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EULAR evidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis
Annals of Rheumatic Diseases, 10/09/09
Peters MJL et al. – Ten recommendations were made for CV risk management in patients with RA, AS and PsA. The strength of the recommendations differed between RA on the one hand, and AS and PsA on the other hand, as evidence for an increased CV risk is most compelling for RA.
Methods- A multidisciplinary expert committee convened as task force of EULAR Standing Committee for Clinical Affairs (ESCCA), comprising 18 members including rheumatologists, cardiologists, internists and epidemiologists, representing 9 European countries
- Problem areas and related keywords for systematic literature research identified
- Systematic literature research performed using MedLine, Embase and Cochrane library through to May 2008
- Based on literature review and in accordance with EULAR's 'standardised operating procedures', the multidisciplinary steering committee formulated evidence-based and expert opinion based recommendations for CV risk screening and management in patients with inflammatory arthritis
- Annual CV risk assessment using National Guidelines recommended for RA patients and should be considered for all AS and PsA patients
- CV risk factors identified should be managed according to local guidelines
- In addition to appropriate CV risk management, aggressive suppression of inflammatory process is recommended to further lower CV risk
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