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Arch Rheumatol. 2018 Feb 14;33(1):1-16. doi: 10.5606/ArchRheumatol.2018.6833. eCollection 2018 Mar.

Turkish League Against Rheumatism Consensus Report: Recommendations For Management of Axial Spondyloarthritis.

Author information

1
Department of Physical Medicine and Rehabilitation, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey.
2
Department of Physical Medicine and Rehabilitation, SBÜ Ankara Numune Training and Research Hospital, Ankara, Turkey.
3
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Ankara University School of Medicine, Ankara, Turkey.
4
Department of Physical Medicine and Rehabilitation, Sakarya University School of Medicine, Sakarya, Turkey.
5
Department of Physical Therapy and Rehabilitation, School of Health Sciences, Uşak University, Uşak, Turkey.
6
Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara, Turkey.
7
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Celal Bayar University School of Medicine, Manisa, Turkey.
8
Department of Physical Medicine and Rehabilitation, Hacettepe University School of Medicine, Ankara, Turkey.
9
Department of Physical Medicine and Rehabilitation, İnönü University School of Medicine, Malatya, Turkey.
10
Department of Physical Medicine and Rehabilitation, Trakya University School of Medicine, Edirne, Turkey.
11
Department of Physical Medicine and Rehabilitation, SBÜ İstanbul Training and Research Hospital, İstanbul, Turkey.
12
Department of Physical Medicine and Rehabilitation, Karadeniz Teknik University School of Medicine, Trabzon, Turkey.
13
Department of Physical Medicine and Rehabilitation, Dicle University School of Medicine, Diyarbakir, Turkey.
14
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Marmara University School of Medicine, İstanbul, Turkey.
15
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Adnan Menderes University School of Medicine, Aydın, Turkey.
16
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Akdeniz University School of Medicine, Antalya, Turkey.
17
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Sakarya University School of Medicine, Sakarya, Turkey.
18
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Sivas Cumhuriyet University School of Medicine, Sivas, Turkey.
19
Department of Physical Medicine and Rehabilitation, SBÜ İzmir Bozyaka Training and Research Hospital, İzmir, Turkey.
20
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey.
21
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.
22
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Atatürk University School of Medicine, Erzurum, Turkey.
23
Department of Rheumatology, SBÜ Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
24
Department of Physical Medicine and Rehabilitation, Hitit University School of Medicine, Çorum, Turkey.
25
Department of Physical Medicine and Rehabilitation, Bezmialem University School of Medicine, İstanbul, Turkey.
26
Department of Physical Medicine and Rehabilitation, SBÜ Antalya Training and Research Hospital, Antalya, Turkey.

Abstract

Objectives:

This study aims to update 2011 Turkish League Against Rheumatism SpondyloArthritis Recommendations, and to compose a national expert opinion on management of axial spondyloArthritis under guidance of current guidelines, and implantation and dissemination of these international guidelines into our clinical practice.

Patients and methods:

A scientific committee of 28 experts consisting of 14 rheumatologists and 14 physical medicine and rehabilitation specialists (one of them also has an immunology PhD) was formed. The recommendations, systematic reviews, and meta-analyses including pharmacologic and non-pharmacologic treatment were scrutinized paying special attention with convenient key words. The draft of Turkish League Against Rheumatism opinion whose roof consisted of international treatment recommendations, particularly the Assessment of SpondyloArthritis International Society/European League Against Rheumatism recommendations was composed. Assessment of level of agreement with opinions by task force members was established through the Delphi technique. Voting using a numerical rating scale assessed the strength of each recommendation.

Results:

Panel compromised on five basic principles and 13 recommendations including pharmacological and nonpharmacological methods. All of the recommendations had adequate strength.

Conclusion:

Turkish League Against Rheumatism expert opinion for the management of axial spondyloArthritis was developed based on scientific evidence. These recommendations will be updated regularly in accordance with current developments.

KEYWORDS:

Axial spondyloarthritis; comorbidities; exercises; nonpharmacological management; treatment

Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

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