The Italian Society of Rheumatology clinical practice guidelines for the management of polymyalgia rheumatica

  • N. Ughi | n.ughi@reumatologia.it Epidemiology Unit, Italian Society for Rheumatology, Milan, Italy; Division of Rheumatology, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
  • G.D. Sebastiani Rheumatology Unit, Azienda Ospedaliera San Camillo-Forlanini, Roma, Italy.
  • R. Gerli Rheumatology Unit, Department of Medicine, University of Perugia, Perugia, Italy.
  • C. Salvarani Rheumatology Unit, Department of Internal Medicine, Azienda Ospedaliera ASMN IRCCS, Reggio Emilia, Italy.
  • S. Parisi Epidemiology Unit, Italian Society for Rheumatology, Milan, Italy; Rheumatology Unit, Azienda Ospedaliera Città della Salute e della Scienza di Torino, Torino, Italy.
  • A. Ariani Epidemiology Unit, Italian Society for Rheumatology, Milan, Italy; Department of Medicine, Internal Medicine and Rheumatology Unit, Azienda Ospedaliero-universitaria di Parma, Parma, Italy.
  • I. Prevete Epidemiology Unit, Italian Society for Rheumatology, Milan, Italy; Rheumatology Unit, Azienda Ospedaliera San Camillo-Forlanini, Roma, Italy.
  • M. Manara Epidemiology Unit, Italian Society for Rheumatology, Milan, Italy; Department of Rheumatology, ASST Gaetano Pini-CTO, Milano, Italy.
  • F. Rumi Epidemiology Unit, Italian Society for Rheumatology, Milan, Italy.
  • C.A. Sciré Epidemiology Unit, Italian Society for Rheumatology, Milan, Italy; Department of Medical Sciences, Rheumatology Section, University of Ferrara, Azienda Ospedaliero-Universitaria Sant’Anna di Cona, Ferrara, Italy.
  • A. Bortoluzzi Epidemiology Unit, Italian Society for Rheumatology, Milan, Italy; Department of Medical Sciences, Rheumatology Section, University of Ferrara, Azienda Ospedaliero-Universitaria Sant’Anna di Cona, Ferrara, Italy.

Abstract

Objective: to provide evidence-based up-to-date recommendations for the management of patients with a definite diagnosis of polymyalgia rheumatica (PMR). Methods: A systematic literature review was performed to find the existing clinical practice guidelines (CPGs) on PMR and the framework of the Guidelines International Network Adaptation Working Group was used to appraise (AGREE II), synthesize, and customize the recommendations according to the needs of the Italian healthcare context. Rheumatologists on behalf of the Italian Society of Rheumatology (SIR) and from the SIR Epidemiology Unit joined the working group and identified the key health questions on PMR to guide the systematic literature review. Physicians, including general practitioners and specialists, and health professionals who manage PMR in the clinical practice were the target audience. The final recommendations were rated externally by a multi-disciplinary and multi-professional group of stakeholders. Results: From the systematic search in databases (Medline, Embase) and grey literature, 3 CPGs were identified and appraised by two independent raters. Combining the statements and the evidence from these CPGs, 9 recommendations were developed by endorsement or adaptation in response to the initial key health questions. The quality of evidence was graded and the working group discussed the final recommendations in view of their implementation in the Italian healthcare context. Conclusions: In absence of national guidelines so far, these recommendations are the first to provide guidance for the management of patients with a diagnosis of PMR in Italy and they are expected to ensure the best evidence-based clinical practice for this disease.

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Published
2020-04-10
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Issue
Section
Guidelines
Keywords:
Clinical Practice Guideline, recommendations, polymyalgia rheumatica, management, treatment.
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How to Cite
Ughi, N., Sebastiani, G., Gerli, R., Salvarani, C., Parisi, S., Ariani, A., Prevete, I., Manara, M., Rumi, F., Sciré, C., & Bortoluzzi, A. (2020). The Italian Society of Rheumatology clinical practice guidelines for the management of polymyalgia rheumatica. Reumatismo, 72(1), 1-15. https://doi.org/10.4081/reumatismo.2020.1268

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