ARP Rheumatology
ARP Rheumatology

Clinical Practice

ARP Rheumatology Jul/Sep 2015 2015; (3) 275-290
Clinical practice, rules or action protocols

Portuguese recommendations for the use of biological therapies in patients with psoriatic arthritis – 2015 update


Sousa E, Machado P, Costa J, Ribeiro A, Aguiar R, Cerqueira M, Neto A, Bernardo A, Cordeiro A, Duarte C, Vinagre F, Canhão H, Santos H, Neves J, Cunha-Miranda L, Silva M, Santos M, Bernardes M, Bogas M, Abreu P, Viana-Queiroz M, Barros R, Falcão S, Pimenta S, Teixeira V, Fonseca J, Barcelos A


Objective: To update recommendations for the treatment of psoriatic arthritis with biological therapies, endorsed by the Portuguese Society of Rheumatology (SPR). Methods: These treatment recommendations were formulated by Portuguese rheumatologists based on literature evidence and consensus opinion. At a national meeting the 16 recommendations included in this document were discussed and updated. The level of agreement among Portuguese Rheumatologists was assessed using an online survey. A draft of the full text of the recommendations was then circulated and suggestions were incorporated. A final version was again circulated before publication. Results: A consensus was achieved regarding the initiation, assessment of response and switching biological therapies in patients with psoriatic arthritis (PsA). Specific recommendations were developed for several disease domains: peripheral arthritis, axial disease, enthesitis and dactylitis. Conclusion: These recommendations may be used for guidance in deciding which patients with PsA should be treated with biological therapies. They cover a rapidly evolving area of therapeutic intervention. As more evidence becomes available and more biological therapies are licensed, these recommendations will have to be updated.







Elsa Sousa, P Machado, J Costa, A Ribeiro, R Aguiar, M Cerqueira, A Neto, A Bernardo, A Cordeiro, C Duarte, F Vinagre, H Canhão, H Santos, J Neves, L Cunha-Miranda, M Silva, M Santos, M Bernardes, M Bogas, P Abreu, M Viana-Queiroz, R Barros, S Falcão, S Pimenta, V Teixeira, J Fonseca, A Barcelos. Portuguese recommendations for the use of biological therapies in patients with psoriatic arthritis – 2015 update. nº 3, Jul/Sep 2015:275-290. PMID: 26610694
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