South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis
The management of rheumatoid arthritis (RA) requires early diagnosis and prompt initiation of therapy, together with lifestyle interventions, particularly smoking cessation. These guidelines recommend a treat-to-target strategy using a composite disease activity score at each visit, with fr...
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| Format: | Article |
| Language: | English |
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South African Medical Association
2024-09-01
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| Series: | South African Medical Journal |
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| Online Access: | https://samajournals.co.za/index.php/samj/article/view/2598 |
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| _version_ | 1823860619901665280 |
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| author | G Tarr N Govind M Seboka E Gardiner B Hodkinson |
| author_facet | G Tarr N Govind M Seboka E Gardiner B Hodkinson |
| author_sort | G Tarr |
| collection | DOAJ |
| description |
The management of rheumatoid arthritis (RA) requires early diagnosis and prompt initiation of therapy, together with lifestyle interventions, particularly smoking cessation. These guidelines recommend a treat-to-target strategy using a composite disease activity score at each visit, with frequent follow-up and escalation or switching of disease-modifying antirheumatic drug (DMARD) therapy until the goal of low disease activity is achieved. A stepwise algorithm for DMARD therapy is provided. Screening for comorbidities and vaccination is advised.
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| format | Article |
| id | doaj-art-ff731373b41a4c74bbc2ac302e26b9e2 |
| institution | Kabale University |
| issn | 0256-9574 2078-5135 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | South African Medical Association |
| record_format | Article |
| series | South African Medical Journal |
| spelling | doaj-art-ff731373b41a4c74bbc2ac302e26b9e22025-02-10T12:25:39ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-09-01114910.7196/SAMJ.2024.v114i10.2598South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritisG Tarr0N Govind1M Seboka2E Gardiner3B Hodkinson4Rheumatology Department, Institute of Orthopaedics and Rheumatology, Mediclinic Winelands Orthopaedic Hospital, Stellenbosch, South AfricaDepartment of Medicine, Chris Hani Baragwanath Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaNetcare Olivedale Hospital, Johannesburg, South AfricaDepartment of Medicine, Livingstone Hospital, Gqeberha, South AfricaRheumatology Division, Department of Medicine, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, South Africa The management of rheumatoid arthritis (RA) requires early diagnosis and prompt initiation of therapy, together with lifestyle interventions, particularly smoking cessation. These guidelines recommend a treat-to-target strategy using a composite disease activity score at each visit, with frequent follow-up and escalation or switching of disease-modifying antirheumatic drug (DMARD) therapy until the goal of low disease activity is achieved. A stepwise algorithm for DMARD therapy is provided. Screening for comorbidities and vaccination is advised. https://samajournals.co.za/index.php/samj/article/view/2598RheumatismArthritis |
| spellingShingle | G Tarr N Govind M Seboka E Gardiner B Hodkinson South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis South African Medical Journal Rheumatism Arthritis |
| title | South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis |
| title_full | South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis |
| title_fullStr | South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis |
| title_full_unstemmed | South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis |
| title_short | South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis |
| title_sort | south african rheumatism and arthritis association 2024 updated guidelines for the management of rheumatoid arthritis |
| topic | Rheumatism Arthritis |
| url | https://samajournals.co.za/index.php/samj/article/view/2598 |
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