Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism

Yıl: 2011 Cilt: 26 Sayı: 4 Sayfa Aralığı: 273 - 294 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism

Öz:
Amaç: Türkiye Romatizma Araştırma ve Savaş Derneği (TRASD) romatoid artrit tedavisindeki yeni gelişmeleri ve ülkemizin ekonomik koşullarını göz önünde bulundurarak, RA tedavisine yönelik ulusal tedavi önerileri geliştirmeyi amaçlamıştır ve bu amaçla, fikirlerini almak için ulusal uzmanlara danışmıştır.Gereç ve yöntemler: Bu alanda deneyimli olan sekiz romatolog ve 15 fizik tedavi uzmanı TRASD'nin RA tedavisi önerilerinin geliştirilmesine katkıda bulunmuştur. Uzmanlar kurulu, EULAR 2010'da yer alan RA'nın sentetik ve biyolojik hastalık modifiye edici antiromatizmal ajanlarla (DMARD'ler) tedavi önerilerini baz alarak, uzman görüşlerinin de yer aldığı bir "Türkiye RA Tedavi Önerileri" oluşturulmasını planlamıştır. Toplantının ardından, Medline ve Cochrane, Embase ve Türk Tıp Dizini veritabanlarında farmakolojik tedavi önerileri için 2009 ile 2010 yılları arasını, non-farmakolojik tedavi için ise 2007 ile 2010 yılları arasını kapsayan aramalar gerçekleştirilerek sistematik bir literatür taraması yürütülmüştür. Bu işlem EULAR 2010 önerilerine dahil edilen çalışmalara ilave olarak yapılmıştır. Tüm makaleler incelenmiştir, içerikler özetlenmiştir, kanıt seviyeleri belirlemiştir ve Delphi işlemi başlatılmıştır.Bulgular: Beş ana prensip ve bir non-farmakolojik tedavi yöntemiyle birlikte 16 genel öneri sıralanmıştır. Tüm öneriler konusunda uzlaşıya varılmıştır ve önerilerin kuvvet seviyeleri oylanmıştır.Sonuç: Türkiye'deki RA tedavisine yönelik öneriler oluşturulmuştur. Bu ulusal önerilerin fizik tedavi ve rehabilitasyon uzmanlarına (fizyatri uzmanlarına) romatologlara ve aile hekimlerine yönelik bir kılavuz olarak işlev görmesi amaçlanmıştır ve önerilerin düzenli şekilde güncellenmesi gerekmektedir.
Anahtar Kelime:

Konular: Romatoloji

Romatoid Artritin Tedavisi: Türkiye Romatizma Araştırma ve Savaş Derneği Uzlaşı Önerileri

Öz:
Objectives: Taking new developments in the management of rheumatoid arthritis (RA) and the economic conditions of our country into account, the Turkish League Against Rheumatism (TLAR) aimed to develop national treatment recommendations for the management of RA; thus, they consulted with national experts for their opinions. Materials and methods: Eight rheumatologists and 15 physiatrists experienced in the field contributed to the development of the TLAR recommendations for the management of RA. The expert committee planned to develope "Recommendations for the Management of RA in Turkey" based on EULAR 2010 recommendations for the management of RA with synthetic and biological disease-modifying antirheumatic drugs (DMARDs) in light of expert opinions. Following the meeting, a systematic literature review was performed by searching the Medline and Cochrane, Embase, and Turkish Medical Index databases between 2009 and 2010 for pharmacological treatment recommendations and between 2007 and 2010 for non-pharmacological treatment recommendations. This was done in addition to the studies included in the EULAR 2010 recommendations. All articles were examined, their contents were summarized, their levels of evidence were determined, and the Delphi process was initiated. Results: Sixteen general recommendations were listed along with five main principles and one non-pharmacological treatment method. A consensus was reached for all recommendations, and their strength levels were voted upon. Conclusion: Recommendations were formed for the management of RA in Turkey. These national recommendations are intended to guide physical medicine and rehabilitation specialists (physiatrists), rheumatologists, and family physicians and should be regularly updated.
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ATAMAN Ş, BORMAN P, Evcik F, AYDOĞ E, Ayhan F, YILDIZLAR D, BODUR H, ALTAY Z, BİRTANE M, BÜTÜN B, DURUÖZ M, Erdem H, günendi z, GUNAYDIN R, gurer g, KAÇAR C, KAPTANOĞLU E, Kaya T, ÖLMEZ N, Paker N, rezvani a, SONEL TUR B, YENER M, ÖZGÖÇMEN S (2011). Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. , 273 - 294.
Chicago ATAMAN Şebnem,BORMAN Pınar,Evcik Fatma Deniz,AYDOĞ Ece,Ayhan Fikriye Figen,YILDIZLAR Derya,BODUR Hatice,ALTAY ZUHAL,BİRTANE Murat,BÜTÜN Bülent,DURUÖZ Mehmet Tuncay,Erdem Hatice Rana,günendi zafer,GUNAYDIN Rezzan,gurer gülcan,KAÇAR Cahit,KAPTANOĞLU Ece,Kaya Taciser,ÖLMEZ Neşe,Paker Nurdan,rezvani aylin,SONEL TUR BİRKAN,YENER Mahmut,ÖZGÖÇMEN Salih Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. (2011): 273 - 294.
MLA ATAMAN Şebnem,BORMAN Pınar,Evcik Fatma Deniz,AYDOĞ Ece,Ayhan Fikriye Figen,YILDIZLAR Derya,BODUR Hatice,ALTAY ZUHAL,BİRTANE Murat,BÜTÜN Bülent,DURUÖZ Mehmet Tuncay,Erdem Hatice Rana,günendi zafer,GUNAYDIN Rezzan,gurer gülcan,KAÇAR Cahit,KAPTANOĞLU Ece,Kaya Taciser,ÖLMEZ Neşe,Paker Nurdan,rezvani aylin,SONEL TUR BİRKAN,YENER Mahmut,ÖZGÖÇMEN Salih Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. , 2011, ss.273 - 294.
AMA ATAMAN Ş,BORMAN P,Evcik F,AYDOĞ E,Ayhan F,YILDIZLAR D,BODUR H,ALTAY Z,BİRTANE M,BÜTÜN B,DURUÖZ M,Erdem H,günendi z,GUNAYDIN R,gurer g,KAÇAR C,KAPTANOĞLU E,Kaya T,ÖLMEZ N,Paker N,rezvani a,SONEL TUR B,YENER M,ÖZGÖÇMEN S Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. . 2011; 273 - 294.
Vancouver ATAMAN Ş,BORMAN P,Evcik F,AYDOĞ E,Ayhan F,YILDIZLAR D,BODUR H,ALTAY Z,BİRTANE M,BÜTÜN B,DURUÖZ M,Erdem H,günendi z,GUNAYDIN R,gurer g,KAÇAR C,KAPTANOĞLU E,Kaya T,ÖLMEZ N,Paker N,rezvani a,SONEL TUR B,YENER M,ÖZGÖÇMEN S Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. . 2011; 273 - 294.
IEEE ATAMAN Ş,BORMAN P,Evcik F,AYDOĞ E,Ayhan F,YILDIZLAR D,BODUR H,ALTAY Z,BİRTANE M,BÜTÜN B,DURUÖZ M,Erdem H,günendi z,GUNAYDIN R,gurer g,KAÇAR C,KAPTANOĞLU E,Kaya T,ÖLMEZ N,Paker N,rezvani a,SONEL TUR B,YENER M,ÖZGÖÇMEN S "Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism." , ss.273 - 294, 2011.
ISNAD ATAMAN, Şebnem vd. "Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism". (2011), 273-294.
APA ATAMAN Ş, BORMAN P, Evcik F, AYDOĞ E, Ayhan F, YILDIZLAR D, BODUR H, ALTAY Z, BİRTANE M, BÜTÜN B, DURUÖZ M, Erdem H, günendi z, GUNAYDIN R, gurer g, KAÇAR C, KAPTANOĞLU E, Kaya T, ÖLMEZ N, Paker N, rezvani a, SONEL TUR B, YENER M, ÖZGÖÇMEN S (2011). Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 26(4), 273 - 294.
Chicago ATAMAN Şebnem,BORMAN Pınar,Evcik Fatma Deniz,AYDOĞ Ece,Ayhan Fikriye Figen,YILDIZLAR Derya,BODUR Hatice,ALTAY ZUHAL,BİRTANE Murat,BÜTÜN Bülent,DURUÖZ Mehmet Tuncay,Erdem Hatice Rana,günendi zafer,GUNAYDIN Rezzan,gurer gülcan,KAÇAR Cahit,KAPTANOĞLU Ece,Kaya Taciser,ÖLMEZ Neşe,Paker Nurdan,rezvani aylin,SONEL TUR BİRKAN,YENER Mahmut,ÖZGÖÇMEN Salih Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. Turkish Journal of Rheumatology(.)Archives of Rheumatology 26, no.4 (2011): 273 - 294.
MLA ATAMAN Şebnem,BORMAN Pınar,Evcik Fatma Deniz,AYDOĞ Ece,Ayhan Fikriye Figen,YILDIZLAR Derya,BODUR Hatice,ALTAY ZUHAL,BİRTANE Murat,BÜTÜN Bülent,DURUÖZ Mehmet Tuncay,Erdem Hatice Rana,günendi zafer,GUNAYDIN Rezzan,gurer gülcan,KAÇAR Cahit,KAPTANOĞLU Ece,Kaya Taciser,ÖLMEZ Neşe,Paker Nurdan,rezvani aylin,SONEL TUR BİRKAN,YENER Mahmut,ÖZGÖÇMEN Salih Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.26, no.4, 2011, ss.273 - 294.
AMA ATAMAN Ş,BORMAN P,Evcik F,AYDOĞ E,Ayhan F,YILDIZLAR D,BODUR H,ALTAY Z,BİRTANE M,BÜTÜN B,DURUÖZ M,Erdem H,günendi z,GUNAYDIN R,gurer g,KAÇAR C,KAPTANOĞLU E,Kaya T,ÖLMEZ N,Paker N,rezvani a,SONEL TUR B,YENER M,ÖZGÖÇMEN S Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2011; 26(4): 273 - 294.
Vancouver ATAMAN Ş,BORMAN P,Evcik F,AYDOĞ E,Ayhan F,YILDIZLAR D,BODUR H,ALTAY Z,BİRTANE M,BÜTÜN B,DURUÖZ M,Erdem H,günendi z,GUNAYDIN R,gurer g,KAÇAR C,KAPTANOĞLU E,Kaya T,ÖLMEZ N,Paker N,rezvani a,SONEL TUR B,YENER M,ÖZGÖÇMEN S Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2011; 26(4): 273 - 294.
IEEE ATAMAN Ş,BORMAN P,Evcik F,AYDOĞ E,Ayhan F,YILDIZLAR D,BODUR H,ALTAY Z,BİRTANE M,BÜTÜN B,DURUÖZ M,Erdem H,günendi z,GUNAYDIN R,gurer g,KAÇAR C,KAPTANOĞLU E,Kaya T,ÖLMEZ N,Paker N,rezvani a,SONEL TUR B,YENER M,ÖZGÖÇMEN S "Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 26, ss.273 - 294, 2011.
ISNAD ATAMAN, Şebnem vd. "Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism". Turkish Journal of Rheumatology(.)Archives of Rheumatology 26/4 (2011), 273-294.