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THERAPY

Axial spondyloarthritis: time to stop the split 10 years on

Nature Reviews Rheumatology volume 16, pages 5–6 (2020)Cite this article

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The 2019 ACR–SAA–SPARTAN treatment recommendations for axial spondyloarthritis incorporate useful advice on new therapies, treatment strategy and the use of imaging. But is it appropriate to still recommend different treatment strategies for non-radiographic and radiographic disease when available evidence suggests they are part of the same clinical spectrum?

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Acknowledgements

The work of X.M. is supported by the Catalan Society of Rheumatology. The work of H.M.-O. is supported by the National Institute for Health Research (NIHR) Leeds Biomedical Research Centre. The views expressed are those of the authors and not necessarily those of the UK National Health Service, the NIHR or the UK Department of Health.

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Authors and Affiliations

  1. NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, UK

    Xabier Michelena & Helena Marzo-Ortega

  2. Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK

    Xabier Michelena & Helena Marzo-Ortega

  3. Hospital Universitari de Bellvitge-IDIBELL, Hospitalet de Llobregat, Barcelona, Spain

    Xabier Michelena

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  1. Xabier Michelena
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  2. Helena Marzo-Ortega
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Correspondence to Helena Marzo-Ortega.

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Competing interests

X.M. declares that he has received speaking fees from Novartis, Sanofi and UCB. H.M.-O. declares that she has received research grants, honoraria and/or speaking fees from AbbVie, Celgene, Eli-Lilly, Janssen, Novartis, Pfizer and UCB and that she is a co-author of the 2016 ASAS–EULAR management recommendations for axial spondyloarthritis and a medical advisor to the Spondylitis Association of America.

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Michelena, X., Marzo-Ortega, H. Axial spondyloarthritis: time to stop the split 10 years on. Nat Rev Rheumatol 16, 5–6 (2020). https://doi.org/10.1038/s41584-019-0331-6

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