Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative

P Machado; I Castrejon; W Katchamart; R Koevoets; B Kuriya; M Schoels; L Silva-Fernández; K Thevissen; W Vercoutere; E Villeneuve; D Aletaha; L Carmona; R Landewé; D van der Heijde; J W J Bijlsma; V Bykerk; H Canhão; A I Catrina; P Durez; Louise Christina Edwards; M D Mjaavatten; B F Leeb; B Losada; E M Martín-Mola; P Martinez-Osuna; C Montecucco; U Müller-Ladner; Mikkel Østergaard; B Sheane; R M Xavier; J Zochling; C Bombardier

doi:http://dx.doi.org/10.1136/ard.2010.130625

Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative

P Machado, I Castrejon, W Katchamart, R Koevoets, B Kuriya, M Schoels, L Silva-Fernández, K Thevissen, W Vercoutere, E Villeneuve, D Aletaha, L Carmona, R Landewé, D van der Heijde, J W J Bijlsma, V Bykerk, H Canhão, A I Catrina, P Durez, Louise Christina EdwardsM D Mjaavatten, B F Leeb, B Losada, E M Martín-Mola, P Martinez-Osuna, C Montecucco, U Müller-Ladner, Mikkel Østergaard, B Sheane, R M Xavier, J Zochling, C Bombardier

41 Citations (Scopus)

Abstract

Objective: To develop evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis (UPIA). Methods: 697 rheumatologists from 17 countries participated in the 3E ( Evidence, Expertise, Exchange) Initiative of 2008-9 consisting of three separate rounds of discussions and modified Delphi votes. In the fi rst round 10 clinical questions were selected. A bibliographic team systematically searched Medline, Embase, the Cochrane Library and ACR/EULAR 2007-2008 meeting abstracts. Relevant articles were reviewed for quality assessment, data extraction and synthesis. In the second round each country elaborated a set of national recommendations. Finally, multinational recommendations were formulated and agreement among the participants and the potential impact on their clinical practice was assessed. Results: A total of 39 756 references were identified, of which 250 were systematically reviewed. Ten multinational key recommendations about the investigation and follow-up of UPIA were formulated. One recommendation addressed differential diagnosis and investigations prior to establishing the operational diagnosis of UPIA, seven recommendations related to the diagnostic and prognostic value of clinical and laboratory assessments in established UPIA (history and physical examination, acute phase reactants, autoantibodies, radiographs, MRI and ultrasound, genetic markers and synovial biopsy), one recommendation highlighted predictors of persistence (chronicity) and the fi nal recommendation addressed monitoring of clinical disease activity in UPIA. Conclusions: Ten recommendations on how to investigate and follow-up UPIA in the clinical setting were developed. They are evidence-based and supported by a large panel of rheumatologists, thus enhancing their validity and practical use.

Original language	English
Journal	Annals of the Rheumatic Diseases
Volume	70
Issue number	1
Pages (from-to)	15-24
Number of pages	10
ISSN	0003-4967
DOIs	https://doi.org/10.1136/ard.2010.130625
Publication status	Published - Jan 2011

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Machado, P., Castrejon, I., Katchamart, W., Koevoets, R., Kuriya, B., Schoels, M., Silva-Fernández, L., Thevissen, K., Vercoutere, W., Villeneuve, E., Aletaha, D., Carmona, L., Landewé, R., van der Heijde, D., Bijlsma, J. W. J., Bykerk, V., Canhão, H., Catrina, A. I., Durez, P., ... Bombardier, C. (2011). Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative. Annals of the Rheumatic Diseases, 70(1), 15-24. https://doi.org/10.1136/ard.2010.130625

Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative. / Machado, P; Castrejon, I; Katchamart, W et al.

In: Annals of the Rheumatic Diseases, Vol. 70, No. 1, 01.2011, p. 15-24.

Research output: Contribution to journal › Journal article › Research › peer-review

Machado, P, Castrejon, I, Katchamart, W, Koevoets, R, Kuriya, B, Schoels, M, Silva-Fernández, L, Thevissen, K, Vercoutere, W, Villeneuve, E, Aletaha, D, Carmona, L, Landewé, R, van der Heijde, D, Bijlsma, JWJ, Bykerk, V, Canhão, H, Catrina, AI, Durez, P, Edwards, LC, Mjaavatten, MD, Leeb, BF, Losada, B, Martín-Mola, EM, Martinez-Osuna, P, Montecucco, C, Müller-Ladner, U, Østergaard, M, Sheane, B, Xavier, RM, Zochling, J & Bombardier, C 2011, 'Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative', Annals of the Rheumatic Diseases, vol. 70, no. 1, pp. 15-24. https://doi.org/10.1136/ard.2010.130625

Machado P, Castrejon I, Katchamart W, Koevoets R, Kuriya B, Schoels M et al. Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative. Annals of the Rheumatic Diseases. 2011 Jan;70(1):15-24. doi: http://dx.doi.org/10.1136/ard.2010.130625

Machado, P ; Castrejon, I ; Katchamart, W et al. / Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative. In: Annals of the Rheumatic Diseases. 2011 ; Vol. 70, No. 1. pp. 15-24.

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title = "Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative",

abstract = "Objective: To develop evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis (UPIA). Methods: 697 rheumatologists from 17 countries participated in the 3E ( Evidence, Expertise, Exchange) Initiative of 2008-9 consisting of three separate rounds of discussions and modified Delphi votes. In the fi rst round 10 clinical questions were selected. A bibliographic team systematically searched Medline, Embase, the Cochrane Library and ACR/EULAR 2007-2008 meeting abstracts. Relevant articles were reviewed for quality assessment, data extraction and synthesis. In the second round each country elaborated a set of national recommendations. Finally, multinational recommendations were formulated and agreement among the participants and the potential impact on their clinical practice was assessed. Results: A total of 39 756 references were identified, of which 250 were systematically reviewed. Ten multinational key recommendations about the investigation and follow-up of UPIA were formulated. One recommendation addressed differential diagnosis and investigations prior to establishing the operational diagnosis of UPIA, seven recommendations related to the diagnostic and prognostic value of clinical and laboratory assessments in established UPIA (history and physical examination, acute phase reactants, autoantibodies, radiographs, MRI and ultrasound, genetic markers and synovial biopsy), one recommendation highlighted predictors of persistence (chronicity) and the fi nal recommendation addressed monitoring of clinical disease activity in UPIA. Conclusions: Ten recommendations on how to investigate and follow-up UPIA in the clinical setting were developed. They are evidence-based and supported by a large panel of rheumatologists, thus enhancing their validity and practical use.",

author = "P Machado and I Castrejon and W Katchamart and R Koevoets and B Kuriya and M Schoels and L Silva-Fern{\'a}ndez and K Thevissen and W Vercoutere and E Villeneuve and D Aletaha and L Carmona and R Landew{\'e} and {van der Heijde}, D and Bijlsma, {J W J} and V Bykerk and H Canh{\~a}o and Catrina, {A I} and P Durez and Edwards, {Louise Christina} and Mjaavatten, {M D} and Leeb, {B F} and B Losada and Mart{\'i}n-Mola, {E M} and P Martinez-Osuna and C Montecucco and U M{\"u}ller-Ladner and Mikkel {\O}stergaard and B Sheane and Xavier, {R M} and J Zochling and C Bombardier",

year = "2011",

month = jan,

doi = "http://dx.doi.org/10.1136/ard.2010.130625",

language = "English",

volume = "70",

pages = "15--24",

journal = "Annals of the Rheumatic Diseases",

issn = "0003-4967",

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TY - JOUR

T1 - Multinational evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis: integrating systematic literature research and expert opinion of a broad international panel of rheumatologists in the 3E Initiative

AU - Machado, P

AU - Castrejon, I

AU - Katchamart, W

AU - Koevoets, R

AU - Kuriya, B

AU - Schoels, M

AU - Silva-Fernández, L

AU - Thevissen, K

AU - Vercoutere, W

AU - Villeneuve, E

AU - Aletaha, D

AU - Carmona, L

AU - Landewé, R

AU - van der Heijde, D

AU - Bijlsma, J W J

AU - Bykerk, V

AU - Canhão, H

AU - Catrina, A I

AU - Durez, P

AU - Edwards, Louise Christina

AU - Mjaavatten, M D

AU - Leeb, B F

AU - Losada, B

AU - Martín-Mola, E M

AU - Martinez-Osuna, P

AU - Montecucco, C

AU - Müller-Ladner, U

AU - Østergaard, Mikkel

AU - Sheane, B

AU - Xavier, R M

AU - Zochling, J

AU - Bombardier, C

PY - 2011/1

Y1 - 2011/1

N2 - Objective: To develop evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis (UPIA). Methods: 697 rheumatologists from 17 countries participated in the 3E ( Evidence, Expertise, Exchange) Initiative of 2008-9 consisting of three separate rounds of discussions and modified Delphi votes. In the fi rst round 10 clinical questions were selected. A bibliographic team systematically searched Medline, Embase, the Cochrane Library and ACR/EULAR 2007-2008 meeting abstracts. Relevant articles were reviewed for quality assessment, data extraction and synthesis. In the second round each country elaborated a set of national recommendations. Finally, multinational recommendations were formulated and agreement among the participants and the potential impact on their clinical practice was assessed. Results: A total of 39 756 references were identified, of which 250 were systematically reviewed. Ten multinational key recommendations about the investigation and follow-up of UPIA were formulated. One recommendation addressed differential diagnosis and investigations prior to establishing the operational diagnosis of UPIA, seven recommendations related to the diagnostic and prognostic value of clinical and laboratory assessments in established UPIA (history and physical examination, acute phase reactants, autoantibodies, radiographs, MRI and ultrasound, genetic markers and synovial biopsy), one recommendation highlighted predictors of persistence (chronicity) and the fi nal recommendation addressed monitoring of clinical disease activity in UPIA. Conclusions: Ten recommendations on how to investigate and follow-up UPIA in the clinical setting were developed. They are evidence-based and supported by a large panel of rheumatologists, thus enhancing their validity and practical use.

AB - Objective: To develop evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis (UPIA). Methods: 697 rheumatologists from 17 countries participated in the 3E ( Evidence, Expertise, Exchange) Initiative of 2008-9 consisting of three separate rounds of discussions and modified Delphi votes. In the fi rst round 10 clinical questions were selected. A bibliographic team systematically searched Medline, Embase, the Cochrane Library and ACR/EULAR 2007-2008 meeting abstracts. Relevant articles were reviewed for quality assessment, data extraction and synthesis. In the second round each country elaborated a set of national recommendations. Finally, multinational recommendations were formulated and agreement among the participants and the potential impact on their clinical practice was assessed. Results: A total of 39 756 references were identified, of which 250 were systematically reviewed. Ten multinational key recommendations about the investigation and follow-up of UPIA were formulated. One recommendation addressed differential diagnosis and investigations prior to establishing the operational diagnosis of UPIA, seven recommendations related to the diagnostic and prognostic value of clinical and laboratory assessments in established UPIA (history and physical examination, acute phase reactants, autoantibodies, radiographs, MRI and ultrasound, genetic markers and synovial biopsy), one recommendation highlighted predictors of persistence (chronicity) and the fi nal recommendation addressed monitoring of clinical disease activity in UPIA. Conclusions: Ten recommendations on how to investigate and follow-up UPIA in the clinical setting were developed. They are evidence-based and supported by a large panel of rheumatologists, thus enhancing their validity and practical use.

U2 - http://dx.doi.org/10.1136/ard.2010.130625

DO - http://dx.doi.org/10.1136/ard.2010.130625

M3 - Journal article

SN - 0003-4967

VL - 70

SP - 15

EP - 24

JO - Annals of the Rheumatic Diseases

JF - Annals of the Rheumatic Diseases

IS - 1

ER -