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Treat-to-target approach emerging in axial spondyloarthritis

Presented By
Dr Pedro Machado, University College London Hospitals, United Kingdom
EULAR 2019
Observational evidence suggests that a treat-to-target (T2T) approach might be beneficial in axial spondyloarthritis. However, data from a prospective randomised study showing the efficacy of a T2T strategy compared to routine care are currently lacking. Additionally, there is no consensus about what should be measured and its specific target. These were the take-home messages presented by Dr Pedro Machado (University College London Hospitals, United Kingdom) discussing the pros and cons of adopting a T2T strategy in the management of axial spondyloarthritis [1]. The availability of biologic therapies has improved the clinical outcomes of patients with axial spondyloarthritis, which has raised the question if there is a role for T2T. Dr Machado explained that the concept involves changing or escalating therapy according to a predefined target, under the assumption that this may lead to better outcome compared to routine care. T2T is not only well establish...

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