Taiwan ocular inflammation society consensus recommendations for the management of juvenile idiopathic arthritis-associated uveitis
We presented the development of a consensus guideline for managing juvenile idiopathic arthritis-associated uveitis (JIAU) in Taiwan, considering regional differences in manifestation and epidemiology. The Taiwan Ocular Inflammation Society (TOIS) committee formulated this guideline using a modified Delphi approach with two panel meetings. Recommendations were based on a comprehensive evidence-based literature review and expert clinical experiences, and were graded according to the Oxford Centre for Evidence-Based Medicine's "Levels of Evidence" guideline (March 2009). The TOIS consensus guideline consists of 10 recommendations in four categories: screening and diagnosis, treatment, complications, and monitoring, covering a total of 27 items. These recommendations received over 75% agreement from the panelists. Early diagnosis and a coordinated referral system between ophthalmologists and pediatric rheumatologists are crucial to prevent irreversible visual impairment in children with JIAU. However, achieving a balance between disease activity and medication use remains a key challenge in JIAU management, necessitating further clinical studies.PMID:38423923 | DOI:10.1016/j.jfma.2024.02.010
Source: J Formos Med Assoc - Category: General Medicine Authors: Wei-Dar Chen Cheng-Hsiu Wu Po-Yi Wu Chang-Ping Lin Liang-Shiou Ou De-Kuang Hwang Shwu-Jiuan Sheu Wei-Yu Chiang Yo-Chen Chang Chun-Ju Lin Wei-Chun Chan Yueh-Fu Fang Jerry Chien-Chieh Huang Tzu-En Kao Fang-Yi Chiu Ning-Yi Hsia Yih-Shiou Hwang Source Type: research
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