EULAR recommendations for the management of Behçet disease.
Identifieur interne : 000052 ( Main/Exploration ); précédent : 000051; suivant : 000053EULAR recommendations for the management of Behçet disease.
Auteurs : G. Hatemi [Turquie] ; A. Silman ; D. Bang ; B. Bodaghi ; A M Chamberlain ; A. Gul ; M H Houman ; I. Kötter ; I. Olivieri ; C. Salvarani ; P P Sfikakis ; A. Siva ; M R Stanford ; N. Stübiger ; S. Yurdakul ; H. YaziciSource :
- Annals of the rheumatic diseases [ 1468-2060 ] ; 2008.
Descripteurs français
- KwdFr :
- Anticoagulants (usage thérapeutique), Arthrite (traitement médicamenteux), Ciclosporine (effets indésirables), Coopération internationale (MeSH), Humains (MeSH), Maladie de Behçet (traitement médicamenteux), Maladies de la peau (traitement médicamenteux), Maladies du système nerveux (traitement médicamenteux), Maladies gastro-intestinales (thérapie), Maladies vasculaires (traitement médicamenteux), Médecine factuelle (MeSH), Uvéite (traitement médicamenteux).
- MESH :
- effets indésirables : Ciclosporine.
- thérapie : Maladies gastro-intestinales.
- traitement médicamenteux : Arthrite, Maladie de Behçet, Maladies de la peau, Maladies du système nerveux, Maladies vasculaires, Uvéite.
- usage thérapeutique : Anticoagulants.
- Coopération internationale, Humains, Médecine factuelle.
English descriptors
- KwdEn :
- Anticoagulants (therapeutic use), Arthritis (drug therapy), Behcet Syndrome (drug therapy), Cyclosporine (adverse effects), Evidence-Based Medicine (MeSH), Gastrointestinal Diseases (therapy), Humans (MeSH), International Cooperation (MeSH), Nervous System Diseases (drug therapy), Skin Diseases (drug therapy), Uveitis (drug therapy), Vascular Diseases (drug therapy).
- MESH :
- chemical , adverse effects : Cyclosporine.
- chemical , therapeutic use : Anticoagulants.
- drug therapy : Arthritis, Behcet Syndrome, Nervous System Diseases, Skin Diseases, Uveitis, Vascular Diseases.
- therapy : Gastrointestinal Diseases.
- Evidence-Based Medicine, Humans, International Cooperation.
Abstract
OBJECTIVES
To develop evidence-based European League Against Rheumatism (EULAR) recommendations for the management of Behçet disease (BD) supplemented where necessary by expert opinion.
METHODS
The multidisciplinary expert committee, a task force of the EULAR Standing Committee for Clinical Affairs (ESCCA), consisted of nine rheumatologists (one who was also a clinical epidemiologist and one also a Rehabilitation Medicine doctor), three ophthalmologists, one internist, one dermatologist and one neurologist, representing six European countries plus Tunisia and Korea. A patient representative was also present. Problem areas and related keywords for systematic literature research were identified. Systematic literature research was performed using Medline and the Cochrane Library databases from 1966 through to December 2006. A total of 40 initial statements were generated based on the systematic literature research. These yielded the final recommendations developed from two blind Delphi rounds of voting.
RESULTS
Nine recommendations were developed for the management of different aspects of BD. The strength of each recommendation was determined by the level of evidence and the experts' opinions. The level of agreement for each recommendation was determined using a visual analogue scale for the whole committee and for each individual aspect by the subgroups, who consider themselves experts in that field of BD. There was excellent concordance between the level of agreement of the whole group and the "experts in the field".
CONCLUSION
Recommendations related to the eye, skin-mucosa disease and arthritis are mainly evidence based, but recommendations on vascular disease, neurological and gastrointestinal involvement are based largely on expert opinion and uncontrolled evidence from open trials and observational studies. The need for further properly designed controlled clinical trials is apparent.
DOI: 10.1136/ard.2007.080432
PubMed: 18245110
Affiliations:
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Le document en format XML
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<term>Arthritis (drug therapy)</term>
<term>Behcet Syndrome (drug therapy)</term>
<term>Cyclosporine (adverse effects)</term>
<term>Evidence-Based Medicine (MeSH)</term>
<term>Gastrointestinal Diseases (therapy)</term>
<term>Humans (MeSH)</term>
<term>International Cooperation (MeSH)</term>
<term>Nervous System Diseases (drug therapy)</term>
<term>Skin Diseases (drug therapy)</term>
<term>Uveitis (drug therapy)</term>
<term>Vascular Diseases (drug therapy)</term>
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<term>Arthrite (traitement médicamenteux)</term>
<term>Ciclosporine (effets indésirables)</term>
<term>Coopération internationale (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladie de Behçet (traitement médicamenteux)</term>
<term>Maladies de la peau (traitement médicamenteux)</term>
<term>Maladies du système nerveux (traitement médicamenteux)</term>
<term>Maladies gastro-intestinales (thérapie)</term>
<term>Maladies vasculaires (traitement médicamenteux)</term>
<term>Médecine factuelle (MeSH)</term>
<term>Uvéite (traitement médicamenteux)</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anticoagulants</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Arthritis</term>
<term>Behcet Syndrome</term>
<term>Nervous System Diseases</term>
<term>Skin Diseases</term>
<term>Uveitis</term>
<term>Vascular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Ciclosporine</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Gastrointestinal Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maladies gastro-intestinales</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Arthrite</term>
<term>Maladie de Behçet</term>
<term>Maladies de la peau</term>
<term>Maladies du système nerveux</term>
<term>Maladies vasculaires</term>
<term>Uvéite</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anticoagulants</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>International Cooperation</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>To develop evidence-based European League Against Rheumatism (EULAR) recommendations for the management of Behçet disease (BD) supplemented where necessary by expert opinion.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>The multidisciplinary expert committee, a task force of the EULAR Standing Committee for Clinical Affairs (ESCCA), consisted of nine rheumatologists (one who was also a clinical epidemiologist and one also a Rehabilitation Medicine doctor), three ophthalmologists, one internist, one dermatologist and one neurologist, representing six European countries plus Tunisia and Korea. A patient representative was also present. Problem areas and related keywords for systematic literature research were identified. Systematic literature research was performed using Medline and the Cochrane Library databases from 1966 through to December 2006. A total of 40 initial statements were generated based on the systematic literature research. These yielded the final recommendations developed from two blind Delphi rounds of voting.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Nine recommendations were developed for the management of different aspects of BD. The strength of each recommendation was determined by the level of evidence and the experts' opinions. The level of agreement for each recommendation was determined using a visual analogue scale for the whole committee and for each individual aspect by the subgroups, who consider themselves experts in that field of BD. There was excellent concordance between the level of agreement of the whole group and the "experts in the field".</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Recommendations related to the eye, skin-mucosa disease and arthritis are mainly evidence based, but recommendations on vascular disease, neurological and gastrointestinal involvement are based largely on expert opinion and uncontrolled evidence from open trials and observational studies. The need for further properly designed controlled clinical trials is apparent.</p>
</div>
</front>
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<name sortKey="Bodaghi, B" sort="Bodaghi, B" uniqKey="Bodaghi B" first="B" last="Bodaghi">B. Bodaghi</name>
<name sortKey="Chamberlain, A M" sort="Chamberlain, A M" uniqKey="Chamberlain A" first="A M" last="Chamberlain">A M Chamberlain</name>
<name sortKey="Gul, A" sort="Gul, A" uniqKey="Gul A" first="A" last="Gul">A. Gul</name>
<name sortKey="Houman, M H" sort="Houman, M H" uniqKey="Houman M" first="M H" last="Houman">M H Houman</name>
<name sortKey="Kotter, I" sort="Kotter, I" uniqKey="Kotter I" first="I" last="Kötter">I. Kötter</name>
<name sortKey="Olivieri, I" sort="Olivieri, I" uniqKey="Olivieri I" first="I" last="Olivieri">I. Olivieri</name>
<name sortKey="Salvarani, C" sort="Salvarani, C" uniqKey="Salvarani C" first="C" last="Salvarani">C. Salvarani</name>
<name sortKey="Sfikakis, P P" sort="Sfikakis, P P" uniqKey="Sfikakis P" first="P P" last="Sfikakis">P P Sfikakis</name>
<name sortKey="Silman, A" sort="Silman, A" uniqKey="Silman A" first="A" last="Silman">A. Silman</name>
<name sortKey="Siva, A" sort="Siva, A" uniqKey="Siva A" first="A" last="Siva">A. Siva</name>
<name sortKey="Stanford, M R" sort="Stanford, M R" uniqKey="Stanford M" first="M R" last="Stanford">M R Stanford</name>
<name sortKey="Stubiger, N" sort="Stubiger, N" uniqKey="Stubiger N" first="N" last="Stübiger">N. Stübiger</name>
<name sortKey="Yazici, H" sort="Yazici, H" uniqKey="Yazici H" first="H" last="Yazici">H. Yazici</name>
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<country name="Turquie"><noRegion><name sortKey="Hatemi, G" sort="Hatemi, G" uniqKey="Hatemi G" first="G" last="Hatemi">G. Hatemi</name>
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