Open Access
EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis
Ioannis Parodis
1, 2, 3, 4, 5, 6
,
Charlotte Girard-Guyonvarc’h
7, 8, 9, 10
,
L. Arnaud
11, 12
,
O Distler
13, 14
,
Andrea Domján
15, 16
,
Cornelia H.M. van den Ende
11, 17, 18, 19
,
Kim Fligelstone
20
,
Agnes Kocher
21, 22
,
Maddalena Larosa
23, 24
,
Martin Lau
25
,
Alexandros Mitropoulos
26, 27
,
Mwidimi Ndosi
28, 29
,
Janet L. Poole
30, 31
,
Anthony Redmond
32, 33
,
Valentin Ritschl
34, 35, 36
,
Helene Alexanderson
1, 2, 4, 37
,
Yvonne Sjöberg
38
,
Gunilla Von Perner
38
,
Till Uhlig
39, 40
,
Cecilia Varju
41, 42
,
Johanna E. Vriezekolk
17, 18
,
Elisabet Welin
6, 43
,
R Westhovens
44, 45
,
Tanja A Stamm
34, 35, 36
,
Carina Boström
2, 4, 37, 46
1
Division of Rheumatology, Department of Medicine Solna
|
3
Department of Gastroenterology, Dermatology and Rheumatology
5
Department of Rheumatology, Faculty of Medicine and Health
7
Division of Rheumatology, Department of Medicine
9
Faculty of Medicine
11
Department of Rheumatology
12
15
Department of Rheumatology, Faculty of Medicine
17
Department of Research
20
Federation of European Scleroderma Associations (FESCA)
21
Institute of Nursing Science, Faculty of Medicine
23
Rheumatology Unit, Department of Medical Specialties
24
ASL3
25
Arthritis Action
26
Department of Nursing and Midwifery, College of Health Wellbeing and Life Science
28
School of Health and Social Wellbeing
30
Occupational Therapy Graduate Program, School of Medicine
31
University Of New Mexico
|
32
Leeds Institute for Rheumatic and Musculoskeletal Medicine
34
Section for Outcomes Research, Center for Medical Statistics, Informatics and Intelligent Systems
37
Department of Occupational Therapy and Physiotherapy
38
Swedish Rheumatism Association
39
Center for Treatment of Rheumatic and Musculoskeletal Diseases
41
Department of Rheumatology and Immunology
43
School of Health Sciences
44
Skeletal Biology and Engineering Research Center
46
Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society
Publication type: Journal Article
Publication date: 2023-07-10
scimago Q1
wos Q1
SJR: 5.731
CiteScore: 33.2
Impact factor: 20.6
ISSN: 00034967, 14682060
PubMed ID:
37433575
General Biochemistry, Genetics and Molecular Biology
Immunology
Immunology and Allergy
Rheumatology
Abstract
Objective
To develop evidence-based recommendations for the non-pharmacological management of systemic lupus erythematosus (SLE) and systemic sclerosis (SSc).
Methods
A task force comprising 7 rheumatologists, 15 other healthcare professionals and 3 patients was established. Following a systematic literature review performed to inform the recommendations, statements were formulated, discussed during online meetings and graded based on risk of bias assessment, level of evidence (LoE) and strength of recommendation (SoR; scale A–D, A comprising consistent LoE 1 studies, D comprising LoE 4 or inconsistent studies), following the European Alliance of Associations for Rheumatology standard operating procedure. Level of agreement (LoA; scale 0–10, 0 denoting complete disagreement, 10 denoting complete agreement) was determined for each statement through online voting.
Results
Four overarching principles and 12 recommendations were developed. These concerned common and disease-specific aspects of non-pharmacological management. SoR ranged from A to D. The mean LoA with the overarching principles and recommendations ranged from 8.4 to 9.7. Briefly, non-pharmacological management of SLE and SSc should be tailored, person-centred and participatory. It is not intended to preclude but rather complement pharmacotherapy. Patients should be offered education and support for physical exercise, smoking cessation and avoidance of cold exposure. Photoprotection and psychosocial interventions are important for SLE patients, while mouth and hand exercises are important in SSc.
Conclusions
The recommendations will guide healthcare professionals and patients towards a holistic and personalised management of SLE and SSc. Research and educational agendas were developed to address needs towards a higher evidence level, enhancement of clinician–patient communication and improved outcomes.
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81
Total citations:
81
Citations from 2024:
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(93.82%)
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GOST
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Parodis I. et al. EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis // Annals of the Rheumatic Diseases. 2023. Vol. 83. No. 6. p. ard-2023-224416.
GOST all authors (up to 50)
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Parodis I. et al. EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis // Annals of the Rheumatic Diseases. 2023. Vol. 83. No. 6. p. ard-2023-224416.
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TY - JOUR
DO - 10.1136/ard-2023-224416
UR - https://doi.org/10.1136/ard-2023-224416
TI - EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis
T2 - Annals of the Rheumatic Diseases
AU - Parodis, Ioannis
AU - Girard-Guyonvarc’h, Charlotte
AU - Arnaud, L.
AU - Distler, O
AU - Domján, Andrea
AU - van den Ende, Cornelia H.M.
AU - Fligelstone, Kim
AU - Kocher, Agnes
AU - Larosa, Maddalena
AU - Lau, Martin
AU - Mitropoulos, Alexandros
AU - Ndosi, Mwidimi
AU - Poole, Janet L.
AU - Redmond, Anthony
AU - Ritschl, Valentin
AU - Alexanderson, Helene
AU - Sjöberg, Yvonne
AU - Von Perner, Gunilla
AU - Uhlig, Till
AU - Varju, Cecilia
AU - Vriezekolk, Johanna E.
AU - Welin, Elisabet
AU - Westhovens, R
AU - Stamm, Tanja A
AU - Boström, Carina
PY - 2023
DA - 2023/07/10
PB - Elsevier
SP - ard-2023-224416
IS - 6
VL - 83
PMID - 37433575
SN - 0003-4967
SN - 1468-2060
ER -
Cite this
BibTex (up to 50 authors)
Copy
@article{2023_Parodis,
author = {Ioannis Parodis and Charlotte Girard-Guyonvarc’h and L. Arnaud and O Distler and Andrea Domján and Cornelia H.M. van den Ende and Kim Fligelstone and Agnes Kocher and Maddalena Larosa and Martin Lau and Alexandros Mitropoulos and Mwidimi Ndosi and Janet L. Poole and Anthony Redmond and Valentin Ritschl and Helene Alexanderson and Yvonne Sjöberg and Gunilla Von Perner and Till Uhlig and Cecilia Varju and Johanna E. Vriezekolk and Elisabet Welin and R Westhovens and Tanja A Stamm and Carina Boström and others},
title = {EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis},
journal = {Annals of the Rheumatic Diseases},
year = {2023},
volume = {83},
publisher = {Elsevier},
month = {jul},
url = {https://doi.org/10.1136/ard-2023-224416},
number = {6},
pages = {ard--2023--224416},
doi = {10.1136/ard-2023-224416}
}
Cite this
MLA
Copy
Parodis, Ioannis, et al. “EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis.” Annals of the Rheumatic Diseases, vol. 83, no. 6, Jul. 2023, pp. ard-2023-224416. https://doi.org/10.1136/ard-2023-224416.