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Rheumatology Advance Access originally published online on July 27, 2004
Rheumatology 2004 43(9):1069-1071; doi:10.1093/rheumatology/keh318
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Rheumatology Vol. 43 No. 9 © British Society for Rheumatology 2004; all rights reserved


Editorial

TNF therapy for spondyloarthropathy: can we marshal the argument?

P. T. Dawes, J. C. Packham and J. C. Mucklow1

Staffordshire Rheumatology Centre, University Hospital of North Staffordshire NHS Trust, Haywood Hospital, High Lane, Burslem, Stoke on Trent, ST6 7AG and 1 Department of Clinical Pharmacology, University Hospital of North Staffordshire NHS Trust, City General Hospital, Stoke on Trent, UK

Correspondence to: P. T. Dawes. E-mail: PT.Dawes@uhns.nhs.uk

The first 150 words of the full text of this article appear below.

‘Health Authorities and Primary Care Groups and Trusts should not wait for guidance from NICE.’

    Lord Hunt, House of Lords, 3 April, 2001.

There is an unmet need for effective disease-modifying treatments in the spondyloarthropathies (SPAs). Comprehensive evidence is presented in this issue [1] and published elsewhere [2] for the use of anti-TNF therapy in this group of diseases. Unfortunately, the SPAs represent a group of overlapping entities that have received less attention from pharmaceutical developers in comparison to the ‘single’ heterogeneous diagnosis of rheumatoid arthritis (RA). In patients with RA, routine assessment of interventions and their outcomes has proved a powerful means of justifying biological therapies. In addition, the effectiveness of disease-modifying anti-rheumatic drugs (DMARDs), such as sulphasalazine and methotrexate, is widely accepted. Patients with SPAs suffer badly by comparison, for two reasons. First, a historical lack of cooperation and coordination has delayed the . . . [Full Text of this Article]


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