title: Recommendations of the French Society for Rheumatology (SFR) on the everyday management of patients with spondyloarthritis.
abstract: The management of spondyloarthritis is challenging and has changed with the development of new concepts and treatments.
  
  
  OBJECTIVE
  To develop practice guidelines for the everyday management of patients with spondyloarthritis (including psoriatic arthritis), by updating previous national and international recommendations, based on a review of recently published data.
  
  
  METHODS
  A task force and a multidisciplinary literature review group were established. The task force identified the issues that remained unresolved. Based on existing recommendations and recent publications, the task force developed practice guidelines, which were revised by the literature review group and graded according to AGREE.
  
  
  RESULTS
  Practice guidelines for the management of spondyloarthritis are reported. After a review of the general diagnostic principles, 30 practice guidelines are given: 5 on general principles, 4 on the management strategy, 5 on non-pharmacological treatments, 7 on conventional pharmacological treatments, 6 on biotherapies, and 3 on surgical treatments and follow-up.
  
  
  CONCLUSIONS
  The updated practice guidelines reported here constitute a global framework that can guide physicians in the everyday management of spondyloarthritis.
authors.affiliation: Service de rhumatologie, université de Franche-Comté (EA 4266), CHRU de Besançon, boulevard Fleming, 25030 Besançon, France. Electronic address: dwendling@chu-besancon.fr.
authors.forename: Daniel
authors.initials: D
authors.lastname: Wendling
authors.affiliation: Hôpital Lapeyronie, Montpellier, Institut Universitaire de Recherche Clinique (EA2415), 34000 Montpellier, France.
authors.forename: Cédric
authors.initials: C
authors.lastname: Lukas
authors.affiliation: Département de rhumatologie, CHU d'Amiens, 80000 Amiens, France; Inserm U1088, UFR Médecine/Pharmacie, Université de Picardie Jules-Verne, 80000 Amiens, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Paccou
authors.affiliation: Université Paris Est Créteil, Laboratoire d'Investigation Clinique (LIC) EA4393, 94010 Créteil, France; AP-HP, Hôpital Henri-Mondor, Service de Rhumatologie, 94000 Créteil, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Claudepierre
authors.affiliation: Association France Spondylarthrites, 19000 Tulle, France.
authors.forename: Laurence
authors.initials: L
authors.lastname: Carton
authors.affiliation: Departement de Rhumatologie, CHU Lapeyronie,Université Montpellier 1, 34000 Montpellier, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Combe
authors.affiliation: CHRU de Tours, service de rhumatologie, UMR CNRS 7292, Université François-Rabelais de Tours, 37000 Tours, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Goupille
authors.affiliation: Inserm CIC-EC, CHU de Nancy, Service épidémiologie et évaluation cliniques, 54505 Nancy, France.
authors.forename: Francis
authors.initials: F
authors.lastname: Guillemin
authors.affiliation: Cabinet de Rhumatologie, 75008 Paris, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Hudry
authors.affiliation: Université Paris-Sud, Hôpitaux Universitaires Paris-Sud, AP-HP, 94270 Le Kremlin-Bicêtre, France.
authors.forename: Corinne
authors.initials: C
authors.lastname: Miceli-Richard
authors.affiliation: Paris-Descartes University, Medicine Faculty, AP-HP, Cochin hospital, Rheumatology B Department, 75014 Paris, France.
authors.forename: Maxime
authors.initials: M
authors.lastname: Dougados
mesh_terms: D015535:Arthritis, Psoriatic / Q000175:diagnosis / Q000628:therapy*; D035843:Biomedical Research; D006801:Humans; D025241:Spondylarthritis / Q000175:diagnosis / Q000628:therapy*
keywords: Ankylosing spondylitis; NSAIDs; Physiotherapy; Rehabilitation; Spondyloarthritis; TNFα antagonists; Therapeutic education; Treatment