2024 update of the recommendations of the French Society of Rheumatology for the diagnosis and management of patients with rheumatoid arthritis - Université de Picardie Jules Verne
Article Dans Une Revue Joint Bone Spine Année : 2024

2024 update of the recommendations of the French Society of Rheumatology for the diagnosis and management of patients with rheumatoid arthritis

1 iPLESP - Institut Pierre Louis d'Epidémiologie et de Santé Publique
2 CHU Pitié-Salpêtrière [AP-HP]
3 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
4 AP-HP - Hôpital Bichat - Claude Bernard [Paris]
5 PHERE (UMR_S_1152 / U1152) - Physiopathologie et Epidémiologie des Maladies Respiratoires
6 Hôpital Cochin [AP-HP]
7 IC UM3 (UMR 8104 / U1016) - Institut Cochin
8 TIMC - Translational Innovation in Medicine and Complexity / Recherche Translationnelle et Innovation en Médecine et Complexité - UMR 5525
9 CHPG - Centre Hospitalier Princesse Grace de Monaco
10 UT - Université de Tours
11 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
12 UT3 - Université Toulouse III - Paul Sabatier
13 Infinity - Institut Toulousain des Maladies Infectieuses et Inflammatoires
14 Centre Hospitalier Le Mans (CH Le Mans)
15 IDESP - Institut Desbrest de santé publique
16 CHU Amiens-Picardie
17 CRPT - Centre de Réhabilitation Post-Traumatique [Paris]
18 HEMATIM - HEMATIM - Hématopoïèse et immunologie - UR UPJV 4666
19 UNISTRA - Université de Strasbourg
20 HUS - Les Hôpitaux Universitaires de Strasbourg
21 Service de rhumatologie [Nantes]
22 CHU ST-E - Centre Hospitalier Universitaire de Saint-Etienne [CHU Saint-Etienne]
23 ImmunoConcept - Immunology from Concept and Experiments to Translation = Immunologie Conceptuelle, Expérimentale et Translationnelle
24 Service de Rhumatologie [CHU Pellegrin]
25 RESO - Centre National de Référence des Maladies Auto-Immunes Systémiques Rares de l'Est et du Sud-Ouest
26 CHU Reims - Hôpital universitaire Robert Debré [Reims]
27 CHRU Brest - Centre Hospitalier Régional Universitaire de Brest
28 LBAI - Lymphocytes B, Autoimmunité et Immunothérapies
29 Hôpitaux Sud - Hôpital Sainte-Marguerite [CHU - APHM]
Raphaèle Seror
  • Fonction : Auteur
Anne Tournadre
  • Fonction : Auteur
Olivier Vittecoq
  • Fonction : Auteur
Pascale Escaffre
  • Fonction : Auteur
Danielle Vacher
  • Fonction : Auteur
Philippe Dieudé
  • Fonction : Auteur
Claire Daien
  • Fonction : Auteur

Résumé

The French Society of Rheumatology recommendations for managing rheumatoid arthritis (RA) has been updated by a working group of 21 rheumatology experts, 4 young rheumatologists and 2 patient association representatives on the basis of the 2023 version of the European Alliance of Associations for Rheumatology (EULAR) recommendations and systematic literature reviews. Two additional topics were addressed: people at risk of RA development and RA-related interstitial lung disease (RA-ILD). Four general principles and 19 recommendations were issued. The general principles emphasize the importance of a shared decision between the rheumatologist and patient and the need for comprehensive management, both drug and non-drug, for people with RA or at risk of RA development. In terms of diagnosis, the recommendations stress the importance of clinical arthritis and in its absence, the risk factors for progression to RA. In terms of treatment, the recommendations incorporate recent data on the cardiovascular and neoplastic risk profile of Janus kinase inhibitors. With regard to RA-ILD, the recommendations highlight the importance of clinical screening and the need for high-resolution CT scan in the presence of pulmonary symptoms. RA-ILD management requires collaboration between rheumatologists and pulmonologists. The treatment strategy is based on controlling disease activity with methotrexate or targeted therapies (mainly abatacept or rituximab). The prescription for anti-fibrotic treatment should be discussed with a pulmonologist with expertise in RA-ILD.
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Dates et versions

hal-04732025 , version 1 (11-10-2024)

Identifiants

Citer

Bruno Fautrel, Joanna Kedra, Claire Rempenault, Pierre-Antoine Juge, Juliette Drouet, et al.. 2024 update of the recommendations of the French Society of Rheumatology for the diagnosis and management of patients with rheumatoid arthritis. Joint Bone Spine, 2024, pp.105790. ⟨10.1016/j.jbspin.2024.105790⟩. ⟨hal-04732025⟩

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