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. 2022 Jan-Mar;1(1):49-62.

The 2021 Portuguese Society of Ophthalmology joint guidelines with Paediatric Rheumatology on the screening, monitoring and medical treatment of juvenile idiopathic arthritis-associated uveitis

Inês Leal  1 , Vasco Miranda  2 , Cristina Fonseca  3 , João Barbosa-Breda  4 , David Cordeiro Sousa  5 , Paulo Mesquita-Marques  6 , Joana Araújo  7 , Marta Inês Silva  7 , Ana Catarina Pedrosa  8 , Jorge Palmares  9 , Maria João Furtado  10 , Mafalda Macedo  10 , Vânia Lages  11 , Sofia Fonseca  12 , Rita Gonçalves  13 , Miguel Ruão  14 , Filipa Gomes Rodrigues  15 , Miguel Ribeiro  16 , Rui Proença  17 , Mariana Almeida  18 , Marco Liverani  15 , Susana Morais Pina  19 , Manuela Bernardo  20 , Vanda Nogueira  21 , Rita Guerra Pinto  21 , Fernando Pinto Ferreira  22 , Rita Pinto Proença  22 , Isabel Domingues  23 , Marta Guedes  24 , Miguel Cordeiro  24 , Filipe Fraga  25 , Olga Berens  26 , Tatiana Gregório  27 , Iva Brito  28 , Filipa Oliveira-Ramos  29 , João Eurico Fonseca  30 , Luís Figueira  31
Affiliations
  • PMID: 35633577
Free article

The 2021 Portuguese Society of Ophthalmology joint guidelines with Paediatric Rheumatology on the screening, monitoring and medical treatment of juvenile idiopathic arthritis-associated uveitis

Inês Leal et al. ARP Rheumatol. 2022 Jan-Mar.
Free article

Abstract

Aim: To develop the first Ophthalmology joint guidelines with Paediatric Rheumatology with recommendations on the screening, monitoring and medical treatment of juvenile idiopathic arthritis-associated uveitis (JIA-U), endorsed by the Portuguese Society of Ophthalmology (SPO).

Methods: A systematic literature review was conducted to include publications up to July 14th 2020, with no language restrictions, in order to include all the international position papers/guidelines concerning the medical management of JIA-U and randomised clinical trials assessing the efficacy and safety of medical treatment in this field. We searched through MEDLINE (PubMed), Scopus, Web of Science and Cochrane Library. The Delphi modified technique to generate consensus was used. Preliminary evidence statements were subject to an anonymous agreement assessment and discussion process using an online survey, followed by further discussion and update at a national meeting. A draft of the manuscript with all recommendations was then circulated among all participants and suggestions were incorporated. The final version was again circulated before publication.

Results: Twenty-six recommendations were developed focusing on the following topics: general management (3), screening and follow-up of uveitis (4), treatment (17) and health education in JIA-U among patients and families (2).

Conclusion: These guidelines were designed to support the shared medical management of patients with JIA-U and emphasize the need for a multidisciplinary approach between Ophthalmology and Paediatric Rheumatology regarding the comprehensive care of JIA-U. We acknowledge that updating these recommendations will be warranted in the future, as more evidence becomes available.

Key-words: juvenile idiopathic arthritis, uveitis, biological treatment, conventional immunosuppressive treatment, multidisciplinary management, guidelines, consensus, review, Delphi Technique.

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