Recomendaciones del Colegio Mexicano de Reumatología para el manejo de la artritis psoriásica

Translated title of the contribution: Recommendations of the Mexican College of Rheumatology for the management of psoriatic arthritis

Julio Casasola-Vargas, Diana Flores-Alvarado, Luis H. Silveira, Sandra Sicsik-Ayala, Greta Reyes-Cordero, Guadalupe Villanueva Quintero, Mario Amaya Guerra, Sara G. Reyes Orozco, Beatriz E. Zazueta Montiel, Roberto Hernández-Paz, Angélica Mendoza-Fuentes, Ana G. Bernard-Medina, Alejandra López Rodriguez, Rosa E. Barbosa Cobos, Rubén Burgos-Vargas, César Pacheco-Tena

Research output: Contribution to journalArticlepeer-review

Abstract

Psoriatic arthritis is a chronic systemic inflammatory disease that affects the skin, musculoskeletal structures and other organs and systems compromising functionality, quality of life and reducing the life expectancy of patients. It is a complex disease that requires specialist and timely care and management. The alternatives for treating the manifestations of psoriatic arthritis have increased and the effect of the different agents on specific manifestations has been clarified in recent studies. Therefore, we should incorporate the available evidence to build a strategy for the treatment of these patients. The Mexican College of Rheumatology selected a committee to evaluate these different alternatives and make recommendations. Methods: The study group included 16 rheumatologists and 3 certified dermatologists, selected from different health institutions and regions of the country. An executive committee was formed to coordinate the meetings and a committee of experts selected the literature search criteria, prepared the research questions, rated the quality of the evidence, and produced the recommendations in the different disease domains based on the GRADE methodology. Results: 24 updated recommendations were generated for the treatment of patients with psoriatic arthritis. The recommendations establish the role of the drugs currently available in our country. The importance of adequate disease control is emphasized, individualizing the level of involvement of each patient in each of the six domains potentially affected by the disease. In addition, the sequence in the choice of treatments available for each domain is established, based on their efficacy, safety profile and accessibility. Conclusions: With this consensus document, it will be possible to improve the care of patients with psoriatic arthritis. The recommendations were generated based on the best available information and in consideration of the Mexican health system.

Translated title of the contributionRecommendations of the Mexican College of Rheumatology for the management of psoriatic arthritis
Original languageSpanish
Pages (from-to)611-621
Number of pages11
JournalReumatologia Clinica
Volume17
Issue number10
DOIs
Publication statusPublished - Dec 2021

Bibliographical note

Funding Information:
El Comité para el desarrollo de las recomendaciones para el manejo de la APs agradece el apoyo del Colegio Mexicano de Reumatología y a la compañía Novartis por el apoyo irrestricto a las actividades de nuestro comité.

Publisher Copyright:
© 2021 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología

All Science Journal Classification (ASJC) codes

  • Rheumatology

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