OBJECTIVES: The aim of this study was to develop a Delphi consensus statement between rheumatologists and radiologists for the diagnosis and monitoring of axial spondyloarthritis (axial-SpA). METHODS: Following an extensive literature search to identify unmet needs and potential goals for a multidisciplinary approach, a scientific board comprising 28 Italian hospital-based rheumatologists (n=19) and radiologists (n=9) identified 8 "starting points", resulting in the development of 23 consensus statements covering issues from current practice guidelines to specific MRI protocols for the assessment of axial-SpA. Each participant anonymously expressed a level of agreement for each statement using a 5-point Likert scale (1="strongly disagree"; 5="strongly agree") via an online Delphi method.Total cumulative agreement (TCA) was defined as the sum of the percentage of response to items 4 ("agree") and 5 ("absolutely agree"). Consensus was defined as ≥80% total cumulative agreement for each statement. RESULTS: After the first round of voting (28 participants), positive consensus was reached for 28/31 (90.3%) statements. Statements without consensus (n=3) were discussed in a face-to-face plenary session prior to the second vote (28 participants). After the second round voting, positive consensus was attained for all 31 statements, with mean final TCA of 95.5% (range 82.1-100%). CONCLUSIONS: This Delphi consensus statement provides an aid to rheumatologists and radiologists for the diagnosis and monitoring of axial-SpA.
SHARE Study Group. Radiologist-rheumatologist multidisciplinary approach in the management of axial spondyloarthritis: a Delphi consensus statement / Marchesoni, A; D'Angelo, S; Anzidei, M; Bortolotti, R; Cantini, F; Caramella, D; Carotti, M; Chimenti, Ms; Delle Sedie, A; Egan, Cg; Fabbroni, M; Frediani, B; Fusaro, E; Galeazzi, M; Gallazzi, Mb; Gentileschi, S; Gentili, F; Gerli, R; Gilio, M; Iannone, F; La Paglia, E; Lubrano, E; Macarini, L; Olivieri, I; Pellerito, R; Ramonda, R; Salvarani, C; Scarano, E; Scarpa, R; Spaggiari, L; Spanò, A; Zawaideh, Jp; Mazzei, Ma. - In: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. - ISSN 1593-098X. - STAMPA. - 37:4(2018), pp. 575-584.