https://scholars.lib.ntu.edu.tw/handle/123456789/641631
標題: | Taiwan ocular inflammation society consensus recommendations for the management of juvenile idiopathic arthritis-associated uveitis | 作者: | Chen, Wei-Dar Wu, Cheng-Hsiu Wu, Po-Yi CHANG-PING LIN Ou, Liang-Shiou Hwang, De-Kuang Sheu, Shwu-Jiuan Chiang, Wei-Yu Chang, Yo-Chen Lin, Chun-Ju Chan, Wei-Chun Fang, Yueh-Fu Chien-Chieh Huang, Jerry Kao, Tzu-En Chiu, Fang-Yi Hsia, Ning-Yi Hwang, Yih-Shiou |
關鍵字: | Anti-tumor necrosis factor; DMARDs; Juvenile idiopathic arthritis-associated uveitis; Methotrexate; Taiwan | 公開日期: | 28-二月-2024 | 來源出版物: | Journal of the Formosan Medical Association = Taiwan yi zhi | 摘要: | We presented the development of a consensus guideline for managing juvenile idiopathic arthritis-associated uveitis (JIAU) in Taiwan, considering regional differences in manifestation and epidemiology. The Taiwan Ocular Inflammation Society (TOIS) committee formulated this guideline using a modified Delphi approach with two panel meetings. Recommendations were based on a comprehensive evidence-based literature review and expert clinical experiences, and were graded according to the Oxford Centre for Evidence-Based Medicine's "Levels of Evidence" guideline (March 2009). The TOIS consensus guideline consists of 10 recommendations in four categories: screening and diagnosis, treatment, complications, and monitoring, covering a total of 27 items. These recommendations received over 75% agreement from the panelists. Early diagnosis and a coordinated referral system between ophthalmologists and pediatric rheumatologists are crucial to prevent irreversible visual impairment in children with JIAU. However, achieving a balance between disease activity and medication use remains a key challenge in JIAU management, necessitating further clinical studies. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/641631 | ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2024.02.010 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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