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A clinical practice guideline for the screening and assessment of enthesitis in patients with spondyloarthritis

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作者：
Wu Xinyu[1] * ; Liu Dong[1] * ; Li Yanfei[2] ; Xie Ya[1] ; Tu Liudan[1] ; Zhang Yanli[1] ; Zhang Xi[1] ; Fang Linkai[1] ; Luo Xiqing[1] ; Lin Zhiming[1] ; Liao Zetao[1] ; Rong Limin[3] ; Ren Jie[4] ; Zhou Yuqi[5] ; Yang Niansheng[6] ; Xu Jian[7] ; Zhang Hua[8] ; Xu Baijie[9] ; Wu Zhenbiao[10] ; Zhan Feng[11] ; Li Zhenbin[12] ; Xiao Weiguo[13] ; Liu Shengyun[14] ; Zhou Yi[15] ; Ye Shanhui[16] ; Lv Qing[17] ; Zhang Lijun[18] ; Zhao Dongbao[19] ; He Shanzhi[20] ; Zhao Like[21] ; Wu Lijun[22] ; Lin He[23] ; Zhu Yunxiao[24] ; Guo Donggeng[25] ; Yang Zehong[26] ; Liu Budian[1] ; Yang Kehu[2] ; Gu Jieruo[1] ;
机构： [1]Department of Rheumatology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. [2]Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China. [3]Department of Spine Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. [4]Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. [5]Department of Pulmonary and Critical Care Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou&gt [6], China. [6]Department of Rheumatology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. [7]Department of Internal Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, China. [8]Department of Rheumatology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China. [9]Department of Rheumatology, Jieyang People's Hospital, Jieyang, China. [10]Department of Rheumatology, Tangdu Hospital of Air Force Military Medical University, Xian, China. [11]Department of Rheumatology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, China. [12]Department of Rheumatology, Bethune International Peace Hospital, People's Liberation Army, Shijiazhuang, China. [13]Department of Rheumatology, The First Hospital of China Medical University, Shenyang, China. [14]Department of Rheumatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. [15]Department of Rheumatology and Immunology, First Affiliated Hospital of Jinan University, Guangzhou, China. [16]Department of Rheumatology and Immunology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. [17]Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China. [18]Department of Rheumatology, Shenzhen Hospital, The University of Hong Kong, Shenzhen, China. [19]Department of Rheumatology and Immunology, Changhai Hospital, Naval Medical University, Shanghai, China. [20]Department of Rheumatology, Zhongshan People's Hospital, Zhongshan, China. [21]Department of Rheumatology and Immunology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China. [22]Department of Rheumatology and Immunology, The People's Hospital of the Xinjiang Uygur Autonomous Region, Urumqi, China. [23]Department of Rheumatology, Fujian Provincial Hospital, Fuzhou, China. [24]Department of Medical Ultrasonics, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China. [25]Department of Rheumatology and Immunology, Ningxia Clinical Institute of Bone and Joint Research, The Affiliated People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China. [26]Department of Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
出处：
DOI： 10.3389/fimmu.2022.978504
ISSN：

摘要：
The aim of this review is to provide guidance on the selection of approaches to the screening and assessment of enthesitis in patients with spondyloarthritis (SpA).Twenty-four questions regarding the approaches to the screening and assessment of enthesitis and the implementation details were devised, followed by a systemic literature review. The Grading of Recommendations Assessment, Development, and Evaluation methodology was employed in the development of this guideline, with modifications to evaluate non-interventional approaches under comprehensive consideration of costs, accessibility, and evidence strength. A consensus from the voting panel was required for the inclusion of the final recommendations and the strength of each recommendation.Seventeen recommendations (including five strong recommendations) were included in this guideline. The voting panel expressed unequivocal support for the necessity of screening and assessment of enthesitis in patients with SpA. It was agreed unanimously that symptom evaluation and physical examination should serve as the initial steps to the recognition of enthesitis, whereas Maastricht Ankylosing Spondylitis Enthesitis Score is a reliable tool in both clinical trials and daily medical practice. Ultrasound examination is another reliable tool, with power Doppler ultrasound as an informative addition. Notwithstanding its high resolution, MRI is limited by the costs and relatively low accessibility, whereas radiographs had low sensitivity and therefore should be rendered obsolete in the assessment of enthesitis. PET/CT was strongly opposed in the detection of enthesitis.This guideline provides clinicians with information regarding the screening and assessment of enthesitis in patients with SpA. However, this guideline does not intend on dictating choices, and the ultimate decisions should be made in light of the actual circumstances of the facilities.Copyright © 2022 Wu, Liu, Li, Xie, Tu, Zhang, Zhang, Fang, Luo, Lin, Liao, Rong, Ren, Zhou, Yang, Xu, Zhang, Xu, Wu, Zhan, Li, Xiao, Liu, Zhou, Ye, Lv, Zhang, Zhao, He, Zhao, Wu, Lin, Zhu, Guo, Yang, Liu, Yang and Gu.

基金：
This work was supported by the grants from the National Natural Science Foundation of China (81871294); the Science and Technology Planning Project of Guangdong Province, China (2019B030316004); Guangdong Clinical Research Center of Immune diseases (2020B1111170008).
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外文
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中科院(CAS)分区：
出版当年[2023]版：
大类 | 2 区 医学
小类 | 2 区 免疫学
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 免疫学
JCR分区：
出版当年[2022]版：
Q1 IMMUNOLOGY
最新[2023]版：
Q1 IMMUNOLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Department of Rheumatology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
共同第一作者：
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推荐引用方式(GB/T 7714)：
Wu Xinyu,Liu Dong,Li Yanfei,et al.A clinical practice guideline for the screening and assessment of enthesitis in patients with spondyloarthritis[J].FRONTIERS IN IMMUNOLOGY.2022,13:doi:10.3389/fimmu.2022.978504.
APA：
Wu Xinyu,Liu Dong,Li Yanfei,Xie Ya,Tu Liudan...&Gu Jieruo.(2022).A clinical practice guideline for the screening and assessment of enthesitis in patients with spondyloarthritis.FRONTIERS IN IMMUNOLOGY,13,
MLA：
Wu Xinyu,et al."A clinical practice guideline for the screening and assessment of enthesitis in patients with spondyloarthritis".FRONTIERS IN IMMUNOLOGY 13.(2022)

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