Browsing by Author "Soriano, Enrique R."

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    First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus: Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)-Pan-American League of Associations of Rheumatology (PANLAR)
    (2018) Pons-Estel, Bernardo; Bonfa, Eloisa; Soriano, Enrique R.; Izcovich, Ariel; Popoff, Federico; Criniti, Juan M.; Vásquez, Gloria; Massardo, Loreto; Duarte, Margarita; Barile-Fabris, Leonor A.; García, Mercedes A.; Amigo, Mary-Carmen; Espada, Graciela; Catoggio, Luis J.; Sato, Emilia Inoue; Levy, Roger A.; Acevedo Vásquez, Eduardo M.; Chacón-Díaz, Rosa; Galarza-Maldonado, Claudio M.; Iglesias Gamarra, Antonio J.; Molina, José Fernando; Neira, Oscar; Silva, Clovis A.; Vargas Peña, Andrea; Gómez-Puerta, José A.; Scolnik, Marina; Pons-Estel, Guillermo J.; Ugolini-Lopes, Michelle R.; Savio, Verónica; Drenkard, Cristina; Alvarellos, Alejandro J.; Ugarte-Gil, Manuel F.; Babini, Alejandra; Cavalcanti, André; Cardoso Linhares, Fernanda Athayde; Haye Salinas, Maria Jezabel; Fuentes-Silva, Yurilis J.; Montandon de Oliveira E Silva, Ana Carolina; Eraso Garnica, Ruth M.; Herrera Uribe, Sebastián; Gómez-Martín, Diana; Robaina Sevrini, Ricardo; Quintana, Rosana M.; Gordon, Sergio; Fragoso-Loyo, Hilda; Rosario, Violeta; Saurit, Verónica; Appenzeller, Simone; Torres Dos Reis Neto, Edgard; Cieza, Jorge
    Systemic lupus erythematosus (SLE), a complex and heterogeneous autoimmune disease, represents a significant challenge for both diagnosis and treatment. Patients with SLE in Latin America face special problems that should be considered when therapeutic guidelines are developed. The objective of the study is to develop clinical practice guidelines for Latin American patients with lupus. Two independent teams rheumatologists with experience in lupus management and methodologists) had an initial meeting in Panama City, Panama, in April 2016. They selected a list of questions for the clinical problems most commonly seen in Latin American patients with SLE. These were addressed with the best available evidence and summarised in a standardised format following the Grading of Recommendations Assessment, Development and Evaluation approach. All preliminary findings were discussed in a second face-to-face meeting in Washington, DC, in November 2016. As a result, nine organ/system sections are presented with the main findings; an 'overarching' treatment approach was added. Special emphasis was made on regional implementation issues. Best pharmacologic options were examined for musculoskeletal, mucocutaneous, kidney, cardiac, pulmonary, neuropsychiatric, haematological manifestations and the antiphospholipid syndrome. The roles of main therapeutic options (ie, glucocorticoids, antimalarials, immunosuppressant agents, therapeutic plasma exchange, belimumab, rituximab, abatacept, low-dose aspirin and anticoagulants) were summarised in each section. In all cases, benefits and harms, certainty of the evidence, values and preferences, feasibility, acceptability and equity issues were considered to produce a recommendation with special focus on ethnic and socioeconomic aspects. Guidelines for Latin American patients with lupus have been developed and could be used in similar settings.
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    Pan American League of Associations for Rheumatology recommendations for the management of axial spondyloarthritis
    (2023) Bautista-Molano, Wilson; Fernández-Avila, Daniel G.; Brance, María Lorena; Avila Pedretti, María Gabriela; Burgos-Vargas, Ruben; Corbacho, Inés; Cosentino, Vanesa Laura; Díaz Coto, José Francisco; Giraldo Ho, Enrique; Gomes Resende, Gustavo; Gutiérrez, Luis Arturo; Gutiérrez, Marwin; Ibáñez, Sebastián; Jáuregui, Edwin; Ocampo, Vanessa; Palleiro Rivero, Daniel Ruben; Palominos, Penélope Esther; Pacheco Tena, Cesar; Quiceno, Guillermo Andrés; Saldarriaga-Rivera, Lina María; Sommerfleck, Fernando Andrés; Sariego Goecke, Anelisse; Vera Barrezueta, Claudia; Vega Espinoza, Luis Enrique; Vega Hinojosa, Oscar; Citera, Gustavo; Lozada, Carlos; Sampaio-Barros, Percival D.; Schneeberger, Emilce; Soriano, Enrique R.
    Axial spondyloarthritis (axSpA) comprises a spectrum of chronic inflammatory manifestations affecting the axial skeleton and represents a challenge for diagnosis and treatment. Our objective was to generate a set of evidence-based recommendations for the management of axSpA for physicians, health professionals, rheumatologists and policy decision makers in Pan American League of Associations for Rheumatology (PANLAR) countries. Grading of Recommendations, Assessment, Development and Evaluation-ADOLOPMENT methodology was used to adapt existing recommendations after performing an independent systematic search and synthesis of the literature to update the evidence. A working group consisting of rheumatologists, epidemiologists and patient representatives from countries within the Americas prioritized 13 topics relevant to the context of these countries for the management of axSpA. This Evidence-Based Guideline article reports 13 recommendations addressing therapeutic targets, the use of NSAIDs and glucocorticoids, treatment with DMARDs (including conventional synthetic, biologic and targeted synthetic DMARDs), therapeutic failure, optimization of the use of biologic DMARDs, the use of drugs for extra-musculoskeletal manifestations of axSpA, non-pharmacological interventions and the follow-up of patients with axSpA.

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