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Treatment consensus for management of polymyositis and dermatomyositis among rheumatologists, neurologists and dermatologists
Author(s) -
Kohsaka Hitoshi,
Mimori Tsuneyo,
Kanda Takashi,
Shimizu Jun,
Sunada Yoshihide,
Fujimoto Manabu,
Kawaguchi Yasushi,
Jinnin Masatoshi,
Muro Yoshinao,
Ishihara Shoichiro,
Tomimitsu Hiroyuki,
Ohta Akiko,
Sumida Takayuki
Publication year - 2019
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12223
Subject(s) - medicine , polymyositis , dermatomyositis , family medicine , christian ministry , specialty , consensus conference , alternative medicine , rheumatology , multidisciplinary approach , delphi method , physical therapy , pathology , social science , philosophy , statistics , theology , mathematics , sociology
Although rheumatologists, neurologists, and dermatologists see patients with polymyositis (PM) and dermatomyositis (DM), their management appears to vary depending on the physician's specialty. The aim of this study was to establish the treatment consensus among specialists of the three fields to standardize the patient care. We formed a research team supported by a grant from the Ministry of Health, Labor, and Welfare, Japan. Clinical questions (CQ) on the management of PM and DM were raised. A published work search on CQ was performed primarily using PubMed. Using the nominal group technique, qualified studies and results in the published work were evaluated and discussed to reach consensus recommendations. They were sent out to the Japan College of Rheumatology, Japanese Society of Neurology, and Japanese Dermatological Association for their approval. We reached a consensus in 23 CQ and made recommendations, and a decision tree for management was proposed. They were officially approved by the three scientific societies. In conclusion, a multidisciplinary treatment consensus for the management of PM and DM was established for the first time.