Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis
Through this systematic literature review, we assembled evidence to inform the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus (SLE) and systemic sclerosis (SSc). We screened articles published between January 2000 and June 2021. Studies selected for data...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-07-01
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| Series: | RMD Open |
| Online Access: | https://rmdopen.bmj.com/content/9/3/e003297.full |
| _version_ | 1797640324859822080 |
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| author | Tanja A Stamm Ioannis Parodis Alvaro Gomez Carina Boström Alexander Tsoi Jun Weng Chow Denise Pezzella Charlotte Girard |
| author_facet | Tanja A Stamm Ioannis Parodis Alvaro Gomez Carina Boström Alexander Tsoi Jun Weng Chow Denise Pezzella Charlotte Girard |
| author_sort | Tanja A Stamm |
| collection | DOAJ |
| description | Through this systematic literature review, we assembled evidence to inform the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus (SLE) and systemic sclerosis (SSc). We screened articles published between January 2000 and June 2021. Studies selected for data extraction (118 for SLE and 92 for SSc) were thematically categorised by the character of their intervention. Of 208 articles included, 51 were classified as robust in critical appraisal. Physical activity was the most studied management strategy and was found to be efficacious in both diseases. Patient education and self-management also constituted widely studied topics. Many studies on SLE found psychological interventions to improve quality of life. Studies on SSc found phototherapy and laser treatment to improve cutaneous disease manifestations. In summary, non-pharmacological management of SLE and SSc encompasses a wide range of interventions, which can be combined and provided either with or without adjunct pharmacological treatment but should not aim to substitute the latter when this is deemed required. While some management strategies i.e., physical exercise and patient education, are already established in current clinical practice in several centres, others e.g., phototherapy and laser treatment, show both feasibility and efficacy, yet require testing in more rigorous trials than those hitherto conducted. |
| first_indexed | 2024-03-11T13:29:19Z |
| format | Article |
| id | doaj.art-404e147de0a94f2e9f96626308498151 |
| institution | Directory Open Access Journal |
| issn | 2056-5933 |
| language | English |
| last_indexed | 2024-03-11T13:29:19Z |
| publishDate | 2023-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | RMD Open |
| spelling | doaj.art-404e147de0a94f2e9f966263084981512023-11-03T02:55:07ZengBMJ Publishing GroupRMD Open2056-59332023-07-019310.1136/rmdopen-2023-003297Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosisTanja A Stamm0Ioannis Parodis1Alvaro Gomez2Carina Boström3Alexander Tsoi4Jun Weng Chow5Denise Pezzella6Charlotte Girard7Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, AustriaDepartment of Rheumatology, Faculty of Medicine and Health, Örebro University, Örebro, SwedenDivision of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, SwedenDepartment of Occupational Therapy and Physiotherapy, Karolinska University Hospital, Stockholm, SwedenDivision of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, SwedenDivision of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, SwedenDivision of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, SwedenDivision of Rheumatology, Department of Medicine, University of Geneva, Geneva, SwitzerlandThrough this systematic literature review, we assembled evidence to inform the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus (SLE) and systemic sclerosis (SSc). We screened articles published between January 2000 and June 2021. Studies selected for data extraction (118 for SLE and 92 for SSc) were thematically categorised by the character of their intervention. Of 208 articles included, 51 were classified as robust in critical appraisal. Physical activity was the most studied management strategy and was found to be efficacious in both diseases. Patient education and self-management also constituted widely studied topics. Many studies on SLE found psychological interventions to improve quality of life. Studies on SSc found phototherapy and laser treatment to improve cutaneous disease manifestations. In summary, non-pharmacological management of SLE and SSc encompasses a wide range of interventions, which can be combined and provided either with or without adjunct pharmacological treatment but should not aim to substitute the latter when this is deemed required. While some management strategies i.e., physical exercise and patient education, are already established in current clinical practice in several centres, others e.g., phototherapy and laser treatment, show both feasibility and efficacy, yet require testing in more rigorous trials than those hitherto conducted.https://rmdopen.bmj.com/content/9/3/e003297.full |
| spellingShingle | Tanja A Stamm Ioannis Parodis Alvaro Gomez Carina Boström Alexander Tsoi Jun Weng Chow Denise Pezzella Charlotte Girard Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis RMD Open |
| title | Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis |
| title_full | Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis |
| title_fullStr | Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis |
| title_full_unstemmed | Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis |
| title_short | Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis |
| title_sort | systematic literature review informing the eular recommendations for the non pharmacological management of systemic lupus erythematosus and systemic sclerosis |
| url | https://rmdopen.bmj.com/content/9/3/e003297.full |
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