Akademska digitalna zbirka SLovenije - logo
E-viri
Celotno besedilo
Recenzirano
  • Singapore chapter of rheuma...
    Chua, Cheryl K. T.; Teng, Gim Gee; Cheung, Peter P.; Fong, Warren Weng Seng; Leong, Keng Hong; Leung, Ying Ying; Lim, Anita Y. N.; Lui, Nai Lee; Manghani, Mona; Santosa, Amelia; Sriranganathan, Melonie Kannamma; Suresh, Ernest; Tan, Teck Choon; Lahiri, Manjari

    International journal of rheumatic diseases, February 2020, 2020-Feb, 2020-02-00, 20200201, Letnik: 23, Številka: 2
    Journal Article

    Aim There have been major advances in biologic treatment options for psoriatic arthritis (PsA) since the publication of the 2015 consensus recommendations by the Chapter of Rheumatologists, College of Physicians, Academy of Medicine, Singapore, for government‐assisted funding, thus warranting a revision of this guideline. Methods Recent trials and nine published guidelines on the use of biologic therapy for PsA were reviewed. Based on the synthesized evidence, a task force panel (TFP), consisting of 10 practicing rheumatologists in Singapore, rated the statements pertaining to the use of biologic therapy, using a modified Delphi approach. Consensus was obtained if >70% agreed on a statement. Results The TFP agreed on 10 recommendations pertaining to the initiation, choice and continuation of biologic therapy. A biologic is indicated in patients with PsA: (a) with at least three swollen and tender joints, digits or entheses; and (b) who have failed at least two conventional synthetic disease‐modifying anti‐rheumatic drug (csDMARD) strategies for a minimum of 3 months each. Any approved drug class including tumor necrosis factor inhibitors, interleukin‐17 inhibitors (IL‐17i), IL‐12/23i or targeted synthetic DMARDs may be considered as first‐line treatment, and continued only if a response is achieved by 6 months. Conclusion These recommendations developed through a formal consensus method may be useful to guide funding considerations for appropriate and equitable use of biologic therapy for eligible patients with PsA.