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 |
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Format: | Artikel |
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. |
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ISSN: | 1521-6616 1521-7035 |
DOI: | 10.1016/j.clim.2022.109143 |