RT Journal Article
T1 A clinical practice guideline for the management of the foot and ankle in rheumatoid arthritis
A1 Ramos-Petersen, Laura
A1 Reinoso-Cobo, Andrés
A1 Ortega-Ávila, Ana Belén
A1 Garcia-Campos, Jonatan
A1 Bernal, Jose-Antonio
A1 Cantero-Téllez, Raquel
A1 Martín-Martín, Jose-María
A1 Caliz-Caliz, Rafael
A1 Tejero, Sergio
A1 Cano-García, Laura
A1 Gijón-Noguerón, Gabriel
K1 Pies
K1 Tobillos
K1 Artritis reumatoide
K1 Cuidados de enfermería
AB Rheumatoid arthritis causes progressive joint destruction in the long term, causing a deterioration of the foot and ankle. Aclinical practice guideline has been created with the main objective of providing recommendations in the field of podiatryfor the conservative management of rheumatoid arthritis. Thus, healthcare professionals involved in foot care of adults withrheumatoid arthritis will be able to follow practical recommendations. A clinical practice guideline was created includ-ing a group of experts (podiatrists, rheumatologists, nurses, an orthopaedic surgeon, a physiotherapist, an occupationaltherapist and patient with rheumatoid arthritis). Methodological experts using GRADE were tasked with systematicallyreviewing the available scientific evidence and developing the information which serves as a basis for the expert group tomake recommendations. Key findings include the efficacy of chiropody in alleviating hyperkeratotic lesions and improv-ing short-term pain and functionality. Notably, custom and standardized foot orthoses demonstrated significant benefits inreducing foot pain, enhancing physical function, and improving life quality. Therapeutic footwear was identified as crucialfor pain reduction and mobility improvement, emphasizing the necessity for custom-made options tailored to individualpatient needs. Surgical interventions were recommended for cases which were non-responsive to conservative treatments,aimed at preserving foot functionality and reducing pain. Moreover, self-care strategies and education were underscoredas essential components for promoting patient independence and health maintenance. A series of recommendations havebeen created which will help professionals and patients to manage podiatric pathologies derived from rheumatoid arthritis.
PB Springer
YR 2024
FD 2024-06-08
LK https://hdl.handle.net/10630/32026
UL https://hdl.handle.net/10630/32026
LA eng
NO Ramos-Petersen L, Reinoso-Cobo A, Ortega-Avila AB, Garcia-Campos J, Bernal JA, Cantero-Tellez R, Martin-Martin JM, Caliz-Caliz R, Tejero S, Cano-Garcia L, Gijon-Nogueron G. A clinical practice guideline for the management of the foot and ankle in rheumatoid arthritis. Rheumatol Int. 2024 Aug;44(8):1381-1393.
NO Funding for open access publishing: Universidad Málaga/CBUA
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 21 ene 2026