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Maksymowych WP, Gladman D, Rahman P, et al. The Canadian Rheumatology Association/ Spondyloarthritis Research Consortium of Canada treatment recommendations for the management of spondyloarthritis: a national multidisciplinary stakeholder project. J Rheumatol. 2007;34(11):2273-84
Maksymowych, W. P., Gladman, D., Rahman, P., Boonen, A., Bykerk, V., Choquette, D., Dimond, S., Fortin, P., Karsh, J., Klinkhoff, A. V., Mosher, D., Mulholland, K., Olszynski, W. P., Russell, A. S., Savage, L., Shanner, L., Shojania, K., Starr, M., Thomson, G., Zummer, M., Inman, R. (2007). The Canadian Rheumatology Association/ Spondyloarthritis Research Consortium of Canada treatment recommendations for the management of spondyloarthritis: a national multidisciplinary stakeholder project. The Journal of rheumatology, 34(11), 2273-84.
Maksymowych, Walter P, et al. "The Canadian Rheumatology Association/ Spondyloarthritis Research Consortium of Canada treatment recommendations for the management of spondyloarthritis: a national multidisciplinary stakeholder project." The Journal of rheumatology vol. 34,11 (2007): 2273-84.
Maksymowych WP, Gladman D, Rahman P, Boonen A, Bykerk V, Choquette D, Dimond S, Fortin P, Karsh J, Klinkhoff AV, Mosher D, Mulholland K, Olszynski WP, Russell AS, Savage L, Shanner L, Shojania K, Starr M, Thomson G, Zummer M, Inman R. The Canadian Rheumatology Association/ Spondyloarthritis Research Consortium of Canada treatment recommendations for the management of spondyloarthritis: a national multidisciplinary stakeholder project. J Rheumatol. 2007 Nov;34(11):2273-84. Epub 2007 Sep 15. PMID: 17896800.
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J Rheumatol. 2007 Nov;34(11):2273-84. Epub 2007 Sep 15.

The Canadian Rheumatology Association/ Spondyloarthritis Research Consortium of Canada treatment recommendations for the management of spondyloarthritis: a national multidisciplinary stakeholder project.

The Journal of rheumatology

Walter P Maksymowych, Dafna Gladman, Proton Rahman, Annelies Boonen, Vivien Bykerk, Denis Choquette, Sherry Dimond, Paul Fortin, Jacob Karsh, Alice V Klinkhoff, Dianne Mosher, Ken Mulholland, Wojciech P Olszynski, Anthony S Russell, Laurie Savage, Laura Shanner, Kam Shojania, Michael Starr, Glen Thomson, Michel Zummer, Robert Inman,

Affiliations

  1. University of Alberta, Edmonton, Alberta, Canada.

PMID: 17896800

Abstract

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.

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