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Vol. 19. Issue 9.
Pages 465-477 (November 2023)
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Vol. 19. Issue 9.
Pages 465-477 (November 2023)
Special Article
SER recommendations for the treatment of uveitis
Recomendaciones SER sobre el tratamiento de la uveítis
Visits
8
Emma Beltrán Catalána,1, Noé Brito Garcíab,
,1
, Esperanza Pato Courc, Santiago Muñoz Fernándezd, Alejandro Gómez Gómeze, David Díaz Vallef, Marisa Hernández Garfellag, Félix Manuel Francisco Hernándezh, M. del Mar Trujillo Martíni, Lucía Silva Fernándezj, Gemma Villanuevak, Julio Suárez Cubal, Ricardo Blancom
a Servicio de Reumatología, Hospital del Mar, Barcelona, Spain
b Unidad de Investigación, Sociedad Española de Reumatología, Madrid, Spain
c Servicio de Reumatología, Hospital Clínico San Carlos, Madrid, Spain
d Servicio de Reumatología, Hospital Universitario Infanta Sofía. Universidad Europea de Madrid, Madrid, Spain
e Servicio de Reumatología, Hospital Universitario Vall d’Hebron, Barcelona, Spain
f Unidad de Inflamación Ocular, Hospital Clínico San Carlos, Madrid, Spain
g Servicio de Oftalmología, Hospital General Universitario de Valencia, Valencia, Spain
h Servicio de Reumatología, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain
i Fundación Canaria Instituto de Investigación Sanitaria de Canarias, Santa Cruz de Tenerife, Spain
j Servicio de Reumatología, Hospital Universitari Son Espases, Palma de Mallorca, Spain
k Cochrane Collaboration UK, Londres, United Kingdom
l Servicio de Reumatología, Hospital Universitario Príncipe de Asturias, Madrid, Spain
m Servicio de Reumatología, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Cantabria, Spain
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Tables (2)
Table 1. Implications of the strength of recommendation under the GRADE system.
Table 2. SER recommendations concerning the treatment of uveitis.
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Abstract
Objective

To develop evidence-based expert-consensus recommendations for the management of non-infectious, non-neoplastic, non-demyelinating disease associated uveitis.

Methods

Clinical research questions relevant to the objective of the document were identified, and reformulated into PICO format (patient, intervention, comparison, outcome) by a panel of experts selected based on their experience in the field. A systematic review of the available evidence was conducted, and evidence was graded according to GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria. Subsequently, recommendations were developed.

Results

Three PICO questions were constructed referring to uveitis anterior, non-anterior and complicated with macular edema. A total of 19 recommendations were formulated, based on the evidence found and/or expert consensus.

Conclusions

Here we present the first official recommendations of the Spanish Society of Rheumatology for the treatment of non-infectious and non-demyelinating disease associated uveitis. They can be directly applied to the Spanish healthcare system as a tool for assistance and therapeutic homogenisation.

Keywords:
Uveitis
Panuveitis
Intermediate uveitis
Macular oedema
GRADE
Resumen
Objetivo

Elaborar recomendaciones basadas en la evidencia disponible y el consenso de expertos para el manejo terapéutico de los pacientes con uveítis no infecciosas, no neoplásicas y no asociadas a enfermedad desmielinizante.

Métodos

Se identificaron preguntas clínicas de investigación relevantes para el objetivo del documento, reformuladas en formato PICO (paciente, intervención, comparación, outcome o desenlace) por un panel de expertos seleccionados en base a su experiencia en el área. Se realizó una revisión sistemática de la evidencia, graduándose de acuerdo a los criterios Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Subsecuentemente, se formularon las recomendaciones.

Resultados

Se seleccionaron 3 preguntas PICO, referentes a uveítis anteriores, no anteriores y complicadas con edema macular. Se formularon un total de 19 recomendaciones con base en la evidencia encontrada y/o consenso de expertos.

Conclusiones

Se presenta el primer documento oficial de la Sociedad Española de Reumatología de recomendaciones para el tratamiento de las uveítis. Pueden aplicarse directamente al sistema sanitario español como herramienta de ayuda y homogenización terapéutica.

Palabras clave:
Uveítis
Panuveítis
Uveítis intermedia
Edema macular
GRADE

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