</term>
<term>Female</term>
<term>Humans</term>
<term>Lupus Erythematosus, Systemic (therapy)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Practice Guidelines as Topic</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Algorithmes</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Lupus érythémateux disséminé ()</term>
<term>Mâle</term>
<term>Sujet âgé</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Lupus Erythematosus, Systemic</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Algorithms</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Practice Guidelines as Topic</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Algorithmes</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Lupus érythémateux disséminé</term>
<term>Mâle</term>
<term>Sujet âgé</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">To establish agreement on systemic lupus erythematosus (SLE) treatment.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">25777803</PMID>
<DateCompleted>
<Year>2016</Year>
<Month>06</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>01</Month>
<Day>08</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">2151-4658</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>67</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2015</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Arthritis care & research</Title>
<ISOAbbreviation>Arthritis Care Res (Hoboken)</ISOAbbreviation>
</Journal>
<ArticleTitle>Treatment Algorithms in Systemic Lupus Erythematosus.</ArticleTitle>
<Pagination>
<MedlinePgn>1237-1245</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/acr.22589</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To establish agreement on systemic lupus erythematosus (SLE) treatment.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">SLE experts (n = 69) were e-mailed scenarios and indicated preferred treatments. Algorithms were constructed and agreement determined (≥50% respondents indicating ≥70% agreement).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Initially, 54% (n = 37) responded suggesting treatment for scenarios; 13 experts rated agreement with scenarios. Fourteen of 16 scenarios had agreement as follows: discoid lupus: first-line therapy was topical agents and hydroxychloroquine and/or glucocorticoids then azathioprine and subsequently mycophenolate (mofetil); uncomplicated cutaneous vasculitis: initial treatment was glucocorticoids ± hydroxychloroquine ± methotrexate, followed by azathioprine or mycophenolate and then cyclophosphamide; arthritis: initial therapy was hydroxychloroquine and/or glucocorticoids, then methotrexate and subsequently rituximab; pericarditis: first-line therapy was nonsteroidal antiinflammatory drugs, then glucocorticoids with/without hydroxychloroquine, then azathioprine, mycophenolate, or methotrexate and finally belimumab or rituximab, and/or a pericardial window; interstitial lung disease/alveolitis: induction was glucocorticoids and mycophenolate or cyclophosphamide, then rituximab or intravenous gamma globulin (IVIG), and maintenance followed with azathioprine or mycophenolate; pulmonary hypertension: glucocorticoids and mycophenolate or cyclophosphamide and an endothelin receptor antagonist were initial therapies, subsequent treatments were phosphodiesterase-5 inhibitors and then prostanoids and rituximab; antiphospholipid antibody syndrome: standard anticoagulation with/without hydroxychloroquine, then a thrombin inhibitor for venous thrombosis, versus adding aspirin or platelet inhibition drugs for arterial events; mononeuritis multiplex and central nervous system vasculitis: first-line therapy was glucocorticoids and cyclophosphamide followed by maintenance with azathioprine or mycophenolate, and then rituximab, IVIG, or plasmapheresis; and serious lupus nephritis: first-line therapy was glucocorticoids and mycophenolate, then cyclophosphamide then rituximab.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We established variable agreement on treatment approaches. For some treatment decisions there was good agreement between experts even if no randomized controlled trial data were available.</AbstractText>
<CopyrightInformation>© 2015, American College of Rheumatology.</CopyrightInformation>
</Abstract>
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<LastName>Muangchan</LastName>
<ForeName>Chayawee</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Siriraj Hospital, Mahidol University, Bangkok, Thailand, and University of Western Ontario, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>van Vollenhoven</LastName>
<ForeName>Ronald F</ForeName>
<Initials>RF</Initials>
<AffiliationInfo>
<Affiliation>Karolinska Institute, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bernatsky</LastName>
<ForeName>Sasha R</ForeName>
<Initials>SR</Initials>
<AffiliationInfo>
<Affiliation>Montreal General Hospital, McGill University Health Centre, Montreal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Smith</LastName>
<ForeName>C Douglas</ForeName>
<Initials>CD</Initials>
<AffiliationInfo>
<Affiliation>University of Ottawa, Ottawa, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hudson</LastName>
<ForeName>Marie</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Jewish General Hospital and McGill University, Montreal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Inanç</LastName>
<ForeName>Murat</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Istanbul University, Istanbul, Turkey.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Rothfield</LastName>
<ForeName>Naomi F</ForeName>
<Initials>NF</Initials>
<AffiliationInfo>
<Affiliation>University of Connecticut Health Center, Farmington.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Nash</LastName>
<ForeName>Peter T</ForeName>
<Initials>PT</Initials>
<AffiliationInfo>
<Affiliation>University of Queensland, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Furie</LastName>
<ForeName>Richard A</ForeName>
<Initials>RA</Initials>
<AffiliationInfo>
<Affiliation>North Shore LIJ Health System, Great Neck, New York.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Senécal</LastName>
<ForeName>Jean-Luc</ForeName>
<Initials>JL</Initials>
<AffiliationInfo>
<Affiliation>Centre Hospitalier and School of Medicine of the University of Montreal, Montreal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Chandran</LastName>
<ForeName>Vinod</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>University of Toronto and University Health Network, Toronto Western Hospital, Toronto, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Burgos-Vargas</LastName>
<ForeName>Ruben</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Hospital General de México and Universidad Nacional Autónoma de México, Mexico City, Mexico.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ramsey-Goldman</LastName>
<ForeName>Rosalind</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Northwestern University Feinberg School of Medicine, Chicago, Illinois.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Pope</LastName>
<ForeName>Janet E</ForeName>
<Initials>JE</Initials>
<AffiliationInfo>
<Affiliation>University of Western Ontario, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo>
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