Spondyloarthritis & psoriatic arthritis
Establishing Centers of Excellence for Axial Spondyloarthritis in Latin America: Consensus Recommendations From the REAL-PANLAR Group
Methodological detailsDelphi methodology, systematic literature review, Donabedian quality evaluation framework
- Delphi methodology
- Systematic literature review
- Donabedian quality evaluation framework
Recommendations
As issued by the authors
3 COE classifications (standard, optimal, model), defined by resource availability and care standards
- agreement 70.6% to 100%
Human resources: multidisciplinary teams, incl. rheumatologists, physiatrists and dermatologists
- consensus 81.3% to 100%
Structure: electronic health systems for traceability and continuous training
- approval 70.6% to 100%
Processes: comprehensive care models, treat-to-target strategy, validated clinimetric tools (eg, ASDAS, BASDAI)
Original publication
Establishing Centers of Excellence for Axial Spondyloarthritis in Latin America: Consensus Recommendations From the REAL-PANLAR Group. J Rheumatol. Published 15 November 2025. doi:10.
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