RT Journal Article
SR Electronic
T1 EULAR recommendations for intra-articular therapies
JF Annals of the Rheumatic Diseases
JO Ann Rheum Dis
FD BMJ Publishing Group Ltd and European League Against Rheumatism
SP annrheumdis-2021-220266
DO 10.1136/annrheumdis-2021-220266
A1 Jacqueline Uson
A1 Sebastián Cruz Rodriguez-García
A1 Raul Castellanos-Moreira
A1 Terence W O'Neill
A1 Michael Doherty
A1 Mikael Boesen
A1 Hemant Pandit
A1 Ingrid Möller Parera
A1 Valentina Vardanyan
A1 Lene Terslev
A1 Willm Uwe Kampen
A1 Maria-Antonietta D'Agostino
A1 Francis Berenbaum
A1 Elena Nikiphorou
A1 Irene A Pitsillidou
A1 Jenny de la Torre-Aboki
A1 Loreto Carmona
A1 Esperanza Naredo
YR 2021
UL http://ard.bmj.com/content/early/2021/05/24/annrheumdis-2021-220266.abstract
AB Objectives To establish evidence-based recommendations to guide health professionals using intra-articular therapies (IAT) in adult patients with peripheral arthropathies.Methods A multidisciplinary international task force established the objectives, users and scope and the need for background information, including systematic literature reviews) and two surveys addressed to healthcare providers and patients throughout Europe. The evidence was discussed in a face-to-face meeting, recommendations were formulated and subsequently voted for anonymously in a three-round Delphi process to obtain the final agreement. The level of evidence was assigned to each recommendation with the Oxford levels of evidence.Results Recommendations focus on practical aspects to guide health professionals before, during and after IAT in adult patients with peripheral arthropathies. Five overarching principles and 11 recommendations were established, addressing issues related to patient information, procedure and setting, accuracy, routine and special aseptic care, safety issues and precautions to be addressed in special populations, efficacy and safety of repeated joint injections, use of local anaesthetics and aftercare.Conclusion We have developed the first evidence and expert opinion-based recommendations to guide health professionals using IAT. We hope that these recommendations will be included in different educational programmes, used by patient associations and put into practice via scientific societies to help improve uniformity and quality of care when performing IAT in peripheral adult joints.