Update of evidence- and consensus-based guidelines for the treatment of juvenile idiopathic arthritis (JIA) by the German Society of Pediatric and Juvenile Rheumatic Diseases (GKJR): New perspectives on interdisciplinary care

New therapeutic strategies for juvenile idiopathic arthritis (JIA) have evolved within the past ten years, and as a result, an update of the 2011 recommendations of the German management guidelines was initiated. A systemic literature review was performed, overarching principles were proposed and pr...

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Veröffentlicht in:Clinical immunology (Orlando, Fla.) Fla.), 2022-12, Vol.245, p.109143-109143, Article 109143
Hauptverfasser: Oommen, Prasad T., Strauss, Timmy, Baltruschat, Karen, Foeldvari, Ivan, Deuter, Christoph, Ganser, Gerd, Haas, Johannes-Peter, Hinze, Claas, Holzinger, Dirk, Hospach, Anton, Huppertz, Hans-Iko, Illhardt, Arnold, Jung, Michael, Kallinich, Tilmann, Klein, Ariane, Minden, Kirsten, Mönkemöller, Kirsten, Mrusek, Sonja, Neudorf, Ulrich, Dückers, Gregor, Niehues, Tim, Schneider, Matthias, Schoof, Philipp, Thon, Angelika, Wachowsky, Michael, Wagner, Norbert, Bloedt, Susanne, Hofer, Michaël, Tenbrock, Klaus, Schuetz, Catharina
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Sprache:eng
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Zusammenfassung:New therapeutic strategies for juvenile idiopathic arthritis (JIA) have evolved within the past ten years, and as a result, an update of the 2011 recommendations of the German management guidelines was initiated. A systemic literature review was performed, overarching principles were proposed and pre-selected via an online survey followed by two multidisciplinary consensus conferences. Pharmacological and non-pharmacological treatments were discussed, statements were proposed and ultimately agreed upon by nominal group technique (NGT). 12 overarching therapeutic principles, as well as 9 recommendations on pharmacological and 5 on non-pharmacological treatments for JIA were agreed upon. This report summarizes the recent update of the interdisciplinary, consensus-based German guidelines on the management of JIA. The multi- and interdisciplinary participation of all caregivers was central for this patient-focused update. With these guidelines, physicians can choose an evidence-based approach, which allows better tailored treatment in this vulnerable cohort of children and adolescents. •Evidence-based recommendations are crucial for children and adolescents with JIA.•Therapy guidelines for JIA have been updated in a multidisciplinary setting.•Non-pharmacological interventions may be essential in reaching therapeutic targets.
ISSN:1521-6616
1521-7035
DOI:10.1016/j.clim.2022.109143