rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2019-255-264rsp-2723Research ArticleМЕЖДУНАРОДНЫЕ И РОССИЙСКИЕ РЕКОМЕНДАЦИИ ПО ЛЕЧЕНИЮ РЕВМАТИЧЕСКИХ ЗАБОЛЕВАНИЙINTERNATIONAL AND RUSSIAN GUIDELINES FOR THE TREATMENT OF RHEUMATIC DISEASESМониторинг больных системной красной волчанкой: общая характеристика и дискуссионные вопросы (по материалам рекомендаций Канадской ассоциации ревматологов)Monitoring patients with systemic lupus erythematosus: general characteristics and discussion questions (according to the Canadian Rheumatology Association recommendations)ПанафидинаТ. А.PanafidinaT. A.

115522, Москва, Каширское шоссе, 34А.

34A, Kashirskoe Shosse, Moscow 115522.

panafidina@inbox.ruПопковаТ. В.PopkovaT. V.

115522, Москва, Каширское шоссе, 34А.

34A, Kashirskoe Shosse, Moscow 115522.

СоловьевС. К.SolovyevS. K.

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 Federation201908072019573255264Copyright © Панафидина Т.А., Попкова Т.В., Соловьев С.К., 20192019Панафидина Т.А., Попкова Т.В., Соловьев С.К.Panafidina T.A., Popkova T.V., Solovyev S.K.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/2723

В статье подробно изложены 15 новых рекомендаций Канадской ревматологической ассоциации, посвященных клиническому мониторингу больных системной красной волчанкой (СКВ). При их разработке была впервые использована система классификации и оценки качества рекомендаций GRADE (Grading of Recommendations Assessment, Development, and Evaluation). Рекомендации по специализации врача, оценке кардиоваскулярного риска, концентрации анти-Ro/SSA и анти-La/SSB антител в период беременности и ежегодной вакцинации против вируса гриппа рассматриваются как сильные; по оценке активности болезни и индекса повреждения, ультразвуковому исследованию сонных артерий, диагностике остеопороза, остеонекроза, допплерографии маточного и фетоплацентарного кровотока во время беременности, скринингу рака шейки матки, вирусных гепатитов В и С у пациентов с СКВ – как условные.

The paper details 15 new recommendations of the Canadian Rheumatology Association for the clinical monitoring of patients with systemic lupus erythematosus (SLE). During their development, the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) classification system for rating the quality of recommendations was used for the first time. The recommendations for physician specialization; cardiovascular risk assessment; anti-Ro/SSA and anti-La/SSB antibody concentrations examination during pregnancy; and annual influenza vaccination are considered to be strong; those for rating disease activity and damage index; ultrasound of the carotid arteries; diagnosis of osteoporosis and osteonecrosis; Doppler ultrasound of uterine and fetoplacental blood flow during pregnancy; screening for cervical cancer, viral hepatitis B and C in patients with SLE are regarded as conditional.

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