Management of Psoriatic Arthritis: Turkish League Against Rheumatism (TLAR) Expert Opinions

Kemal NAS1, Erkan KILIÇ2, Remzi ÇEVİK3, Hatice BODUR4, Şebnem ATAMAN5, Figen AYHAN6,7, Özgür AKGÜL8, Ayşen AKINCI9, Zuhal ALTAY10, Erhan Çapkın11, Abdullah Zübeyir DAĞLI12, Tuncay DURUÖZ13, Gülcan GÜRER14, Feride GÖĞÜŞ15, Yeşim GARİP16, Cahit KAÇAR17, Ayhan KAMANLI18, Ece KAPTANOĞLU19, Taciser KAYA20, Hilal KOCABAŞ21, Erhan Ali ÖZDEMİREL22, Sumru ÖZEL23, İlhan SEZER24, İsmihan SUNAR5, Gürkan YILMAZ5

1Department of Physical Medicine and Rehabilitation, Division of Rheumatology and Immunology, Sakarya University School of Medicine, Sakarya, Turkey
2Rheumatology Clinic, Afyonkarahisar State Hospital, Afyon, Turkey
3Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Dicle University School of Medicine, Diyarbakır, Turkey
4Department of Physical Medicine and Rehabilitation, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey
5Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Ankara University School of Medicine, Ankara, Turkey
6Department of Physical Therapy and Rehabilitation, School of Health Sciences, Uşak University, Uşak, Turkey
7Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara, Turkey
8Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Celal Bayar University School of Medicine, Manisa, Turkey
9Department of Physical Medicine and Rehabilitation, Hacettepe University School of Medicine, Ankara, Turkey
10Department of Physical Medicine and Rehabilitation, İnönü University School of Medicine, Malatya, Turkey
11Department of Physical Medicine and Rehabilitation, Karadeniz Technical University School of Medicine, Trabzon, Turkey
12Physical Medicine and Rehabilitation Clinic, Bitlis State Hospital, Bitlis, Turkey
13Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Marmara University School of Medicine, İstanbul, Turkey
14Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Adnan Menderes University School of Medicine, Aydın, Turkey
15Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Gazi University School of Medicine, Ankara, Turkey
16Department of Physical Medicine and Rehabilitation, Ankara Numune Training and Research Hospital, Ankara, Turkey
17Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Akdeniz University School of Medicine, Antalya, Turkey
18Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Sakarya University School of Medicine, Sakarya, Turkey
19Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Cumhuriyet University School of Medicine, Sivas, Turkey
20Department of Physical Medicine and Rehabilitation, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey
21Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey
22Department of Rheumatology Clinic, Health Sciences University, Ankara Dışkapı Training and Research Hospital, Ankara, Turkey
23Department of Physical Medicine and Rehabilitation, Hitit University School of Medicine, Çorum, Turkey
24Department of Physical Medicine and Rehabilitation, Health Sciences University, Antalya Training and Research Hospital, Antalya, Turkey

Keywords: Expert opinions, management, psoriatic arthritis, treatment recommendation, Turkish League Against Rheumatism

Abstract

Objectives: This study aims to establish the first national treatment recommendations by the Turkish League Against Rheumatism (TLAR) for psoriatic arthritis (PsA) based on the current evidence.
Materials and methods: A systematic literature review was performed regarding the management of PsA. The TLAR expert committee consisted of 13 rheumatologists and 12 physical medicine and rehabilitation specialists experienced in the treatment and care of patients with PsA from 22 centers. The TLAR recommendations were built on those of European League Against Rheumatism (EULAR) 2015. Levels of evidence and agreement were determined.
Results: Recommendations included five overarching principles and 13 recommendations covering therapies for PsA, particularly focusing on musculoskeletal involvement. Level of agreement was greater than eight for each item.
Conclusion: This is the first paper that summarizes the recommendations of TLAR as regards the treatment of PsA. We believe that this paper provides Turkish physicians dealing with PsA patients a practical guide in their routine clinical practice.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.