Balsa Alejandro
Servicio de Reumatología, Hospital Universitario La Paz, Reumatología, Universidad Autónoma de Madrid, Madrid, España.
Reumatol Clin. 2011 Mar;6S3:S12-5. doi: 10.1016/j.reuma.2010.10.006. Epub 2011 Mar 5.
Remission is the ideal treatment objective in the management of rheumatoid arthritis. To define remission, stringent criteria are needed which allow clinicians to assess the presence of active disease and which should be reliable enough to support therapeutic decisions. Currently there are many different remission classifications and none has been validated against important outcome measures such as the absence of progression of joint damage and disability. Recently, a subcommittee of the ACR and EULAR has proposed new criteria for remission based on a categorical classification and a composite score like SDAI allowing their use in clinical practice.
缓解是类风湿关节炎管理中的理想治疗目标。为了定义缓解，需要严格的标准，以便临床医生评估活动性疾病的存在，并且这些标准应足够可靠以支持治疗决策。目前有许多不同的缓解分类，且没有一种分类依据诸如关节损伤和残疾无进展等重要结局指标进行过验证。最近，美国风湿病学会（ACR）和欧洲抗风湿病联盟（EULAR）的一个小组委员会基于分类分类和像简化疾病活动指数（SDAI）这样的综合评分提出了新的缓解标准，以便在临床实践中使用。
