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

1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33

 

  1. Department of Rheumatology, ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy. antonio.marchesoni@asst-pini-cto.it
  2. Istituto Reumatologico Lucano (IReL), Potenza, and Basilicata Ricerca Biomedica (BRB) Foundation, Potenza, Italy.
  3. Department of Radiological, Oncological and Anatomopathological Sciences, Radiology, Sapienza, University of Rome, Policlinico Umberto I, Rome, Italy.
  4. Rheumatology Unit, S. Chiara Hospital, Trento, Italy.
  5. Division of Rheumatology, Hospital of Prato, Italy.
  6. Division of Diagnostic and Interventional Radiology, Department of Translational Research and New Technologies in Medicine and Surgery, Azienda Ospedaliero Universitaria Pisana, University of Pisa, Italy.
  7. Radiology Department, Università Politecnica delle Marche, Ancona, Italy.
  8. Rheumatology, Allergology and Clinical Immunology, Department of “Medicina dei Sistemi”, University of Rome Tor Vergata, Rome, Italy.
  9. Rheumatology Unit, University of Pisa, Italy.
  10. CE Medical Writing, Pisa Italy.
  11. Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Italy.
  12. Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Italy.
  13. A.O.U. 'Città della Salute e della Scienza' Hospital, Turin, Italy.
  14. Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Italy.
  15. Department of Radiology, ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy.
  16. Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Italy.
  17. Department of Medical, Surgical and Neurosciences, Diagnostic Imaging, University of Siena, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
  18. Rheumatology Unit, Department of Medicine University of Perugia, Italy.
  19. Istituto Reumatologico Lucano (IReL), Potenza, and Basilicata Ricerca Biomedica (BRB) Foundation, Potenza, and Department of Health Sciences, University of Catanzaro 'Magna Graecia', Catanzaro, Italy.
  20. Rheumatology Unit - DETO, University of Bari, Italy.
  21. Department of Hospital Services, SS. Antonio and Biagio and Cesare Arrigo Hospital, Alessandria, Italy.
  22. Dipartimento di Medicina e Scienze della Salute 'Vincenzo Tiberio', Università degli studi del Molise, Campobasso, Italy.
  23. Department of Radiology, University of Foggia, Italy.
  24. Istituto Reumatologico Lucano (IReL), Potenza, and Basilicata Ricerca Biomedica (BRB) Foundation, Potenza, Italy.
  25. Rheumatology Unit, Ospedale di Mauriziano I, Turin, Italy.
  26. Rheumatology Unit, Department of Medicine, University of Padua, Italy.
  27. Rheumatology Unit, Department of Internal Medicine, Azienda Ospedaliera ASMN, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia, and University of Modena and Reggio Emilia, Italy.
  28. Radiology Department, San Carlo Hospital, Potenza, Italy.
  29. Rheumatology Unit, Department of Clinical Medicine and Surgery, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
  30. Department of Radiology, Azienda Ospedaliera ASMN, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia, Italy.
  31. Rheumatology Unit, Department of Clinical Medicine and Surgery, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
  32. Department of Health Sciences (DISSAL), Radiology Section, University of Genoa, Italy.
  33. Department of Medical, Surgical and Neurosciences, Diagnostic Imaging, University of Siena, Azienda Ospedaliera Universitaria Senese, Siena, Italy.

on behalf of the SHARE Study Group

CER11335
2019 Vol.37, N°4
PI 0575, PF 0584
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PMID: 30557127 [PubMed]

Received: 18/04/2018
Accepted : 27/08/2018
In Press: 16/11/2018
Published: 27/06/2019

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).
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.
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%).
CONCLUSIONS:
This Delphi consensus statement provides an aid to rheumatologists and radiologists for the diagnosis and monitoring of axial-SpA.

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