Anne Gitte Rasmussen Loft

Evidence-based recommendations for treatment with methotrexate in rheumatic disorders

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

  • Ole Rintek Madsen, Department of Internal Medicine C/Rheumatology, Copenhagen University Hospital Gentofte, 2900 Hellerup, Denmark. rintek@dadlnet.dk
  • ,
  • Mikkel Faurschou
  • ,
  • Anne Gitte Loft
  • Inge Juul Sørensen
  • ,
  • John Bonde Knudsen
  • ,
  • Bo Baslund
  • ,
  • Annette Hansen
  • ,
  • Michael Sejer Hansen
  • ,
  • Mikkel Østergaard

INTRODUCTION: The aim of this study was to develop 3E (Evidence, Expertise, Exchange) recommendations (RCs) on the use of methotrexate in rheumatic disorders and to assess the agreement among Danish rheumatologists.

MATERIAL AND METHODS: Based on a systematic literature review and Delphi votes, national and multinational (MN) RCs were developed by 751 rheumatologists from 17 countries including Denmark, and the degree of agreement among the participants was assessed. Subsequently, a survey regarding the agreement on the MN RCs was sent to all Danish rheumatologists.

RESULTS: A total of 24 Danish RCs were elaborated by 43 rheumatologists at a national meeting. 71-100% (median 94%) of the participants agreed with each of the RCs. A total of 73 rheumatologists answered the survey on the ten MN RCs. On numerical rating scales with values ranging from zero to ten, the median agreement score for each of these RCs ranged from eight to ten. The RCs were already applied in daily practice by 70-100% (median 91%) of the specialists. Any direct conflict between the national and MN RCs was not evident.

CONCLUSION: Based on evidence and expert opinion in a MN approach, national and MN RCs on methotrexate therapy were developed and a high level of agreement among Danish rheumatologists was evidenced.

Original languageEnglish
JournalDanish medical bulletin
Volume57
Issue10
Pages (from-to)A4190
ISSN1603-9629
Publication statusPublished - Oct 2010

    Research areas

  • Adult, Antirheumatic Agents/therapeutic use, Delphi Technique, Denmark, Evidence-Based Medicine, Female, Health Status Indicators, Health Surveys, Humans, Internationality, Male, Methotrexate/therapeutic use, Middle Aged, Practice Guidelines as Topic, Rheumatic Diseases/drug therapy, Rheumatology/trends, Surveys and Questionnaires

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