南非风湿病与关节炎协会 2024 年类风湿性关节炎管理更新指南。

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Samj South African Medical Journal Pub Date : 2024-09-02 DOI:10.7196/SAMJ.2024.v114i10.2598

G Tarr, N Govind, M Seboka, E Gardiner, B Hodkinson

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引用次数: 0

摘要

类风湿性关节炎（RA）的治疗需要早期诊断、及时开始治疗以及生活方式干预，尤其是戒烟。本指南建议采用 "目标治疗 "策略，在每次就诊时进行综合疾病活动度评分，并经常进行随访和升级或更换改善病情抗风湿药（DMARD）疗法，直至达到低疾病活动度的目标。该方案提供了一种循序渐进的 DMARD 治疗算法。建议进行合并症筛查和疫苗接种。

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South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis.

The management of rheumatoid arthritis (RA) requires early diagnosis and prompt initiation of therapy, together with lifestyle interventions, particularly smoking cessation. These guidelines recommend a treat-to-target strategy using a composite disease activity score at each visit, with frequent follow-up and escalation or switching of disease-modifying antirheumatic drug (DMARD) therapy until the goal of low disease activity is achieved. A stepwise algorithm for DMARD therapy is provided. Screening for comorbidities and vaccination is advised.

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来源期刊

Samj South African Medical Journal 医学-医学：内科

CiteScore

3.00

自引率

4.50%

发文量

175

审稿时长

4-8 weeks

期刊介绍： The SAMJ is a monthly peer reviewed, internationally indexed, general medical journal. It carries The SAMJ is a monthly, peer-reviewed, internationally indexed, general medical journal publishing leading research impacting clinical care in Africa. The Journal is not limited to articles that have ‘general medical content’, but is intending to capture the spectrum of medical and health sciences, grouped by relevance to the country’s burden of disease. This will include research in the social sciences and economics that is relevant to the medical issues around our burden of disease The journal carries research articles and letters, editorials, clinical practice and other medical articles and personal opinion, South African health-related news, obituaries, general correspondence, and classified advertisements (refer to the section policies for further information).