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. 2023 Jul 31;34(3):302–314. doi: 10.31138/mjr.230929rtm

Table 1.

Overarching principles of the SMR recommendations for the diagnostic management of Spondyloarthritis including Psoriatic arthritis with level of agreement.

Overarching Principles Level of agreement
  • -Even if its clinical presentation varies greatly depending on the patient, spondyloarthritis is a potentially serious and disabling chronic disease that can deteriorate the quality of life and reduce life expectancy.

  • -It can cause functional restrictions and limitations with a socio-professional impact and an economic repercussion either directly through the cost of the disease or indirectly through the loss of productivity.

8,4± 1.4
  • -Spondyloarthritis is a condition that requires a multidisciplinary approach involving medical, paramedical staff and others.

  • -The rheumatologist is the specialist who coordinates the management of spondyloarthritis.

  • -This management must be global, allowing the control of the various dimensions of the disease.

9 ± 0
  • -The initial therapeutic objective is to obtain and maintain clinical remission or a low disease activity in order to improve the patient’s quality of life, prevent structural damage and ensure optimal autonomy and social reintegration.

  • -To achieve this goal, a Treat-to-Target (T2T) approach can be implemented and adapted to each patient by including the different clinico-biological parameters of the disease, the extra-articular manifestations and comorbidities as well as the NSAIDs intake.

8,7± 0,8
  • -Spondyloarthritis is a heterogeneous chronic inflammatory rheumatic disease characterised by the predominant involvement of the entheses, with axial and/or peripheral rheumatological manifestations as well as extra-articular manifestations associated with a particular genetic background.

  • -Several phenotypes can be distinguished:
    • □ Radiographic axial form
    • □ Non-radiographic axial form
    • □ Peripheral form (articular and enthesitic)
  • -The phenotype can be better characterised by adding the possible concomitant extra-rheumatological manifestations.

8,9 ± 0.3