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Radiologist-rheumatologist multidisciplinary approach in the management of axial spondyloarthritis: a Delphi consensus statement.

Radiologist-rheumatologist multidisciplinary approach in the management of axial spondyloarthritis: a Delphi consensus statement.

Authors :
Marchesoni A
D'Angelo S
Anzidei M
Bortolotti R
Cantini F
Caramella D
Carotti M
Chimenti MS
Delle Sedie A
Egan CG
Fabbroni M
Frediani B
Fusaro E
Galeazzi M
Gallazzi MB
Gentileschi S
Gentili F
Gerli R
Gilio M
Iannone F
La Paglia E
Lubrano E
Macarini L
Olivieri I
Pellerito R
Ramonda R
Salvarani C
Scarano E
Scarpa R
Spaggiari L
Spanò A
Zawaideh JP
Mazzei MA
Source :
Clinical and experimental rheumatology [Clin Exp Rheumatol] 2019 Jul-Aug; Vol. 37 (4), pp. 575-584. Date of Electronic Publication: 2018 Nov 16.
Publication Year :
2019

Abstract

Objectives: The aim of this study was to develop a Delphi consensus statement between rheumatologists and radiologists for the diagnosis and monitoring of axial spondyloarthritis (axial-SpA).<br />Methods: Following an extensive literature search to identify unmet needs and potential goals for a multidisciplinary approach, a scientific board comprising 28 Italian hospital-based rheumatologists (n=19) and radiologists (n=9) identified 8 "starting points", resulting in the development of 23 consensus statements covering issues from current practice guidelines to specific MRI protocols for the assessment of axial-SpA. Each participant anonymously expressed a level of agreement for each statement using a 5-point Likert scale (1="strongly disagree"; 5="strongly agree") via an online Delphi method.Total cumulative agreement (TCA) was defined as the sum of the percentage of response to items 4 ("agree") and 5 ("absolutely agree"). Consensus was defined as ≥80% total cumulative agreement for each statement.<br />Results: After the first round of voting (28 participants), positive consensus was reached for 28/31 (90.3%) statements. Statements without consensus (n=3) were discussed in a face-to-face plenary session prior to the second vote (28 participants). After the second round voting, positive consensus was attained for all 31 statements, with mean final TCA of 95.5% (range 82.1-100%).<br />Conclusions: This Delphi consensus statement provides an aid to rheumatologists and radiologists for the diagnosis and monitoring of axial-SpA.

Details

Language :
English
ISSN :
0392-856X
Volume :
37
Issue :
4
Database :
MEDLINE
Journal :
Clinical and experimental rheumatology
Publication Type :
Academic Journal
Accession number :
30557127