Autoinflammatory & rare systemic diseases

Cross-national biologic treatment guidelines for FMF: a comparative analysis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Significant multi-country disparities exist for the prescription of IL-1 inhibitors in FMF, with variations in national guidelines, drug availability and reimbursement.

Study context

Population
39 countries examined via questionnaires to paediatric and adult rheumatologists and national representatives of the Clinical Practice Strategies (CLiPS) project; national FMF treatment guidelines
Participants
39 countries
Outcome
Cross-national accessibility and reimbursement of IL-1 inhibitors in FMF treatment, and national guidelines
Methodological detailsquestionnaire survey, comparative analysis of national guidelines, Part of the Clinical Practice Strategies (CLiPS) project; guidelines retrieved from PubMed, MEDLINE, Scopus and Google Scholar without language restrictions
  • Questionnaire survey
  • Comparative analysis of national guidelines
  • Part of the Clinical Practice Strategies (CLiPS) project; guidelines retrieved from PubMed, MEDLINE, Scopus and Google Scholar without language restrictions

Main finding

As reported in the abstract

National guidelines obtained
11 of 39 countries
EULAR 2016 recommendations used as guidelines
7 further countries
Anakinra available for colchicine-resistant FMF
29 of 39 countries
Anakinra covered by national health insurance
23 of 29 (79.3%)
Canakinumab accessible
23 of 39 countries
Canakinumab reimbursed
21 of 23 (91.3%)
Additional prescription and reimbursement restrictions for bDMARDs in FMF
18 countries

Observational data: associations, not effects.

Original publication

Cross-national biologic treatment guidelines for FMF: a comparative analysis. Rheumatology (Oxford). Published 26 April 2026. doi:10.1093/rheumatology/keag230

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