Rheumatoid arthritis

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

Joint Bone SpinePublished Clinical practice guideline

Recommendations

As issued by the authors

  1. Shared decision between rheumatologist and patient; comprehensive drug and non-drug management for people with rheumatoid arthritis (RA) or at risk of RA development

  2. Diagnosis: importance of clinical arthritis and, in its absence, the risk factors for progression to RA

  3. Treatment: incorporates recent data on the cardiovascular and neoplastic risk profile of JAKi

  4. RA-ILD: clinical screening; high-resolution CT in the presence of pulmonary symptoms

  5. RA-ILD management requires collaboration between rheumatologists and pulmonologists

  6. RA-ILD treatment strategy: control disease activity with MTX or targeted therapies (mainly abatacept or RTX)

  7. Anti-fibrotic treatment should be discussed with a pulmonologist with expertise in RA-ILD

Original publication

2024 update of the recommendations of the French Society of Rheumatology for the diagnosis and management of patients with rheumatoid arthritis. Joint Bone Spine. Published 9 October 2024. doi:10.1016/j.jbspin.2024.105790

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