Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism

Ataman, Şebnem

doi:10.5606/tjr.2011.046

Cited by 13 publications

(32 citation statements)

References 166 publications

(212 reference statements)

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“…All patients have been treated with consensus recommendations of TLAR. 24 Obesity frequency was compared with 12,160 individuals of Health Survey statistics. 25 Sociodemographic variables, smoking, alcohol, and exercise habits, and history of cancer and menopause were noted.…”

Section: Methodsmentioning

confidence: 99%

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Obesity Associated With Active, but Preserved Joints in Rheumatoid Arthritis: Results From our National Registry

et al. 2016

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Objectives: This study aims to investigate the prevalence of obesity in patients with rheumatoid arthritis (RA) and associations with disease outcomes. Patients and methods:The study population comprised of 1,038 patients with RA (198 males, 840 females; mean age 56.1±12.6 years; range 19 to 94 years) who had been included in National RA-Registry. RA disease activity measures, physical function, quality of life, joint destruction, laboratory tests, as well as pain, fatigue, general health, and patient and physician global health assessments on a visual analog scale were collected. Results: Our patients had established RA with mean disease duration of 10.2±8.8 years and moderate disease activity (disease activity score in 28 joints: mean 3.7±1.6). According to the body mass index (BMI), 70% of the patients were overweight (n=362, 34.9%) or obese (n=364, 35.1%). These patients had higher disease activity scores in 28 joints, visual analog scale-pain and visual analog scale-patient global scores, and higher levels of fasting blood glucose; however, they had lower radiographic scores than normal-BMI patients (p<0.05). Regression analyses showed that the BMI was independently and inversely associated with disease activity scores in 28 joints and Sharp/van der Heijde scores after the adjustments for biologic and treatment-related factors (p<0.05). Conclusion: Our findings indicate that obesity is more common in patients with RA than the general population. High disease activity and low radiographic damage were associated with high BMI in this National RA-Registry.

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Section: Methodsmentioning

confidence: 99%

“…Mono or combined disease-modifying antirheumatic drug therapy was started to the patients in accordance with the recommended treatment strategy in Turkey. 24 …”

Section: Methodsmentioning

confidence: 99%

Obesity Associated With Active, but Preserved Joints in Rheumatoid Arthritis: Results From our National Registry

et al. 2016

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“…This article stated that rheumatology divisions within the physical medicine and rehabilitation clinics were founded in 1983 for the first time and that The Ministry of Health and the Council of Higher Education approved rheumatology subspecialties of both internal medicine and physical medicine and rehabilitation since then. 3 The strength of recommendation increased from 9.00±1.265 to 9.31±1.192 after the mentioned change.…”

Section: Overarching Principlesmentioning

confidence: 98%

“…In 2011, for the first time, Turkish League Against Rheumatism (TLAR) adapted the EULAR 2010 recommendations for the management of RA with synthetic and biological DMARDs. 3 Thus, in this study, we aimed to report TLAR's assessment on the compliance of EULAR 2013 treatment recommendations for RA with practices in Turkish rheumatology clinics and adaptations for Turkey. This project is the second adaptation study of EULAR recommendations for management of RA for Turkish rheumatologists and physiatrists.…”

mentioning

confidence: 99%

Turkish Compliance and Adaptation of EULAR 2013 Recommendations for the Management of Rheumatoid Arthritis with Synthetic and Biological Disease-Modifying Antirheumatic Drugs: Expert Opinion of TLAR

et al. 2015

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Objectives: This study aims to report Turkish League Against Rheumatism's assessment on the compliance of European League Against Rheumatism 2013 treatment recommendations for rheumatoid arthritis with practices in Turkish rheumatology clinics and adaptations for Turkey. Materials and methods: Members of Turkish League Against Rheumatism and one rheumatoid arthritis patient voted for the 2013 recommendations of the European League Against Rheumatism for treatment of rheumatoid arthritis in two sessions. An item was changed and voted again only if at least 70% of participants wanted a change. Strength of recommendations was calculated for the items. Strength of recommendations for the changed items in the first and second voting rounds was compared by Wilcoxon signed-rank test. In case of significant difference, the item with higher strength of recommendation was accepted. In case of no difference, the changed item was selected. Results: Three overarching principles and fourteen recommendations were assessed among which the three overarching principles were changed emphasizing the importance of physiatrists as well as rheumatologists for taking care of the patients. Third item was changed by adding composite indices for assessing disease activity. In the ninth recommendation, rituximab was suggested as a first line drug independent of situations like latent tuberculosis or lymphoma, etc. In the 11 th recommendation, unlike European League Against Rheumatism, our committee did not suggest any thought about tofacitinib, as then it had not been approved in Turkey. Remaining principles were accepted as the same. Conclusion: Expert opinion of Turkish League Against Rheumatism for treatment of rheumatoid arthritis patients was formed for practices in Turkish clinics.

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“…Last year, the Turkish League Against Rheumatism (TLAR) provided recommendations for the management of osteoarthritis (OA), RA, and ankylosing spondylitis (AS) by taking into consideration the health care system of our country. [6][7][8] These recommendations emphasized the importance of non-pharmacological interventions. The rehabilitative treatment approach included educational programs (lifestyle alterations, weight control, joint protection, and energy consumption), physical therapy modalities [thermotherapy, cryotherapy, electrotherapy, transcutaneous electrical nerve stimulation (TENS), and laser therapy], exercise (range of motion, strengthening, stretching, flexibility, muscle conditioning, aerobics, and cardiopulmonary fitness), ergonomic arrangements, assistive and adaptive devices, protective and corrective orthoses, appropriate footwear, and hydrotherapy (balneotherapy, spa, and aquatherapy).…”

mentioning

confidence: 99%

Rehabilitative Approach to Rheumatological Diseases

Evcik

2013

Turk J Rheumatol

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Management of Rheumatoid Arthritis: Consensus Recommendations From the Turkish League Against Rheumatism

Cited by 13 publications

References 166 publications

Obesity Associated With Active, but Preserved Joints in Rheumatoid Arthritis: Results From our National Registry

Obesity Associated With Active, but Preserved Joints in Rheumatoid Arthritis: Results From our National Registry

Turkish Compliance and Adaptation of EULAR 2013 Recommendations for the Management of Rheumatoid Arthritis with Synthetic and Biological Disease-Modifying Antirheumatic Drugs: Expert Opinion of TLAR

Rehabilitative Approach to Rheumatological Diseases

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