rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2018-549-555rsp-2616Research ArticleМЕЖДУНАРОДНЫЕ И РОССИЙСКИЕ РЕКОМЕНДАЦИИ ПО ЛЕЧЕНИЮ РЕВМАТИЧЕСКИХ ЗАБОЛЕВАНИЙINTERNATIONAL AND RUSSIAN GUIDELINES FOR THE TREATMENT OF RHEUMATIC DISEASESОбзор рекомендаций Американской коллегии ревматологов и Американской ассоциации хирургов по периоперационному ведению и антиревматической терапии пациентов с ревматическими заболеваниями перед тотальным эндопротезированием коленных и тазобедренных суставов – 2017REVIEW OF THE 2017 AMERICAN COLLEGE OF RHEUMATOLOGY/AMERICAN ASSOCIATION OF HIP AND KNEE SURGEONS GUIDELINES FOR THE PERIOPERATIVE MANAGEMENT AND ANTIRHEUMATIC THERAPY OF PATIENTS WITH RHEUMATIC DISEASES BEFORE TOTAL KNEE AND HIP ARTHROPLASTYАмирджановаВ. Н.AmirdzhanovaV. N.

Москва, Россия 115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

amirver@yandex.ruКаратеевА. Е.KarateevA. E.

Москва, Россия 115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ПогожеваЕ. Ю.PogozhevaE. Yu.

Москва, Россия 115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation201806112018565549555Copyright © Амирджанова В.Н., Каратеев А.Е., Погожева Е.Ю., 20182018Амирджанова В.Н., Каратеев А.Е., Погожева Е.Ю.Amirdzhanova V.N., Karateev A.E., Pogozheva E.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/2616

В статье приводятся разработанные Американской коллегией ревматологов и Американской ассоциацией хирургов рекомендации по периоперационному лечению больных ревматоидным артритом, анкилозирующим спондилитом, псориатическим артритом, ювенильным идиопатическим артритом и системной красной волчанкой, которым проводится плановое эндопротезирование тазобедренного или коленного сустава. Рассматривается периоперационное применение противоревматической лекарственной терапии, включая базисные противовоспалительные препараты, генно-инженерные биологические препараты, тофацитиниб и глюкокортикоиды. Все рекомендации являются условными и основаны на результатах ретроспективных клинических исследований, которые следует учитывать, принимая решения при выборе периоперационной антиревматической терапии.

The article presents the guidelines developed by the American College of Rheumatology and the American Association of Hip and Knee Surgeons for the perioperative management of patients with rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, juvenile idiopathic arthritis, or systemic lupus erythematosus who are undergoing elective total hip or knee arthroplasty. It considers the perioperative use of antirheumatic drug therapy, including disease-modifying anti-inflammatory drugs, biological agents, tofacitinib, and glucocorticoids. All recommendations are conditional and based on the results of retrospective clinical trials, which should be considered when making decisions about perioperative antirheumatic therapy.

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The authors declare that there are no conflicts of interest present.