Management guidelines and outcome measures in polymyalgia rheumatica (PMR).

作者: H. Maradit-Kremers , Eric L. Matteson , Bhaskar Dasgupta

DOI:

关键词: Outcome measuresIntensive care medicineMEDLINEMedicineSecondary careInternal medicineRheumatologyPolymyalgia rheumaticaIn patientPhysical therapySpecialist referralMedical record

摘要: Polymyalgia rheumatica (PMR) is a common inflammatory rheumatic disease of the elderly that subject to wide variations in clinical practice and managed both primary secondary care settings by general practitioners, rheumatologists non-rheumatologists. Considerable uncertainty exists relating diagnosis, management outcome patients with PMR. The guidelines presented here seek improve outcomes for PMR outlining process ensure more accurate diagnosis timely specialist referral. are directed promote conservative treatment early bone protection order reduce morbidity osteoporotic fractures. Furthermore, these specify goals treatment, including patient-based outcomes, provide advice concerning monitoring activity complications.

参考文章(24)
N. Tanaka, N. Ozono, H. Uchino, DEPARTMENT OF INTERNAL MEDICINE Proceedings of Research Institute for Nuclear Medicine and Biology (Japan). ,(1966)
Narváez J, Valverde-García J, Nolla-Solé Jm, Roig-Escofet D, Clavaguera Mt, Longterm therapy in polymyalgia rheumatica: effect of coexistent temporal arteritis. The Journal of Rheumatology. ,vol. 26, pp. 1945- 1952 ,(1999)
M. A. Cimmino, C. Salvarani, L. Macchioni, R. Gerli, F. Delle Monache, C. Montecucco, R. Caporali, PP2. LONG-TERM FOLLOW-UP OF POLYMYALGIA RHEUMATICA PATIENTS TREATED WITH METHOTREXATE AND STEROIDS Rheumatology. ,vol. 44, pp. 395- 400 ,(2005) , 10.1093/RHEUMATOLOGY/KEH755
Roberto Caporali, Marco A. Cimmino, Gianfranco Ferraccioli, Roberto Gerli, Catherine Klersy, Carlo Salvarani, Carlomaurizio Montecucco, , Prednisone plus Methotrexate for Polymyalgia Rheumatica Annals of Internal Medicine. ,vol. 141, pp. 493- 500 ,(2004) , 10.7326/0003-4819-141-7-200410050-00005
Derek L. Mattey, Ali H. Hajeer, Adele Dababneh, Wendy Thomson, Miguel A. González-Gay, Carlos García-Porrúa, William E. R. Ollier, Association of giant cell arteritis and polymyalgia rheumatica with different tumor necrosis factor microsatellite polymorphisms Arthritis & Rheumatism. ,vol. 43, pp. 1749- 1755 ,(2000) , 10.1002/1529-0131(200008)43:8<1749::AID-ANR11>3.0.CO;2-K
Robert C. Brooks, Diagnostic Dilemmas in Polymyalgia Rheumatica Archives of Internal Medicine. ,vol. 157, pp. 162- 168 ,(1997) , 10.1001/ARCHINTE.1997.00440230030005
Carlo Salvarani, Fabrizio Cantini, Pierluigi Macchioni, Ignazio Olivieri, Laura Niccoli, Angela Padula, Luigi Boiardi, Distal musculoskeletal manifestations in polymyalgia rheumatica: A prospective followup study Arthritis & Rheumatism. ,vol. 41, pp. 1221- 1226 ,(1998) , 10.1002/1529-0131(199807)41:7<1221::AID-ART12>3.0.CO;2-W
J G Jones, B L Hazleman, Prognosis and management of polymyalgia rheumatica. Annals of the Rheumatic Diseases. ,vol. 40, pp. 1- 5 ,(1981) , 10.1136/ARD.40.1.1