Updated recommendations for the management of axial spondyloarthritis provide a useful framework for physicians treating this disease. However, the guidance on use of biologic therapies and treat-to-target strategies seems to raise more questions than it answers.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Taurog, J. D., Chhabra, A. & Colbert, R. A. Ankylosing spondylitis and axial spondyloarthritis. N. Engl. J. Med. 374, 2563–2574 (2016).
Rudwaleit, M. et al. The development of Assessment of Spondyloarthritis International Society classification criteria for axial spondyloarthritis (part II): validation and final selection. Ann. Rheum. Dis. 68, 777–783 (2009).
Van der Heijde, D. et al. 2016 update of the ASAS-EULAR management recommendations for axial spondyloarthritis. Ann. Rheum. Dis. http://dx.doi.org/10.1136/annrheumdis-2016-210770 (2017).
Wendling, D. et al. Recommendations of the French Society for Rheumatology (SFR) on the everyday management of patients with spondyloarthritis. Joint Bone Spine 81, 6–14 (2014).
Smolen, J. S. et al. Treating spondyloarthritis, including ankylosing spondylitis and psoriatic arthritis, to target: recommendations of an international task force. Ann. Rheum. Dis. 73, 6–16 (2014).
Wendling, D. An overview of investigational new drugs for treating ankylosing spondylitis. Expert Opin. Investig. Drugs 25, 95–104 (2016).
Prati, C. et al. TNFα antagonist therapy in axial spondyloarthritis: can we do better? Joint Bone Spine 83, 247–249 (2016).
Guellec, D. et al. Should non-steroidal anti-inflammatory drugs be used continuously in ankylosing spondylitis? Joint Bone Spine 81, 308–312 (2014).
Wach, J. et al. Fibromyalgia in spondyloarthritis: effect on disease activity assessment in clinical practice. J. Rheumatol. 43, 2056–2063 (2016).
Sieper, J. et al. Efficacy and safety of adalimumab in patients with non-radiographic axial spondyloarthritis: results of a randomized placebo-controlled trial (ABILITY-1). Ann. Rheum. Dis. 72, 815–822 (2013).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
D.W. declares that he has received speaking fees from, acted as an adviser for or received hospitality from AbbVie, Amgen, BMS, Celgene, Chugai, Eli Lilly, Hospira, Janssen, MSD, Nordic Pharma, Novartis, Pfizer, Roche, Sandoz, Sanofi Aventis, SOBI and UCB. C.P. declares that he has received speaking fees from, acted as an adviser for or received hospitality from BMS, Chugai, Eli Lilly, Hospira, Janssen, Medac, Novartis, Pfizer, Roche and UCB.
Rights and permissions
About this article
Cite this article
Wendling, D., Prati, C. Fine tuning the management of axial spondyloarthritis. Nat Rev Rheumatol 13, 199–200 (2017). https://doi.org/10.1038/nrrheum.2017.24
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrrheum.2017.24