International consensus: What else can we do to improve diagnosis and therapeutic strategies in patients affected by autoimmune rheumatic diseases (rheumatoid arthritis, spondyloarthritides, systemic sclerosis, systemic lupus erythematosus, antiphospholipid syndrome and Sjogren's syndrome)?: The unmet needs and the clinical grey zone in autoimmune disease management

Francesco Ciccia, Roberta Priori, Giovanni Triolo, Vasiliki Liakouli, Luca Quartuccio, Alessia Alunno, Serena Vettori, Francesco Ursini, Laura Massaro, Ricard Cervera, Pierluigi Meroni, Francesco Puppo, Piercarlo Sarzi-Puttini, Elena Bartoloni-Bocci, Yehuda Shoenfeld, Luca Navarini, Monica Pendolino, Francesco Carubbi, Paola Di Benedetto, Piero RuscittiMariele Gatto, Antonia Minniti, Onorina Berardicurti, Barbara Russo, George A. Somarakis, Francesca Romana Spinelli, Saviana Gandolfo, Ricard Cervera, Andrea Doria, Domenico Paolo Emanuele Margiotta, Elisa Tinazzi, Rosa Daniela Grembiale, Ennio Giulio Favalli, Rik Lories, Chiara Baldini, Ennio Lubrano, Marcella Prete, Jacques-Olivier Pers, Federico Perosa, Alberto Cauli, Amelia Ruffatti, Roberta Priori, Guido Valesini, Roberto Giacomelli, Claudio Vitali, Antonella Afeltra, Paola Cipriani, Alexandros A. Drosos, Claudio Lunardi, Athanasios G. Tzioufas, Salvatore De Vita, Fabrizio Conti, Gabriele Valentini, Barbara Russo

Risultato della ricerca: Article

78 Citazioni (Scopus)

Abstract

Autoimmune diseases are a complex set of diseases characterized by immune system activation and, although many progresses have been done in the last 15 years, several unmet needs in the management of these patients may be still identified. Recently, a panel of international Experts, divided in different working groups according to their clinical and scientific expertise, were asked to identify, debate and formulate a list of key unmet needs within the field of rheumatology, serving as a roadmap for research as well as support for clinicians. After a systematic review of the literature, the results and the discussions from each working group were summarised in different statements. Due to the differences among the diseases and their heterogeneity, a large number of statements was produced and voted by the Experts to reach a consensus in a plenary session. At all the steps of this process, including the initial discussions by the steering committee, the identification of the unmet needs, the expansion of the working group and finally the development of statements, a large agreement was attained. This work confirmed that several unmet needs may be identified and despite the development of new therapeutic strategies as well as a better understanding of the effects of existing therapies, many open questions still remain in this field, suggesting a research agenda for the future and specific clinical suggestions which may allow physicians to better manage those clinical conditions still lacking of scientific clarity.
Lingua originaleEnglish
pagine (da-a)911-924
Numero di pagine14
RivistaAutoimmunity Reviews
Volume16
Stato di pubblicazionePublished - 2017

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology

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