Algorithm for identification of undifferentiated peripheral inflammatory arthritis: a multinational collaboration through the 3e initiative

Glen Hazlewood; Daniel Aletaha; Loreto Carmona; Robert B M Landewé; Désirée M van der Heijde; Johannes W J Bijlsma; Vivian P Bykerk; Helena Canhão; Anca I Catrina; Patrick Durez; Christopher J Edwards; Burkhard F Leeb; Maria D Mjaavatten; Pindaro Martinez-Osuna; Carlomaurizio Montecucco; Mikkel Østergaard; Natali Serra-Bonett; Ricardo M Xavier; Jane Zochling; Pedro Machado; Kristof Thevissen; Ward Vercoutere; Claire Bombardier

doi:10.3899/jrheum.101076

Algorithm for identification of undifferentiated peripheral inflammatory arthritis: a multinational collaboration through the 3e initiative

Glen Hazlewood, Daniel Aletaha, Loreto Carmona, Robert B M Landewé, Désirée M van der Heijde, Johannes W J Bijlsma, Vivian P Bykerk, Helena Canhão, Anca I Catrina, Patrick Durez, Christopher J Edwards, Burkhard F Leeb, Maria D Mjaavatten, Pindaro Martinez-Osuna, Carlomaurizio Montecucco, Mikkel Østergaard, Natali Serra-Bonett, Ricardo M Xavier, Jane Zochling, Pedro MachadoKristof Thevissen, Ward Vercoutere, Claire Bombardier

8 Citations (Scopus)

Abstract

Objective. To develop an algorithm for identification of undifferentiated peripheral inflammatory arthritis (UPIA). Methods. An algorithm for identification of UPIA was developed by consensus during a roundtable meeting with an expert panel. It was informed by systematic reviews of the literature used to generate 10 recommendations for the investigation and followup of UPIA through the 3e initiative. The final recommendations from the 3e UPIA Initiative were made available to the panel to guide development of the algorithm. The algorithm drew on the clinical experience of the consensus panel and evidence from the literature where available. Results. In patients presenting with joint swelling a thorough evaluation is required prior to diagnosing UPIA. After excluding trauma, the differential diagnosis should be formulated based on history and physical examination. A minimum set of investigations is suggested for all patients, with additional ones dependent on the most probable differential diagnoses. The diagnosis of UPIA can be made if, following these evaluations, a more specific diagnosis is not reached. Once a diagnosis of UPIA is established, patients should be closely followed as they may progress to a specific diagnosis, remit, or persist as UPIA, and additional investigations may be required over time. Conclusion. Our algorithm presents a diagnostic approach to identifying UPIA in patients presenting with joint swelling, incorporating the dynamic nature of the condition with the potential to evolve over time. The Journal of Rheumatology

Original language	English
Journal	Journal of Rheumatology
Volume	87
Pages (from-to)	54-8
Number of pages	5
ISSN	0315-162X
DOIs	https://doi.org/10.3899/jrheum.101076
Publication status	Published - 1 Mar 2011

Access to Document

10.3899/jrheum.101076

https://www.jrheum.org/content/jrheumsupp/87/54.full.pdf

Cite this

Hazlewood, G., Aletaha, D., Carmona, L., Landewé, R. B. M., van der Heijde, D. M., Bijlsma, J. W. J., Bykerk, V. P., Canhão, H., Catrina, A. I., Durez, P., Edwards, C. J., Leeb, B. F., Mjaavatten, M. D., Martinez-Osuna, P., Montecucco, C., Østergaard, M., Serra-Bonett, N., Xavier, R. M., Zochling, J., ... Bombardier, C. (2011). Algorithm for identification of undifferentiated peripheral inflammatory arthritis: a multinational collaboration through the 3e initiative. Journal of Rheumatology, 87, 54-8. https://doi.org/10.3899/jrheum.101076

Hazlewood, G, Aletaha, D, Carmona, L, Landewé, RBM, van der Heijde, DM, Bijlsma, JWJ, Bykerk, VP, Canhão, H, Catrina, AI, Durez, P, Edwards, CJ, Leeb, BF, Mjaavatten, MD, Martinez-Osuna, P, Montecucco, C, Østergaard, M, Serra-Bonett, N, Xavier, RM, Zochling, J, Machado, P, Thevissen, K, Vercoutere, W & Bombardier, C 2011, 'Algorithm for identification of undifferentiated peripheral inflammatory arthritis: a multinational collaboration through the 3e initiative', Journal of Rheumatology, vol. 87, pp. 54-8. https://doi.org/10.3899/jrheum.101076

@article{41396144ccf94a57b911877934838e88,

title = "Algorithm for identification of undifferentiated peripheral inflammatory arthritis: a multinational collaboration through the 3e initiative",

abstract = "Objective. To develop an algorithm for identification of undifferentiated peripheral inflammatory arthritis (UPIA). Methods. An algorithm for identification of UPIA was developed by consensus during a roundtable meeting with an expert panel. It was informed by systematic reviews of the literature used to generate 10 recommendations for the investigation and followup of UPIA through the 3e initiative. The final recommendations from the 3e UPIA Initiative were made available to the panel to guide development of the algorithm. The algorithm drew on the clinical experience of the consensus panel and evidence from the literature where available. Results. In patients presenting with joint swelling a thorough evaluation is required prior to diagnosing UPIA. After excluding trauma, the differential diagnosis should be formulated based on history and physical examination. A minimum set of investigations is suggested for all patients, with additional ones dependent on the most probable differential diagnoses. The diagnosis of UPIA can be made if, following these evaluations, a more specific diagnosis is not reached. Once a diagnosis of UPIA is established, patients should be closely followed as they may progress to a specific diagnosis, remit, or persist as UPIA, and additional investigations may be required over time. Conclusion. Our algorithm presents a diagnostic approach to identifying UPIA in patients presenting with joint swelling, incorporating the dynamic nature of the condition with the potential to evolve over time. The Journal of Rheumatology",

author = "Glen Hazlewood and Daniel Aletaha and Loreto Carmona and Landew{\'e}, {Robert B M} and {van der Heijde}, {D{\'e}sir{\'e}e M} and Bijlsma, {Johannes W J} and Bykerk, {Vivian P} and Helena Canh{\~a}o and Catrina, {Anca I} and Patrick Durez and Edwards, {Christopher J} and Leeb, {Burkhard F} and Mjaavatten, {Maria D} and Pindaro Martinez-Osuna and Carlomaurizio Montecucco and Mikkel {\O}stergaard and Natali Serra-Bonett and Xavier, {Ricardo M} and Jane Zochling and Pedro Machado and Kristof Thevissen and Ward Vercoutere and Claire Bombardier",

year = "2011",

month = mar,

day = "1",

doi = "10.3899/jrheum.101076",

language = "English",

volume = "87",

pages = "54--8",

journal = "Journal of Rheumatology",

issn = "0315-162X",

publisher = "Journal of Rheumatology Publishing Co. Ltd.",

}

TY - JOUR

T1 - Algorithm for identification of undifferentiated peripheral inflammatory arthritis: a multinational collaboration through the 3e initiative

AU - Hazlewood, Glen

AU - Aletaha, Daniel

AU - Carmona, Loreto

AU - Landewé, Robert B M

AU - van der Heijde, Désirée M

AU - Bijlsma, Johannes W J

AU - Bykerk, Vivian P

AU - Canhão, Helena

AU - Catrina, Anca I

AU - Durez, Patrick

AU - Edwards, Christopher J

AU - Leeb, Burkhard F

AU - Mjaavatten, Maria D

AU - Martinez-Osuna, Pindaro

AU - Montecucco, Carlomaurizio

AU - Østergaard, Mikkel

AU - Serra-Bonett, Natali

AU - Xavier, Ricardo M

AU - Zochling, Jane

AU - Machado, Pedro

AU - Thevissen, Kristof

AU - Vercoutere, Ward

AU - Bombardier, Claire

PY - 2011/3/1

Y1 - 2011/3/1

N2 - Objective. To develop an algorithm for identification of undifferentiated peripheral inflammatory arthritis (UPIA). Methods. An algorithm for identification of UPIA was developed by consensus during a roundtable meeting with an expert panel. It was informed by systematic reviews of the literature used to generate 10 recommendations for the investigation and followup of UPIA through the 3e initiative. The final recommendations from the 3e UPIA Initiative were made available to the panel to guide development of the algorithm. The algorithm drew on the clinical experience of the consensus panel and evidence from the literature where available. Results. In patients presenting with joint swelling a thorough evaluation is required prior to diagnosing UPIA. After excluding trauma, the differential diagnosis should be formulated based on history and physical examination. A minimum set of investigations is suggested for all patients, with additional ones dependent on the most probable differential diagnoses. The diagnosis of UPIA can be made if, following these evaluations, a more specific diagnosis is not reached. Once a diagnosis of UPIA is established, patients should be closely followed as they may progress to a specific diagnosis, remit, or persist as UPIA, and additional investigations may be required over time. Conclusion. Our algorithm presents a diagnostic approach to identifying UPIA in patients presenting with joint swelling, incorporating the dynamic nature of the condition with the potential to evolve over time. The Journal of Rheumatology

AB - Objective. To develop an algorithm for identification of undifferentiated peripheral inflammatory arthritis (UPIA). Methods. An algorithm for identification of UPIA was developed by consensus during a roundtable meeting with an expert panel. It was informed by systematic reviews of the literature used to generate 10 recommendations for the investigation and followup of UPIA through the 3e initiative. The final recommendations from the 3e UPIA Initiative were made available to the panel to guide development of the algorithm. The algorithm drew on the clinical experience of the consensus panel and evidence from the literature where available. Results. In patients presenting with joint swelling a thorough evaluation is required prior to diagnosing UPIA. After excluding trauma, the differential diagnosis should be formulated based on history and physical examination. A minimum set of investigations is suggested for all patients, with additional ones dependent on the most probable differential diagnoses. The diagnosis of UPIA can be made if, following these evaluations, a more specific diagnosis is not reached. Once a diagnosis of UPIA is established, patients should be closely followed as they may progress to a specific diagnosis, remit, or persist as UPIA, and additional investigations may be required over time. Conclusion. Our algorithm presents a diagnostic approach to identifying UPIA in patients presenting with joint swelling, incorporating the dynamic nature of the condition with the potential to evolve over time. The Journal of Rheumatology

U2 - 10.3899/jrheum.101076

DO - 10.3899/jrheum.101076

M3 - Journal article

SN - 0315-162X

VL - 87

SP - 54

EP - 58

JO - Journal of Rheumatology

JF - Journal of Rheumatology

ER -

Algorithm for identification of undifferentiated peripheral inflammatory arthritis: a multinational collaboration through the 3e initiative

Abstract

Access to Document

Fingerprint

Cite this