Recomendaciones SER sobre el tratamiento de la uveítis

IF 1.2 Q4 RHEUMATOLOGY Reumatologia Clinica Pub Date : 2023-09-13 DOI:10.1016/j.reuma.2023.07.002
Emma Beltrán Catalán , Noé Brito García , Esperanza Pato Cour , Santiago Muñoz Fernández , Alejandro Gómez Gómez , David Díaz Valle , Marisa Hernández Garfella , Félix Manuel Francisco Hernández , M. del Mar Trujillo Martín , Lucía Silva Fernández , Gemma Villanueva , Julio Suárez Cuba , Ricardo Blanco
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Abstract

Objective

To develop evidence-based expert-consensus recommendations for the management of non-infectious, non-neoplastic, non-demyelinating disease associated uveitis.

Methods

Clinical research questions relevant to the objective of the document were identified, and reformulated into PICO format (patient, intervention, comparison, outcome) by a panel of experts selected based on their experience in the field. A systematic review of the available evidence was conducted, and evidence was graded according to GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria. Subsequently, recommendations were developed.

Results

Three PICO questions were constructed referring to uveitis anterior, non-anterior and complicated with macular edema. A total of 19 recommendations were formulated, based on the evidence found and/or expert consensus.

Conclusions

Here we present the first official recommendations of the Spanish Society of Rheumatology for the treatment of non-infectious and non-demyelinating disease associated uveitis. They can be directly applied to the Spanish healthcare system as a tool for assistance and therapeutic homogenisation.

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对葡萄膜炎治疗的建议
目的为非感染性、非肿瘤性、非脱髓鞘性疾病相关性葡萄膜炎的治疗提供循证专家共识建议。方法确定与文献目标相关的临床研究问题,并由专家小组根据其在该领域的经验将其重新制定为PICO格式(患者,干预,比较,结果)。对现有证据进行系统回顾,并根据GRADE(建议评估、发展和评价分级)标准对证据进行分级。随后,提出了建议。结果构建了前葡萄膜炎、非前葡萄膜炎和合并黄斑水肿3个PICO问题。根据发现的证据和(或)专家共识,共制定了19项建议。在这里,我们提出了西班牙风湿病学会关于治疗非感染性和非脱髓鞘性疾病相关葡萄膜炎的第一个官方建议。它们可以直接应用于西班牙医疗保健系统,作为援助和治疗均质化的工具。
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来源期刊
Reumatologia Clinica
Reumatologia Clinica RHEUMATOLOGY-
CiteScore
2.40
自引率
6.70%
发文量
105
审稿时长
54 days
期刊介绍: Una gran revista para cubrir eficazmente las necesidades de conocimientos en una patología de etiología, expresividad clínica y tratamiento tan amplios. Además es La Publicación Oficial de la Sociedad Española de Reumatología y del Colegio Mexicano de Reumatología y está incluida en los más prestigiosos índices de referencia en medicina.
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