Distinguished rheumatologists from across the Eastern Mediterranean region posing for group picture in Doha.
DOHA: Weill Cornell Medicine-Qatar (WCM-Q) has collaborated with regional and international experts to adapt international guidelines for the management of rheumatoid arthritis to the Eastern Mediterranean region.
The project brought together experts from 24 institutions across the region, the USA and Canada to adapt the guidelines of the American College of Rheumatology (ACR) to suit local circumstances. The ultimate aim of the project is to ensure rheumatoid arthritis patients across the Eastern Mediterranean region receive the very best care possible.
Rheumatoid arthritis is characterized by painful inflammation and progressive immobility of the joints, particularly in the hands, feet and cervical spine. While there is currently no cure for rheumatoid arthritis, if treated correctly symptoms can be alleviated and progression of the disease slowed.
The guideline adaptation project was conducted under the guidance of Dr Thurayya Arayssi, WCM-Q Senior Associate Dean for Medical Education and a practicing rheumatologist, in partnership with Dr Elie Akl, Professor of Medicine and Director of the American University of Beirut (AUB) GRADE Center, and Director of the Clinical Research Institute at AUB.
Dr Arayssi said, “Because rheumatoid arthritis cannot be cured, treatment focuses on long-term management of the disease. As such, it is very important that rheumatologists have access to the most up-to-date treatment guidelines so their patients receive the best possible care.”
Dr Arayssi has been working with fellow clinicians and epidemiologists to systematically analyze each of the treatment guidelines of the ACR and tailor them to the Eastern Mediterranean region. This process of adaptation and development of guidelines (known in the medical world as ‘adolopment’) follows an established protocol that considers factors such as cost, impact on health equities, balance of benefits and harms, and acceptability. Adolopment is considered to be far more efficient in terms of time and expense than creating new or ‘de novo’ guidelines from scratch.
The working group adapted the ACR guidelines in two separate waves, eventually producing 16 recommendations for the management of early and established rheumatoid arthritis in the Eastern Mediterranean region.
The results of this process have now been documented in a research paper entitled ‘Recommendations for the management of rheumatoid arthritis in the Eastern Mediterranean region: an adolopment of the 2015 American College of Rheumatology guidelines.’ It has been published in Clinical Rheumatology, a leading medical journal. The group has also published its methodology in Health and Quality of Life Outcomes, another leading journal.
The Qatar National Research Fund’s (QNRF) Conference & Workshop Sponsorship Program (CWSP) and Weill Cornell Medical College in Qatar funded the first wave of adaptation. The International League of Associations for Rheumatology (ILAR) funded the second wave of adaptation.
