Italian consensus on the recommendations about the use of methotrexate for the treatment of rheumatic diseases with a focus on rheumatoid arthritis: results from the “3E initiative”

  • F. De Leonardis | office@pagepress.org
  • S. Aliverini
  • E. Bonacci
  • A.M. Buono
  • S. Bombardieri
  • G.F. Ferraccioli
  • C. Montecucco
  • L. Sinigaglia
  • F. Trotta
  • G. Valentini

Abstract

Objective: To develop a set of national evidence-based recommendations for the use of Methotrexate (MTX) in daily clinical practice. Methods: A panel of 37 Italian Rheumatologists reviewed 10 international recommendations formulated during the “3E (Evidence, Expertise, Exchange) initiative” for the year 2007-8, following a systematic literature search in Medline, Embase, Cochrane Library, and 2005-7 American College of Rheumatology/European League Against Rheumatism meeting abstracts and the revision of selected papers and the appraisal of Oxford levels of evidence. Moreover, the same panel by the same methodology formulated further 5 recommendations on topics previously selected by Italian representatives to 3E initiative. The agreement about the set of proposed recommendations was stated by a consensus process and the potential impact on clinical practice was assessed. Results: International Recommendations were analysed and changed when appropriate. In addition, 5 national recommendations were developed by identifying 6371 references, selecting and evaluating the 29 ones satisfying Evidence Based Medicine principles. Conclusions: A set of 15 national recommendations for the use of MTX in daily clinical practice was developed. These recommendations are evidence-based and integrate the expertise of a large panel of Italian rheumatologists.

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How to Cite
De Leonardis, F., Aliverini, S., Bonacci, E., Buono, A., Bombardieri, S., Ferraccioli, G., Montecucco, C., Sinigaglia, L., Trotta, F., & Valentini, G. (1). Italian consensus on the recommendations about the use of methotrexate for the treatment of rheumatic diseases with a focus on rheumatoid arthritis: results from the “3E initiative”. Reumatismo, 62(1), 34-45. https://doi.org/10.4081/reumatismo.2010.34