Lau Chak Sing, Chia Faith, Harrison Andrew, Hsieh Tsu-Yi, Jain Rahul, Jung Seung Min, Kishimoto Mitsumasa, Kumar Ashok, Leong Khai Pang, Li Zhanguo, Lichauco Juan Javier, Louthrenoo Worawit, Luo Shue-Fen, Nash Peter, Ng Chin Teck, Park Sung-Hwan, Suryana Bagus Putu Putra, Suwannalai Parawee, Wijaya Linda Kurniaty, Yamamoto Kazuhiko, Yang Yue, Yeap Swan Sim
Division of Rheumatology and Clinical Immunology, Queen Mary Hospital, University of Hong Kong, Hong Kong.
Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore City, Singapore.
Int J Rheum Dis. 2015 Sep;18(7):685-713. doi: 10.1111/1756-185X.12754.
Rheumatoid arthritis is a chronic inflammatory condition that affects approximately 1% of the world's population. There are a wide number of guidelines and recommendations available to support the treatment of rheumatoid arthritis; however, the evidence used for these guidelines is predominantly based on studies in Caucasian subjects and may not be relevant for rheumatoid arthritis patients in the Asia-Pacific region. Therefore, the Asia Pacific League of Associations for Rheumatology established a Steering Committee in 2013 to address this issue.
The AGREE II instrument and the ADAPTE Collaboration framework were applied to systematically identify, appraise, synthesize, and adapt international rheumatoid arthritis guidelines for use in the Asia-Pacific region.
Forty rheumatoid arthritis treatment recommendations, based on evidence and expert opinion, were drafted and are presented in this report.
The Asia Pacific of Associations for Rheumatology rheumatoid arthritis treatment recommendations are intended to serve as a reference for best practice management of rheumatoid arthritis in Asia-Pacific, focusing on local issues to ensure the delivery of basic care for these patients, and to improve their outcomes. In addition, the document will serve as a reference for national rheumatology associations in Asia-Pacific for developing guidelines in their respective countries.
类风湿性关节炎是一种慢性炎症性疾病,影响着全球约1%的人口。有大量的指南和建议可用于支持类风湿性关节炎的治疗;然而,这些指南所依据的证据主要基于对白人受试者的研究,可能不适用于亚太地区的类风湿性关节炎患者。因此,亚太风湿病学协会联盟于2013年成立了一个指导委员会来解决这个问题。
应用AGREE II工具和ADAPTE协作框架,系统地识别、评估、综合和改编国际类风湿性关节炎指南,以供亚太地区使用。
本报告起草并呈现了基于证据和专家意见的40条类风湿性关节炎治疗建议。
亚太风湿病学协会类风湿性关节炎治疗建议旨在作为亚太地区类风湿性关节炎最佳实践管理的参考,关注当地问题以确保为这些患者提供基本护理,并改善其治疗效果。此外,该文件将作为亚太地区各国风湿病学协会在各自国家制定指南的参考。