CanVasc Recommendations for the Management of Antineutrophil Cytoplasm Antibody-associated Vasculitides.
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Clinical Guidelines
Authored By
McGeoch L, Twilt M, Famorca L, Bakowsky V, Barra L, Benseler SM, Cabral DA, Carette S, Cox GP, Dhindsa N, Dipchand CS, Fifi-Mah A, Goulet M, Khalidi N, Khraishi MM, Liang P, Milman N, Pineau CA, Reich
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Interests
Immunology Allergy & Inflammation
Speciality
Immunology Allergy & Inflammation
Book Detail
volume
43
ISSN
1499-2752
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One of its aims is to develop recommendations for the diagnosis and management of antineutrophil cytoplasm antibody (ANCA)-associated vasculitides (AAV) in Canada. Methods: Diagnostic and therapeutic questions were developed based on the results of a national needs assessment survey. A systematic review of existing non-Canadian recommendations and guidelines for the diagnosis and management of AAV and studies of AAV published after the 2009 European League Against Rheumatism\/European Vasculitis Society recommendations (publication date: January 2009) until November 2014 was performed in the Medline database, Cochrane library, and main vasculitis conference proceedings. Quality of supporting evidence for each therapeutic recommendation was graded. The full working group as well as additional reviewers, including patients, reviewed the developed therapeutic recommendations and nontherapeutic statements using a modified 2-step Delphi technique and through discussion to reach consensus. Results: Nineteen recommendations and 17 statements addressing general AAV diagnosis and management were developed, as well as appendices for practical use, for rheumatologists, nephrologists, respirologists, general internists, and all other healthcare professionals more occasionally involved in the management of patients with AAV in community and academic practice settings. Conclusion: These recommendations were developed based on a synthesis of existing international guidelines, other published supporting evidence, and expert consensus considering the Canadian healthcare context, with the intention of promoting best practices and improving healthcare delivery for patients with AAV.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=26523024&authtype=shib&custid=ns346513","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"McGeoch L, Twilt M, Famorca L, Bakowsky V, Barra L, Benseler SM, Cabral DA, Carette S, Cox GP, Dhindsa N, Dipchand CS, Fifi-Mah A, Goulet M, Khalidi N, Khraishi MM, Liang P, Milman N, Pineau CA, Reich HN, Samadi N, Shojania K, Taylor-Gjevre R, Towheed TE, Trudeau J, Walsh M, Yacyshyn E, Pagnoux C","Corporate_Authors":"Canadian Vasculitis Research Network","Journal_Info":"Publisher: Journal Of Rheumatology Publishing Co Country of Publication: Canada NLM ID: 7501984 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1499-2752 (Electronic) Linking ISSN: 0315162X NLM ISO Abbreviation: J Rheumatol Subsets: MEDLINE","Publication_Type":"Consensus Development Conference; Journal Article; Review; Systematic Review","Published_Date":"2016-01-01","Source":"The Journal of rheumatology [J Rheumatol] 2016 Jan; Vol. 43 (1), pp. 97-120. Date of Electronic Publication: 2015 Nov 01.","Languages":"English","Electronic_ISSN":"1499-2752","MeSH_Terms":"Practice Guidelines as Topic*, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis\/*diagnosis , Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis\/*therapy, Canada ; Delphi Technique ; Disease Management ; Evidence-Based Medicine ; Female ; Humans ; Male","Subjects":"Canada, Delphi Technique, Disease Management, Evidence-Based Medicine, Female, Humans, Male, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis diagnosis, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis therapy, Practice Guidelines as Topic","Title_Abbreviations":"The Journal of rheumatology","Volume":"43"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"26523024","RelevancyScore":"787","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"787.438598632813"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=26523024&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=26523024&authtype=shib&custid=ns346513&group=main&profile=eds"}
["McGeoch L, Twilt M, Famorca L, Bakowsky V, Barra L, Benseler SM, Cabral DA, Carette S, Cox GP, Dhindsa N, Dipchand CS, Fifi-Mah A, Goulet M, Khalidi N, Khraishi MM, Liang P, Milman N, Pineau CA, Reich HN, Samadi N, Shojania K, Taylor-Gjevre R, Towheed TE, Trudeau J, Walsh M, Yacyshyn E, Pagnoux C","Canadian Vasculitis Research Network","Publisher: Journal Of Rheumatology Publishing Co Country of Publication: Canada NLM ID: 7501984 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1499-2752 (Electronic) Linking ISSN: 0315162X NLM ISO Abbreviation: J Rheumatol Subsets: MEDLINE","Consensus Development Conference; Journal Article; Review; Systematic Review","2016-01-01","The Journal of rheumatology [J Rheumatol] 2016 Jan; Vol. 43 (1), pp. 97-120. Date of Electronic Publication: 2015 Nov 01.","English","1499-2752","Practice Guidelines as Topic*, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis\/*diagnosis , Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis\/*therapy, Canada ; Delphi Technique ; Disease Management ; Evidence-Based Medicine ; Female ; Humans ; Male","Canada, Delphi Technique, Disease Management, Evidence-Based Medicine, Female, Humans, Male, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis diagnosis, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis therapy, Practice Guidelines as Topic","The Journal of rheumatology","43"]
Description
Objective: The Canadian Vasculitis research network (CanVasc) is composed of physicians from different medical specialties and researchers with expertise in vasculitis. One of its aims is to develop recommendations for the diagnosis and management of antineutrophil cytoplasm antibody (ANCA)-associated vasculitides (AAV) in Canada.<br />Methods: Diagnostic and therapeutic questions were developed based on the results of a national needs assessment survey. A systematic review of existing non-Canadian recommendations and guidelines for the diagnosis and management of AAV and studies of AAV published after the 2009 European League Against Rheumatism/European Vasculitis Society recommendations (publication date: January 2009) until November 2014 was performed in the Medline database, Cochrane library, and main vasculitis conference proceedings. Quality of supporting evidence for each therapeutic recommendation was graded. The full working group as well as additional reviewers, including patients, reviewed the developed therapeutic recommendations and nontherapeutic statements using a modified 2-step Delphi technique and through discussion to reach consensus.<br />Results: Nineteen recommendations and 17 statements addressing general AAV diagnosis and management were developed, as well as appendices for practical use, for rheumatologists, nephrologists, respirologists, general internists, and all other healthcare professionals more occasionally involved in the management of patients with AAV in community and academic practice settings.<br />Conclusion: These recommendations were developed based on a synthesis of existing international guidelines, other published supporting evidence, and expert consensus considering the Canadian healthcare context, with the intention of promoting best practices and improving healthcare delivery for patients with AAV.