Dipartimento di Medicina e di Scienze della Salute "Vincenzo Tiberio", Università degli studi del Molise, Via Giovanni Paolo II, C/da Tappino, 86100, Campobasso, Italy.
Clin Rheumatol. 2017 Dec;36(12):2633-2635. doi: 10.1007/s10067-017-3885-1. Epub 2017 Oct 24.
Treat-to-target recommendations provide physicians a useful strategy to reduce the probability of disease progression and in general to manage PsA patients. However, it could be difficult to apply in real life, since PsA is a very heterogeneous disease with different manifestations to be treated. In fact, depending on the patient's expectation, some aspects of the disease could be prominent or not, beyond the mere achievement of the target of remission or low-disease activity. In this context, the concept of a "target to treat" strategy should be taken in to account.
达标治疗建议为医生提供了一种有用的策略，可以降低疾病进展的概率，并通常可以管理银屑病关节炎患者。然而，在实际生活中应用可能会有困难，因为银屑病关节炎是一种表现各异的非常异质的疾病，需要进行不同的治疗。事实上，除了实现缓解或低疾病活动度的目标外，根据患者的期望，疾病的某些方面可能会更加突出或不那么突出。在这种情况下，应该考虑采用“达标治疗”策略的概念。
