2012 Brazilian Society Of Rheumatology Consensus For The Treatment Of Rheumatoid Arthritis

dc.creatorda Mota L.M.H.
dc.creatorCruz B.A.
dc.creatorBrenol C.V.
dc.creatorPereira I.A.
dc.creatorRezende-Fronza L.S.
dc.creatorBertolo M.B.
dc.creatorde Freitas M.V.C.
dc.creatorde Silva N.A.
dc.creatorLouzada-Junior P.
dc.creatorGiorgi R.D.N.
dc.creatorLima R.A.C.
dc.creatorPinheiro G.R.C.
dc.date2012
dc.date2015-06-29T13:23:41Z
dc.date2015-11-26T14:33:38Z
dc.date2015-06-29T13:23:41Z
dc.date2015-11-26T14:33:38Z
dc.date.accessioned2018-03-28T21:37:03Z
dc.date.available2018-03-28T21:37:03Z
dc.identifierRevista Brasileira De Reumatologia. , v. 52, n. 2, p. 135 - 174, 2012.
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84859309049&partnerID=40&md5=63600d77c919f8305a63fd899db28778
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/97537
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/97537
dc.identifier2-s2.0-84859309049
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1247908
dc.descriptionObjective: To elaborate recommendations for the treatment of rheumatoid arthritis in Brazil. Method: Literature review with articles' selection based on evidence and the expert opinion of the Rheumatoid Arthritis Committee of the Brazilian Society of Rheumatology. Results and conclusions: 1) The therapeutic decision should be shared with the patient; 2) immediately after the diagnosis, a disease-modifying antirheumatic drug (DMARD) should be prescribed, and the treatment adjusted to achieve remission; 3) treatment should be conducted by a rheumatologist; 4) the initial treatment includes synthetic DMARDs; 5) methotrexate is the drug of choice; 6) patients who fail to respond after two schedules of synthetic DMARDs should be assessed for the use of biologic DMARDs; 7) exceptionally, biologic DMARDs can be considered earlier; 8) anti-TNF agents are preferentially recommended as the initial biologic therapy; 9) after therapeutic failure of a first biologic DMARD, other biologics can be used; 10) cyclophosphamide and azathioprine can be used in severe extra-articular manifestations; 11) oral corticoid is recommended at low doses and for short periods of time; 12) non-steroidal anti-inflammatory drugs should always be prescribed in association with a DMARD; 13) clinical assessments should be performed on a monthly basis at the beginning of treatment; 14) physical therapy, rehabilitation, and occupational therapy are indicated; 15) surgical treatment is recommended to correct sequelae; 16) alternative therapy does not replace traditional therapy; 17) family planning is recommended; 18) the active search and management of comorbidities are recommended; 19) the patient's vaccination status should be recorded and updated; 20) endemic-epidemic transmissible diseases should be investigated and treated. © 2012 Elsevier Editora Ltda. All rights reserved.
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dc.description135
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dc.relationRevista Brasileira de Reumatologia
dc.rightsaberto
dc.sourceScopus
dc.title2012 Brazilian Society Of Rheumatology Consensus For The Treatment Of Rheumatoid Arthritis
dc.typeArtículos de revistas


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