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European consensus-based recommendations for the diagnosis and treatment of rare paediatric vasculitides - the SHARE initiative

N. de Graeff, N. Groot, P. Brogan, S. Ozen, T. Avcin, B. Bader-Meunier, P. Dolezalova, BM. Feldman, I. Kone-Paut, P. Lahdenne, SD. Marks, L. McCann, C. Pilkington, A. Ravelli, A. van Royen, Y. Uziel, B. Vastert, N. Wulffraat, S. Kamphuis, MW. Beresford,

. 2019 ; 58 (4) : 656-671. [pub] 20190401

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc20006697

OBJECTIVES: The European initiative Single Hub and Access point for paediatric Rheumatology in Europe (SHARE) aimed to optimize care for children with rheumatic diseases. Systemic vasculitides are very rare in children. Consequently, despite recent advances, paediatric-specific information is sparse. The lack of evidence-based recommendations is an important, unmet need. This study aimed to provide recommendations for diagnosing and treating children with rare forms of childhood systemic vasculitis. METHODS: Recommendations were developed by a consensus process in accordance with the European League Against Rheumatism standard operating procedures. A systematic literature review informed the recommendations, which were devised and evaluated by a panel of experts via an online survey, and two consensus meetings using nominal group technique. Recommendations were accepted when ⩾ 80% of experts agreed. RESULTS: Ninety-three relevant articles were found, and 78 recommendations were accepted in the two consensus meetings. General, cross-cutting recommendations and disease-specific statements regarding the diagnosis and treatment of childhood-onset PAN, granulomatosis with polyangiitis, microscopic polyangiitis, eosinophilic granulomatosis with polyangiitis, and Takayasu arteritis are provided. CONCLUSION: These Single Hub and Access point for paediatric Rheumatology in Europe recommendations were formulated through an evidence-based consensus process to support uniform, high-quality standard of care for children with rare forms of paediatric systemic vasculitis.

1st Faculty of Medicine Charles University and General University Hospital Prague Czech Republic

Department of Paediatric Rheumatology Alder Hey Children's Hospital Liverpool

Department of Paediatric Rheumatology Alder Hey Children's Hospital Liverpool Institute of Translational Medicine University of Liverpool Liverpool UK

Department of Paediatric Rheumatology Bicêtre University Hospital APHP University of Paris Sud Paris France

Department of Paediatric Rheumatology Gaslini Children's Hospital Genoa Italy

Department of Paediatric Rheumatology Hacettepe University Ankara Turkey

Department of Paediatric Rheumatology Hospital for Children and Adolescents University of Helsinki Helsinki Finland

Department of Paediatric Rheumatology Necker Hospital Assistance Publique Hôpitaux de Paris Paris France

Department of Paediatric Rheumatology Sophia Children's Hospital Erasmus Medical Centre Rotterdam The Netherlands

Department of Paediatric Rheumatology The Hospital for Sick Children University of Toronto Toronto Canada

Department of Paediatric Rheumatology University Children's Hospital Ljubljana Ljubljana Slovenia

Department of Paediatric Rheumatology University College London Great Ormond Street Institute of Child Health and Great Ormond St Hospital for Children NHS Foundation Trust London UK

Department of Paediatric Rheumatology Wilhelmina Children's Hospital Utrecht

Department of Paediatric Rheumatology Wilhelmina Children's Hospital Utrecht Department of Paediatric Rheumatology Sophia Children's Hospital Erasmus Medical Centre Rotterdam The Netherlands Department of Paediatric Rheumatology Alder Hey Children's Hospital Liverpool

Meir Medical Center Kfar Saba Tel Aviv University Sackler School of Medicine Tel Aviv Israel

Citace poskytuje Crossref.org

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