Imaging for the diagnosis and follow-up of ankylosing spondylitis: Development of recommendations for clinical practice based on published evidence and expert opinion - 03/08/07
Corresponding author. Tel.: +33 4 67 33 87 10; fax: +33 4 67 33 73 11.Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 8 |
| Iconographies | 1 |
| Vidéos | 0 |
| Autres | 0 |
Abstract |
Objective |
To develop recommendations regarding imaging studies for the diagnosis and follow-up of patients with axial forms of ankylosing spondylitis (AS) seen in everyday practice.
Methods |
Evidence from the literature and expert opinion were used to develop the recommendations. Using the Delphi consensus procedure, a scientific committee selected five areas of interest, about which scientific evidence was sought by searching Medline and the databases maintained by the French Society for Rheumatology, European League against Rheumatism, and American College of Rheumatology. Based on this evidence, a panel of experienced rheumatologists drafted recommendations, using expert opinion if needed to supplement gaps in evidence. For each recommendation, the level of evidence and the extent of agreement among the experts were specified.
Results |
The five areas of interest dealt with the usefulness of imaging studies for the diagnosis, follow-up, prognostic evaluation, and assessment of treatment responses in patients with AS. The literature search retrieved 144 articles based on titles and abstracts. After elimination of articles that did not include an analysis of the radiological evaluation of AS, 73 articles were left for review. Eight recommendations were drafted then validated by having all panel participants vote during a final meeting.
Conclusion |
Eight recommendations about the use of imaging studies in patients with AS were developed. They can be expected to improve clinical practice uniformity and, in the longer term, to optimize the management of patients with AS.
Le texte complet de cet article est disponible en PDF.Keywords : Ankylosing spondylitis, Diagnostic imaging, Everyday medical practice, Recommendations
Plan
Vol 74 - N° 4
P. 338-345 - juillet 2007 Retour au numéro
Article précédent
- Clinical and laboratory follow-up for treating and monitoring patients with ankylosing spondylitis: Development of recommendations for clinical practice based on published evidence and expert opinion
- Emmanuelle Dernis, Frédéric Lavie, Stéphan Pavy, Daniel Wendling, René-Marc Flipo, Alain Saraux, Alain Cantagrel, Pascal Claudepierrre, Philippe Goupille, Xavier Le Loët, Jean Francis Maillefert, Xavier Mariette, Thierry Schaeverbeke, Jacques Tebib, Bernard Combe
- Pharmacotherapy (excluding biotherapies) for ankylosing spondylitis: Development of recommendations for clinical practice based on published evidence and expert opinion
- Frédéric Lavie, Stephan Pavy, Emmanuelle Dernis, Philippe Goupille, Alain Cantagrel, Jacques Tebib, Pascal Claudepierre, René Marc Flipo, Xavier Le Loët, Jean-Francis Maillefert, Xavier Mariette, Alain Saraux, Thierry Schaeverbeke, Daniel Wendling, Bernard Combe
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?