Recommendations of the French Society of Rheumatology for the management in current practice of patients with polymyalgia rheumatica - Institut Pierre Louis d'Epidémiologie et de Santé Publique
Article Dans Une Revue Joint Bone Spine Année : 2024

Recommendations of the French Society of Rheumatology for the management in current practice of patients with polymyalgia rheumatica

Recommandations de la Société française de rhumatologie pour la prise en charge en pratique courante des patients atteints de pseudopolyarthrite rhizomélique

Daniel Wendling
Emmanuelle Dernis
  • Fonction : Auteur
Florent Besson
  • Fonction : Auteur
Bernard Cortet
  • Fonction : Auteur
Renaud Felten
  • Fonction : Auteur
André Ramon
  • Fonction : Auteur
Bernard Verlhac
  • Fonction : Auteur

Résumé

Objective: To develop recommendations for the routine management of patients with polymyalgia rheumatica (PMR). Methods: Following standard procedures, a systematic review of the literature by five supervised junior rheumatologists, based on the questions selected by the steering committee (5 senior rheumatologists), was used as the basis for working meetings, followed by a one-day plenary meeting with the working group (15 members), leading to the development of the wording and determination of the strength of the recommendations and the level of agreement of the experts. Results: Five general principles and 19 recommendations were drawn up. Three recommendations relate to diagnosis and the use of imaging, and five to the assessment of the disease, its activity and comorbidities. Non-pharmacological therapies are the subject of one recommendation. Three recommendations concern initial treatment based on general corticosteroid therapy, five concern the reduction of corticosteroid therapy and follow-up, and two concern corticosteroid dependence and steroid-sparing treatments (anti-IL-6). Conclusion: These recommendations take account of current data on PMR, with the aim of reducing exposure to corticosteroid therapy and its side effects in a fragile population. They are intended to be practical, to help practitioners in the day-to-day management of patients with PMR.
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Dates et versions

hal-04700868 , version 1 (19-09-2024)

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Daniel Wendling, Omar Al Tabaa, Baptiste Chevet, Olivier Fakih, Roba Ghossan, et al.. Recommendations of the French Society of Rheumatology for the management in current practice of patients with polymyalgia rheumatica. Joint Bone Spine, 2024, 91 (4), pp.105730. ⟨10.1016/j.jbspin.2024.105730⟩. ⟨hal-04700868⟩
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