RT Journal Article
SR Electronic
T1 The Canadian Rheumatology Association/ Spondyloarthritis Research Consortium of Canada treatment recommendations for the management of spondyloarthritis: a national multidisciplinary stakeholder project.
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 2273
OP 2284
VO 34
IS 11
A1 Walter P Maksymowych
A1 Dafna Gladman
A1 Proton Rahman
A1 Annelies Boonen
A1 Vivien Bykerk
A1 Denis Choquette
A1 Sherry Dimond
A1 Paul Fortin
A1 Jacob Karsh
A1 Alice V Klinkhoff
A1 Dianne Mosher
A1 Ken Mulholland
A1 Wojciech P Olszynski
A1 Anthony S Russell
A1 Laurie Savage
A1 Laura Shanner
A1 Kam Shojania
A1 Michael Starr
A1 Glen Thomson
A1 Michel Zummer
A1 Robert Inman
A1 Canadian Rheumatology Association/ Spondyloarthritis Research Consortium of Canada
YR 2007
UL http://www.jrheum.org/content/34/11/2273.abstract
AB OBJECTIVE: Development of treatment recommendations for arthritis has traditionally relied on the compilation of evidence-based data by experts in the field despite recommendations by various bodies for broad stakeholder input. Our objectives were: (1) To develop evidence-based treatment recommendations for the management of spondyloarthritis (SpA) in Canada that also incorporate the perspective of multiple stakeholders. (2) To generate a procedural template for the multidisciplinary development of treatment recommendations. METHODS: The process was directed by a steering committee comprising the SPARCC Executive, rheumatologists from academic and community-based practice, patient consumers, and a representative from the John Dossetor Health Ethics Centre. Guidelines established by EULAR and stipulated in the AGREE instrument were followed. First, a working document was drafted that included a referenced summary of the evidence-based data and the 12 national arthritis care standards developed by the Alliance for the Canadian Arthritis Program. Second, a Web-based survey was conducted among patient consumers to address the relevance to patients of 2 primary outcome instruments that assess the effectiveness of treatment. Third, a list of questions was generated for drafting propositions by the ethics consultant. A Delphi consensus exercise was then conducted. RESULTS: Consensus was generated on a final list of 38 treatment recommendations categorized under the subject headings of general management principles, ethical considerations, target groups, definition of target disease, disease monitoring, and specific management recommendations. CONCLUSION: Using broad stakeholder input, we provide treatment recommendations to guide clinical practice and access to care for patients with SpA in Canada.