108 lines
No EOL
27 KiB
XML
108 lines
No EOL
27 KiB
XML
<?xml version="1.0" encoding="utf-8"?>
|
|
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
|
|
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
|
|
|
|
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
|
|
<!-- AppResources meta begin -->
|
|
<meta name="paf-app-resources" content="" />
|
|
<script type="text/javascript">var ncbi_startTime = new Date();</script>
|
|
|
|
<!-- AppResources meta end -->
|
|
|
|
<!-- TemplateResources meta begin -->
|
|
<meta name="paf_template" content="" />
|
|
|
|
<!-- TemplateResources meta end -->
|
|
|
|
<!-- Logger begin -->
|
|
<meta name="ncbi_db" content="books" /><meta name="ncbi_pdid" content="book-toc" /><meta name="ncbi_acc" content="NBK425213" /><meta name="ncbi_domain" content="niceng65" /><meta name="ncbi_report" content="printable" /><meta name="ncbi_type" content="fulltext" /><meta name="ncbi_objectid" content="" /><meta name="ncbi_pcid" content="/NBK425213/?report=printable" /><meta name="ncbi_app" content="bookshelf" />
|
|
<!-- Logger end -->
|
|
|
|
<title>Spondyloarthritis in over 16s: diagnosis and management - NCBI Bookshelf</title>
|
|
|
|
<!-- AppResources external_resources begin -->
|
|
<link rel="stylesheet" href="/core/jig/1.15.2/css/jig.min.css" /><script type="text/javascript" src="/core/jig/1.15.2/js/jig.min.js"></script>
|
|
|
|
<!-- AppResources external_resources end -->
|
|
|
|
<!-- Page meta begin -->
|
|
<meta name="robots" content="NOINDEX,NOFOLLOW,NOARCHIVE,NOIMAGEINDEX" /><meta name="author" content="National Institute for Health and Care Excellence (UK)" /><meta name="citation_title" content="Spondyloarthritis in over 16s: diagnosis and management" /><meta name="citation_publisher" content="National Institute for Health and Care Excellence (UK)" /><meta name="citation_date" content="2017/02" /><meta name="citation_author" content="National Institute for Health and Care Excellence (UK)" /><meta name="citation_pmid" content="28350428" /><meta name="citation_fulltext_html_url" content="https://www.ncbi.nlm.nih.gov/books/NBK425213/" /><link rel="schema.DC" href="http://purl.org/DC/elements/1.0/" /><meta name="DC.Title" content="Spondyloarthritis in over 16s: diagnosis and management" /><meta name="DC.Type" content="Text" /><meta name="DC.Publisher" content="National Institute for Health and Care Excellence (UK)" /><meta name="DC.Contributor" content="National Institute for Health and Care Excellence (UK)" /><meta name="DC.Date" content="2017/02" /><meta name="DC.Identifier" content="https://www.ncbi.nlm.nih.gov/books/NBK425213/" /><meta name="description" content="Spondyloarthritis encompasses a group of inflammatory conditions with some shared features, including extra-articular manifestations. Both peripheral and axial joints can be affected. The spondyloarthritides are distinct from rheumatoid arthritis but are as important to recognise and manage early in their presentation to improve health outcomes." /><meta name="og:title" content="Spondyloarthritis in over 16s: diagnosis and management" /><meta name="og:type" content="book" /><meta name="og:description" content="Spondyloarthritis encompasses a group of inflammatory conditions with some shared features, including extra-articular manifestations. Both peripheral and axial joints can be affected. The spondyloarthritides are distinct from rheumatoid arthritis but are as important to recognise and manage early in their presentation to improve health outcomes." /><meta name="og:url" content="https://www.ncbi.nlm.nih.gov/books/NBK425213/" /><meta name="og:site_name" content="NCBI Bookshelf" /><meta name="og:image" content="https://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-niceng65-lrg.png" /><meta name="twitter:card" content="summary" /><meta name="twitter:site" content="@ncbibooks" /><meta name="warning" content="In June 2017, NICE updated recommendation 1.2.7 to clarify the advice on what imaging should be done." /><meta name="bk-non-canon-loc" content="/books/n/niceng65/toc/" /><link rel="canonical" href="https://www.ncbi.nlm.nih.gov/books/NBK425213/" /><link rel="stylesheet" href="/corehtml/pmc/css/figpopup.css" type="text/css" media="screen" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books.min.css" type="text/css" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books_print.min.css" type="text/css" /><style type="text/css">p a.figpopup{display:inline !important} .bk_tt {font-family: monospace} .first-line-outdent .bk_ref {display: inline} </style><script type="text/javascript" src="/corehtml/pmc/js/jquery.hoverIntent.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/common.min.js?_=3.18"> </script><script type="text/javascript">window.name="mainwindow";</script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/book-toc.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/books.min.js"> </script>
|
|
|
|
<!-- Page meta end -->
|
|
<link rel="shortcut icon" href="//www.ncbi.nlm.nih.gov/favicon.ico" /><meta name="ncbi_phid" content="CE8D3A407D7862F100000000006D0050.m_5" />
|
|
<meta name='referrer' content='origin-when-cross-origin'/><link type="text/css" rel="stylesheet" href="//static.pubmed.gov/portal/portal3rc.fcgi/4216699/css/3852956/3985586/3808861/4121862/3974050/3917732/251717/4216701/14534/45193/4113719/3849091/3984811/3751656/4033350/3840896/3577051/3852958/3984801/12930/3964959.css" /><link type="text/css" rel="stylesheet" href="//static.pubmed.gov/portal/portal3rc.fcgi/4216699/css/3411343/3882866.css" media="print" /></head>
|
|
<body class="book-toc">
|
|
<div class="grid no_max_width">
|
|
<div class="col twelve_col nomargin shadow">
|
|
<!-- System messages like service outage or JS required; this is handled by the TemplateResources portlet -->
|
|
<div class="sysmessages">
|
|
<noscript>
|
|
<p class="nojs">
|
|
<strong>Warning:</strong>
|
|
The NCBI web site requires JavaScript to function.
|
|
<a href="/guide/browsers/#enablejs" title="Learn how to enable JavaScript" target="_blank">more...</a>
|
|
</p>
|
|
</noscript>
|
|
</div>
|
|
<!--/.sysmessage-->
|
|
<div class="wrap">
|
|
<div class="page">
|
|
<div class="top">
|
|
|
|
<div class="header">
|
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
<!--<component id="Page" label="headcontent"/>-->
|
|
|
|
</div>
|
|
<div class="content">
|
|
<!-- site messages -->
|
|
<div class="container content">
|
|
<div class="source">
|
|
<div class="pre-content"><div><div class="bk_prnt"><p class="small">NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.</p></div><div class="bk_msg_box bk_bttm_mrgn clearfix bk_noprnt"><div class="iconblock clearfix"><a class="img_link icnblk_img" title="Table of Contents Page" href="/books/n/niceng65guid/"><img class="source-thumb" src="/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-niceng65guid-lrg.png" alt="Cover" height="100px" width="80px" /></a><div class="icnblk_cntnt"><ul class="messages"><li class="info icon"><span class="icon"><a href="/books/n/niceng65guid/">See 2017 Partial Update</a></span></li></ul></div></div></div><div class="messagearea bk_noprnt" style="margin-bottom:1.3846em "><ul class="messages"><li class="warn icon"><span class="icon">In June 2017, NICE updated recommendation 1.2.7 to clarify the advice on what imaging should be done.</span></li></ul></div><div class="bk_prnt"><p style="color:red;"><strong>In June 2017, NICE updated recommendation 1.2.7 to clarify the advice on what imaging should be done.</strong></p></div></div></div>
|
|
<div class="main-content lit-style" itemscope="itemscope" itemtype="http://schema.org/Book"><div class="meta-content fm-sec"><div class="iconblock whole_rhythm clearfix no_top_margin"><a href="http://www.nice.org.uk/" title="National Institute for Health and Care Excellence (UK)" class="img_link icnblk_img" ref="pagearea=logo&targetsite=external&targetcat=link&targettype=publisher"><img class="source-thumb" src="/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-niceng65-lrg.png" alt="Cover of Spondyloarthritis in over 16s: diagnosis and management" /></a><div class="icnblk_cntnt"><h1 id="_NBK425213_"><span itemprop="name">Spondyloarthritis in over 16s: diagnosis and management</span></h1><p><i>NICE Guideline, No. 65</i></p><p class="contrib-group"><h4>Authors</h4><span itemprop="author">National Institute for Health and Care Excellence (UK)</span>.</p><div class="half_rhythm">London: <a href="http://www.nice.org.uk/" ref="pagearea=meta&targetsite=external&targetcat=link&targettype=publisher"><span itemprop="publisher">National Institute for Health and Care Excellence (UK)</span></a>; <span itemprop="datePublished">2017 Feb</span>.<div class="small">ISBN-13: <span itemprop="isbn">978-1-4731-2354-0</span></div></div><div><a href="/books/about/copyright/">Copyright</a> © National Institute for Health and Care Excellence 2017.</div></div></div></div><div class="body-content whole_rhythm" itemprop="text"><div itemprop="description"><h2>Excerpt</h2><p>Spondyloarthritis encompasses a group of inflammatory conditions with some shared features, including extra-articular manifestations. Both peripheral and axial joints can be affected. The spondyloarthritides are distinct from rheumatoid arthritis but are as important to recognise and manage early in their presentation to improve health outcomes.</p><p>The majority of people with these conditions have either psoriatic arthritis or axial spondyloarthritis, which includes ankylosing spondylitis. Ankylosing spondylitis and non-radiographic axial spondyloarthritis primarily affect the spine, in particular the sacroiliac joint. Both conditions manifest in similar ways; the primary classification difference is whether sacroiliitis is detectable on X-ray.</p><p>Psoriatic arthritis may manifest in a number of different patterns. These include predominant involvement of small joints in the hands and feet, predominant large joint involvement particularly in the knees or combinations of these. Psoriatic arthritis may also involve the axial joints, and inflammation of the entheses and/or finger and toe joints. Skin and nail involvement may not be present at diagnosis and in its absence, a family history of psoriasis is required to meet the diagnostic criteria.</p><p>Less common subgroups are enteropathic spondyloarthritis, which is associated with inflammatory bowel disease (Crohn’s disease and ulcerative colitis), and reactive arthritis, which can occur in people following gastrointestinal or genitourinary infections.</p><p>The final subgroup is people who have undifferentiated spondyloarthritis. These people generally have an asymmetrical oligoarticular (fewer than 5 involved joints) arthritis, often involving the knees. They do not meet the diagnostic criteria of the other subgroups at presentation but their disease may evolve to do so at a later stage.</p><p>This guideline also includes people who are 16 years or older with axial or peripheral symptoms who have previously been diagnosed with juvenile idiopathic arthritis.</p><p>Healthcare professionals in non-specialist settings do not always recognise the signs and symptoms of spondyloarthritis, particularly spinal symptoms, which may be mistakenly attributed to other causes of low back pain. This can lead to substantial delays in diagnosis and treatment with consequent disease progression and disability. This guideline seeks to raise awareness of the features of spondyloarthritis and provide clear advice on what action to take when people with signs and symptoms first present in healthcare settings.</p><p>This guideline also provides advice on the interventions available to people with spondyloarthritis. These include pharmacological and non-pharmacological treatments, and surgery. The guidance also provides advice on how care for people with spondyloarthritis should be organised across healthcare settings, and what information and support should be provided.</p></div><div><h2>Contents</h2><ul id="toc_tllNBK425213_toc_ch1" class="simple-list toc toc-toggle"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch1"><a class="toc-item" href="/books/n/niceng65/ch1/">1. Summary section</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch2"><a class="toc-item" href="/books/n/niceng65/ch2/">2. GDG membership and ICG technical team</a><ul id="toc_lst_NBK425213_toc_ch2" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch2_s1"><a class="toc-item" href="/books/n/niceng65/ch2/#ch2.s1">2.1. Guideline Development Group 2016</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch2_s2"><a class="toc-item" href="/books/n/niceng65/ch2/#ch2.s2">2.2. Internal Clinical Guidelines Team</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch2_s3"><a class="toc-item" href="/books/n/niceng65/ch2/#ch2.s3">2.3. Peer review</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch3"><a class="toc-item" href="/books/n/niceng65/ch3/">3. Strength of recommendations</a><ul id="toc_lst_NBK425213_toc_ch3" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch3_s1"><a class="toc-item" href="/books/n/niceng65/ch3/#ch3.s1">Interventions that must (or must not) be used</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch3_s2"><a class="toc-item" href="/books/n/niceng65/ch3/#ch3.s2">Interventions that should (or should not) be used – a ‘strong’ recommendation</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch3_s3"><a class="toc-item" href="/books/n/niceng65/ch3/#ch3.s3">Interventions that could be used</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch4"><a class="toc-item" href="/books/n/niceng65/ch4/">4. Methods</a><ul id="toc_lst_NBK425213_toc_ch4" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch4_s1"><a class="toc-item" href="/books/n/niceng65/ch4/#ch4.s1">4.1. Evidence synthesis and meta-analyses</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch4_s2"><a class="toc-item" href="/books/n/niceng65/ch4/#ch4.s2">4.2. Evidence of effectiveness of interventions</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch4_s3"><a class="toc-item" href="/books/n/niceng65/ch4/#ch4.s3">4.3. Diagnostic evidence</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch4_s4"><a class="toc-item" href="/books/n/niceng65/ch4/#ch4.s4">4.4. Methods for combining direct and indirect evidence (network meta-analysis)</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch5"><a class="toc-item" href="/books/n/niceng65/ch5/">5. List of recommendations</a><ul id="toc_lst_NBK425213_toc_ch5" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch5_s1"><a class="toc-item" href="/books/n/niceng65/ch5/#ch5.s1">5.1. Recommendations</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch5_s2"><a class="toc-item" href="/books/n/niceng65/ch5/#ch5.s2">5.2. Research recommendations</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch6"><a class="toc-item" href="/books/n/niceng65/ch6/">6. Recognition, referral and diagnosis</a><ul id="toc_lst_NBK425213_toc_ch6" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch6_s1"><a class="toc-item" href="/books/n/niceng65/ch6/#ch6.s1">6.1. Identifying new cases of spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch6_s2"><a class="toc-item" href="/books/n/niceng65/ch6/#ch6.s2">6.2. Blood tests for spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch6_s3"><a class="toc-item" href="/books/n/niceng65/ch6/#ch6.s3">6.3. Imaging for diagnosis of spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch6_s4"><a class="toc-item" href="/books/n/niceng65/ch6/#ch6.s4">6.4. Information gathering to improve early diagnosis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch6_s5"><a class="toc-item" href="/books/n/niceng65/ch6/#ch6.s5">6.5. Diagnostic risk scores and models</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch6_s6"><a class="toc-item" href="/books/n/niceng65/ch6/#ch6.s6">6.6. Microbiology testing in reactive arthritis</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch7"><a class="toc-item" href="/books/n/niceng65/ch7/">7. Pharmacological management</a><ul id="toc_lst_NBK425213_toc_ch7" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch7_s1"><a class="toc-item" href="/books/n/niceng65/ch7/#ch7.s1">7.1. Pharmacological interventions for axial symptoms of spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch7_s2"><a class="toc-item" href="/books/n/niceng65/ch7/#ch7.s2">7.2. Pharmacological management of peripheral spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch7_s3"><a class="toc-item" href="/books/n/niceng65/ch7/#ch7.s3">7.3. Switching or augmenting pharmacological interventions for spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch7_s4"><a class="toc-item" href="/books/n/niceng65/ch7/#ch7.s4">7.4. Biological DMARDs for spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch7_s5"><a class="toc-item" href="/books/n/niceng65/ch7/#ch7.s5">7.5. Long-term antibiotics for reactive arthritis</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch8"><a class="toc-item" href="/books/n/niceng65/ch8/">8. Non-pharmacological management</a><ul id="toc_lst_NBK425213_toc_ch8" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch8_s1"><a class="toc-item" href="/books/n/niceng65/ch8/#ch8.s1">8.1. Manual therapies for spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch8_s2"><a class="toc-item" href="/books/n/niceng65/ch8/#ch8.s2">8.2. Exercise for spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch8_s3"><a class="toc-item" href="/books/n/niceng65/ch8/#ch8.s3">8.3. Hydrotherapy for spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch8_s4"><a class="toc-item" href="/books/n/niceng65/ch8/#ch8.s4">8.4. Acupuncture for spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch8_s5"><a class="toc-item" href="/books/n/niceng65/ch8/#ch8.s5">8.5. Physical aids for spondyloarthritis</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch9"><a class="toc-item" href="/books/n/niceng65/ch9/">9. Surgical Interventions</a><ul id="toc_lst_NBK425213_toc_ch9" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch9_s1"><a class="toc-item" href="/books/n/niceng65/ch9/#ch9.s1">9.1. Predictors of surgical outcome</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch10"><a class="toc-item" href="/books/n/niceng65/ch10/">10. Organisation of care and long-term monitoring</a><ul id="toc_lst_NBK425213_toc_ch10" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch10_s1"><a class="toc-item" href="/books/n/niceng65/ch10/#ch10.s1">10.1. Transition from paediatric to adult rheumatology services</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch10_s2"><a class="toc-item" href="/books/n/niceng65/ch10/#ch10.s2">10.2. Monitoring of pharmacological interventions used in spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch10_s3"><a class="toc-item" href="/books/n/niceng65/ch10/#ch10.s3">10.3. Care setting for management of flare episodes</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch10_s4"><a class="toc-item" href="/books/n/niceng65/ch10/#ch10.s4">10.4. Care setting for long-term management</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch10_s5"><a class="toc-item" href="/books/n/niceng65/ch10/#ch10.s5">10.5. Cross-speciality care</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch10_s6"><a class="toc-item" href="/books/n/niceng65/ch10/#ch10.s6">10.6. Complications of spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch10_s7"><a class="toc-item" href="/books/n/niceng65/ch10/#ch10.s7">10.7. Complications of treatments for spondyloarthritis</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch11"><a class="toc-item" href="/books/n/niceng65/ch11/">11. Information for people with spondyloarthritis</a><ul id="toc_lst_NBK425213_toc_ch11" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch11_s1"><a class="toc-item" href="/books/n/niceng65/ch11/#ch11.s1">11.1. Information for people with spondyloarthritis</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch11_s2"><a class="toc-item" href="/books/n/niceng65/ch11/#ch11.s2">11.2. Information and education for flare management in spondyloarthritis</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch12"><a class="toc-item" href="/books/n/niceng65/ch12/">12. Glossary</a><ul id="toc_lst_NBK425213_toc_ch12" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch12_s1"><a class="toc-item" href="/books/n/niceng65/ch12/#ch12.s1">12.1. Abbreviations</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_ch12_s2"><a class="toc-item" href="/books/n/niceng65/ch12/#ch12.s2">12.2. Glossary</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appendixes_appgroup1"><a class="toc-item" href="/books/n/niceng65/appendixes.appgroup1/">Appendices</a><ul id="toc_lst_NBK425213_toc_appendixes_appgroup1" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK425213_toc_appa"><a class="toc-item" href="/books/n/niceng65/appa/">Appendix A. Committee membership list – Spondyloarthritis guideline Committee</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appb"><a class="toc-item" href="/books/n/niceng65/appb/">Appendix B. Guideline scope</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appc"><a class="toc-item" href="/books/n/niceng65/appc/">Appendix C. Review protocols</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appd"><a class="toc-item" href="/books/n/niceng65/appd/">Appendix D. Review search strategy</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appe"><a class="toc-item" href="/books/n/niceng65/appe/">Appendix E. Evidence tables</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appf"><a class="toc-item" href="/books/n/niceng65/appf/">Appendix F. Excluded studies</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appg"><a class="toc-item" href="/books/n/niceng65/appg/">Appendix G. GRADE tables and meta-analysis results</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_apph"><a class="toc-item" href="/books/n/niceng65/apph/">Appendix H. Full health economics report</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appi"><a class="toc-item" href="/books/n/niceng65/appi/">Appendix I. Expert witness testimonial</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appj"><a class="toc-item" href="/books/n/niceng65/appj/">Appendix J. Spondyloarthritis: NMA on pain outcome: CGTSU, Bristol (Edna Keeney and Sofia Dias)</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appk"><a class="toc-item" href="/books/n/niceng65/appk/">Appendix K. Research recommendations</a></li><li class="half_rhythm" id="toc_itm_NBK425213_toc_appl"><a class="toc-item" href="/books/n/niceng65/appl/">Appendix L. Review flowcharts</a></li></ul></li></ul></div><div><p>Final version</p></div><div><p>Developed by the National Institute for Health and Care Excellence</p></div><div><p><b>Disclaimer:</b> Healthcare professionals are expected to take NICE clinical guidelines fully into account when exercising their clinical judgement. However, the guidance does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of each patient, in consultation with the patient and/or their guardian or carer.</p></div></div></div>
|
|
<div class="post-content"><div><div class="half_rhythm"><a href="/books/about/copyright/">Copyright</a> © National Institute for Health and Care Excellence 2017.</div><div class="small"><span class="label">Bookshelf ID: NBK425213</span><span class="label">PMID: <a href="https://pubmed.ncbi.nlm.nih.gov/28350428" title="PubMed record of this title" ref="pagearea=meta&targetsite=entrez&targetcat=link&targettype=pubmed">28350428</a></span></div><div style="margin-top:2em" class="bk_noprnt"><div class="pagination bk_noprnt"><span class="inactive page_link prev">< Prev</span><a class="active page_link next" href="/books/n/niceng65/ch1/" title="Next page in this title">Next ></a></div></div></div></div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="bottom">
|
|
|
|
<div id="NCBIFooter_dynamic">
|
|
<!--<component id="Breadcrumbs" label="breadcrumbs"/>
|
|
<component id="Breadcrumbs" label="helpdesk"/>-->
|
|
|
|
</div>
|
|
|
|
<script type="text/javascript" src="/portal/portal3rc.fcgi/rlib/js/InstrumentNCBIBaseJS/InstrumentPageStarterJS.js"> </script>
|
|
</div>
|
|
</div>
|
|
<!--/.page-->
|
|
</div>
|
|
<!--/.wrap-->
|
|
</div><!-- /.twelve_col -->
|
|
</div>
|
|
<!-- /.grid -->
|
|
|
|
<span class="PAFAppResources"></span>
|
|
|
|
<!-- BESelector tab -->
|
|
|
|
|
|
|
|
<noscript><img alt="statistics" src="/stat?jsdisabled=true&ncbi_db=books&ncbi_pdid=book-toc&ncbi_acc=NBK425213&ncbi_domain=niceng65&ncbi_report=printable&ncbi_type=fulltext&ncbi_objectid=&ncbi_pcid=/NBK425213/?report=printable&ncbi_app=bookshelf" /></noscript>
|
|
|
|
|
|
<!-- usually for JS scripts at page bottom -->
|
|
<!--<component id="PageFixtures" label="styles"></component>-->
|
|
|
|
|
|
<!-- CE8B5AF87C7FFCB1_0191SID /projects/books/PBooks@9.11 portal106 v4.1.r689238 Tue, Oct 22 2024 16:10:51 -->
|
|
<span id="portal-csrf-token" style="display:none" data-token="CE8B5AF87C7FFCB1_0191SID"></span>
|
|
|
|
<script type="text/javascript" src="//static.pubmed.gov/portal/portal3rc.fcgi/4216699/js/3879255/4121861/3501987/4008961/3893018/3821238/3400083/3426610.js" snapshot="books"></script></body>
|
|
</html> |