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《2020年中国系统性红斑狼疮诊断和治疗指南》

[2020 Chinese guidelines for the diagnosis and treatment of systemic lupus erythematosus].

出版信息

Zhonghua Nei Ke Za Zhi. 2020 Mar 1;59(3):172-185. doi: 10.3760/cma.j.issn.0578-1426.2020.03.002.

Abstract

Systemic lupus erythematosus (SLE), a complex and heterogeneous autoimmune disease, represents a significant challenge for both diagnosis and treatment. In 2019, under the leadership of the Chinese Rheumatology Association, a multidisciplinary guideline development group was established. The objective was to develop an evidence-based diagnosis and treatment guideline for SLE in China based on emerging new evidence. The guideline was registered at International Practice Guidelines Registry Platform (IPGRP-2019CN022). The grading of recommendations assessment, development and evaluation (GRADE) approach was used to rate the quality of evidence and the strength of recommendations, and the RIGHT (Reporting Items for Practice Guidelines in Healthcare) checklist was followed to report the guideline. The guideline provides recommendations for the SLE classification criteria, disease activity monitoring and assessing, medication principles and considerations organ and system involvement and management of patients during pregnancy. This guideline is intended to serve as a tool for Chinese clinicians for the best decisions-making on diagnosis and treatment of SLE.

摘要

系统性红斑狼疮(SLE)是一种复杂的异质性自身免疫性疾病,对诊断和治疗都构成了重大挑战。2019年,在中国风湿病学会的领导下,成立了一个多学科指南制定小组。目的是根据新出现的证据,制定中国SLE的循证诊断和治疗指南。该指南在国际实践指南注册平台(IPGRP - 2019CN022)上进行了注册。采用推荐意见评估、制定与评价(GRADE)方法对证据质量和推荐强度进行评级,并遵循医疗保健实践指南报告条目(RIGHT)清单来报告该指南。该指南为SLE分类标准、疾病活动监测与评估、用药原则以及妊娠期间患者器官和系统受累情况及管理提供了建议。本指南旨在作为中国临床医生对SLE进行最佳诊断和治疗决策的工具。

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