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A series of meetings between a group of experts and hospital
or private rheumatologists devoted to the use of TNF-blocking
drugs in the treatment of inflammatory rheumatism raised a
large number of practical questions.
Under the aegis of the Club Rhumatismes et Inflammation (CRI,
Inflammatory Rheumatisms Group of the French Society of Rheumatology,
Société française de rhumatologie) and
with the institutional support of Wyeth, we decided to provide
answers as precise and as relevant as possible to these questions.
These answers are presented in the form of a clinical tool
guide which propose management guidelines according to the
diseases, symptoms and clinical situations to be managed during
introduction or follow-up of anti-TNF therapy. These clinical
practice sheets are completed by a pretreatment assessment
checklist, and a standard information letter for the patient's
attending physician.
We adopted the following methodology to elaborate these forms:
- Identification of all of the questions raised,
- Comprehensive review of the literature for each of these
questions,
- Elaboration of a reply weighted according to 3 levels
of evidence (evidence-based medicine (EBM), official guidelines
and expert opinions), presented in this document by three
different colours.
- Review of all of these clinical practice sheets by several
experts of the CRI.
We hope that these clinical practice sheets, that can be
downloaded from the CRI website and Science Direct (http://www.sciencedirect.com)
will rapidly become a useful or even essential tool in your
daily practice in order to promote the correct use of anti-TNF
medications.
 Avec
l'aimable concours et l'autorisation
de la Revue du Rhumatisme et de sa version
en langue anglaise Joint Bone Spine |
Xavier MARIETTE, Thao PHAM, Jean SIBILIA
The Clinical tool guide was written by:
Pr Pascal CLAUDEPIERRE, Dr Xavier DEPREZ, Pr Philippe
GOUPILLE, Dr Pascal HILLIQUIN, DrThao PHAM, Dr Xavier PUÉCHAL,
Pr Thierry SCHAEVERBEKE, Pr Jean SIBILIA, under Dr Thao
PHAM and Pr Jean SIBILIA coordination.
It was reviewed by the CRI review committee:
Dr Bruno FAUTREL, Pr Xavier MARIETTE, Dr Charles MASSON,
Dr Jacques MOREL, Pr Alain SARAUX, under Pr Xavier MARIETTE
coordination.
Thao Pham1, Pascal Claudepierre2,
Xavier Deprez3, Bruno Fautrel4, Philippe Goupille5, Pascal
Hilliquin6, Charles Masson7, Jacques Morel8, Xavier Puéchal9,
Alain Saraux10, Thierry Schaeverbeke11, Xavier Mariette12,
Jean Sibilia13 for the CRI.
1 Service de Rhumatologie
Sud, CHU-Hôpital de la Conception, 147 bd Baille, 13005
Marseille.
2 Service de Rhumatologie, CHU-Hôpital Henri Mondor,
51 avenue du Maréchal De Lattre de Tassigny, 94010
Créteil cedex 9.
3 Service de Rhumatologie, Pavillon Paul Fournier, CH de Valenciennes,
59322 Valenciennes cedex.
4 Service de Rhumatologie, CHU-Groupe Hospitalier Pitié-Salpétrière,
83 bd de l'Hôpital, 75651 Paris cedex 13.
5 Service de Rhumatologie, CHU-Hôpital Trousseau, Avenue
de la République, 37044 Tours cedex 1.
6 Service de Rhumatologie, Hôpital Gilles de Corbeil,
59 bd Henri Dunant, 91106 Corbeil-Essonnes cedex.
7 Service de Rhumatologie, CHU Angers, 49033 Angers Cedex
1.
8 Fédération de Rhumatologie, CHU-Hôpital
Lapeyronie, 371 avenue du Doyen Gaston Giraud, 34295 Montpellier
cedex 5.
9 Service de rhumatologie, CH du Mans, 194 avenue Rubillard,
72037 Le Mans cedex.
10 Service de Rhumatologie, CHU- Hôpital de la Cavale
Blanche, rue Tanguy Prégent, 29609 Brest cedex.
11 Service de Rhumatologie, CHU-Hôpital Pellegrin, Place
Amélie Raba Léon, 33076 Bordeaux cedex.
12 Service de Rhumatologie, CHU-Hôpital de Bicêtre,
78 ruedu Général Leclerc, 94270 Le Kremlin Bicêtre.
13 Service de Rhumatologie, CHU-Hôpital Hautepierre,
1 avenue Molière, 67098 Strasbourg cedex
© Elsevier SAS 2005
Joint Bone Spine Volume 72 supplément 1 page S1-S60
June 2005
publication
originale en anglais
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