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      KCI등재 SCOPUS

      Physicians' Agreement on and Implementation of the 2019 European Alliance of Associations for Rheumatology Vaccination Guideline: An International Survey

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      https://www.riss.kr/link?id=A108394962

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      Objective: To evaluate the perspective of healthcare professionals towards the 2019 European Alliance of Associations for Rheumatology (EULAR) vaccination guideline in patients with autoimmune inflammatory rheumatic diseases (AIIRD).
      Methods: Healthcare professionals who care for patients with AIIRD were invited to participate in an online survey regarding their perspective on the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD. Level of agreement and implementation of the 6 overarching principles and 9 recommendations were rated on a 5-point Likert scale (1~5).
      Results: Survey responses of 371 healthcare professionals from Asia (42.2%) and North America (41.6%), Europe (13.8%), and other countries were analyzed. Only 16.3% of participants rated their familiarity with the 2019 EULAR guideline as 5/5 (“very well”). There was a high agreement (≥4/5 rating) with the overarching principles, except for the principles applying to liveattenuated vaccines. There was a high level of agreement with the recommendations regarding influenza and pneumococcal vaccinations; implementation of these recommendations was also high. Participants also reported a high level of agreement with the remaining recommendations but did not routinely implement these recommendations.
      Conclusion: The 2019 update of EULAR recommendations for the vaccination of adult patients with AIIRD is generally thought to be important by healthcare professionals, although implementation of adequate vaccination is often lacking. Better education of healthcare providers may be important to optimize the vaccination coverage for patients with AIIRD.
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      Objective: To evaluate the perspective of healthcare professionals towards the 2019 European Alliance of Associations for Rheumatology (EULAR) vaccination guideline in patients with autoimmune inflammatory rheumatic diseases (AIIRD). Methods: Healthca...

      Objective: To evaluate the perspective of healthcare professionals towards the 2019 European Alliance of Associations for Rheumatology (EULAR) vaccination guideline in patients with autoimmune inflammatory rheumatic diseases (AIIRD).
      Methods: Healthcare professionals who care for patients with AIIRD were invited to participate in an online survey regarding their perspective on the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD. Level of agreement and implementation of the 6 overarching principles and 9 recommendations were rated on a 5-point Likert scale (1~5).
      Results: Survey responses of 371 healthcare professionals from Asia (42.2%) and North America (41.6%), Europe (13.8%), and other countries were analyzed. Only 16.3% of participants rated their familiarity with the 2019 EULAR guideline as 5/5 (“very well”). There was a high agreement (≥4/5 rating) with the overarching principles, except for the principles applying to liveattenuated vaccines. There was a high level of agreement with the recommendations regarding influenza and pneumococcal vaccinations; implementation of these recommendations was also high. Participants also reported a high level of agreement with the remaining recommendations but did not routinely implement these recommendations.
      Conclusion: The 2019 update of EULAR recommendations for the vaccination of adult patients with AIIRD is generally thought to be important by healthcare professionals, although implementation of adequate vaccination is often lacking. Better education of healthcare providers may be important to optimize the vaccination coverage for patients with AIIRD.

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      참고문헌 (Reference)

      1 Morin MP, "Vaccination coverage in children with juvenile idiopathic arthritis followed at a paediatric tertiary care centre" 51 : 2046-2050, 2012

      2 Park JK, "Optimal time between the last methotrexate administration and seasonal influenza vaccination in rheumatoid arthritis : post hoc analysis of a randomised clinical trial" 78 : 1283-1284, 2019

      3 Krasselt M, "Low vaccination rates among patients with rheumatoid arthritis in a German outpatient clinic" 37 : 229-237, 2017

      4 Hmamouchi I, "Low rate of influenza and pneumococcal vaccine coverage in rheumatoid arthritis : data from the international COMORA cohort" 33 : 1446-1452, 2015

      5 Brocq O, "Influenza and pneumococcal vaccine coverage in 584 patients taking biological therapy for chronic inflammatory joint : a retrospective study" 83 : 155-159, 2016

      6 Danza A, "Infection risk in systemic lupus erythematosus patients : susceptibility factors and preventive strategies" 22 : 1286-1294, 2013

      7 Park JK, "Impact of temporary methotrexate discontinuation for 2 weeks on immunogenicity of seasonal influenza vaccination in patients with rheumatoid arthritis : a randomised clinical trial" 77 : 898-904, 2018

      8 Au K, "High disease activity is associated with an increased risk of infection in patients with rheumatoid arthritis" 70 : 785-791, 2011

      9 Doran MF, "Frequency of infection in patients with rheumatoid arthritis compared with controls : a population-based study" 46 : 2287-2293, 2002

      10 Park JK, "Effect of methotrexate discontinuation on efficacy of seasonal influenza vaccination in patients with rheumatoid arthritis : a randomised clinical trial" 76 : 1559-1565, 2017

      1 Morin MP, "Vaccination coverage in children with juvenile idiopathic arthritis followed at a paediatric tertiary care centre" 51 : 2046-2050, 2012

      2 Park JK, "Optimal time between the last methotrexate administration and seasonal influenza vaccination in rheumatoid arthritis : post hoc analysis of a randomised clinical trial" 78 : 1283-1284, 2019

      3 Krasselt M, "Low vaccination rates among patients with rheumatoid arthritis in a German outpatient clinic" 37 : 229-237, 2017

      4 Hmamouchi I, "Low rate of influenza and pneumococcal vaccine coverage in rheumatoid arthritis : data from the international COMORA cohort" 33 : 1446-1452, 2015

      5 Brocq O, "Influenza and pneumococcal vaccine coverage in 584 patients taking biological therapy for chronic inflammatory joint : a retrospective study" 83 : 155-159, 2016

      6 Danza A, "Infection risk in systemic lupus erythematosus patients : susceptibility factors and preventive strategies" 22 : 1286-1294, 2013

      7 Park JK, "Impact of temporary methotrexate discontinuation for 2 weeks on immunogenicity of seasonal influenza vaccination in patients with rheumatoid arthritis : a randomised clinical trial" 77 : 898-904, 2018

      8 Au K, "High disease activity is associated with an increased risk of infection in patients with rheumatoid arthritis" 70 : 785-791, 2011

      9 Doran MF, "Frequency of infection in patients with rheumatoid arthritis compared with controls : a population-based study" 46 : 2287-2293, 2002

      10 Park JK, "Effect of methotrexate discontinuation on efficacy of seasonal influenza vaccination in patients with rheumatoid arthritis : a randomised clinical trial" 76 : 1559-1565, 2017

      11 van Assen S, "EULAR recommendations for vaccination in adult patients with autoimmune inflammatory rheumatic diseases" 70 : 414-422, 2011

      12 Mullard A, "COVID-19 vaccine guidelines" 19 : 577-, 2020

      13 Curtis JR, "American College of Rheumatology guidance for COVID-19 vaccination in patients with rheumatic and musculoskeletal diseases : version 2" 73 : e30-e45, 2021

      14 Curtis JR, "American College of Rheumatology guidance for COVID-19 vaccination in patients with rheumatic and musculoskeletal diseases : version 1" 73 : 1093-1107, 2021

      15 Saag KG, "American College of Rheumatology 2008 recommendations for the use of nonbiologic and biologic disease-modifying antirheumatic drugs in rheumatoid arthritis" 59 : 762-784, 2008

      16 Zhu N, "A novel coronavirus from patients with pneumonia in China, 2019" 382 : 727-733, 2020

      17 Subesinghe S, "A large two-centre study in to rates of influenza and pneumococcal vaccination and infection burden in rheumatoid arthritis in the UK" 17 : 322-, 2016

      18 Furer V, "2019 update of EULAR recommendations for vaccination in adult patients with autoimmune inflammatory rheumatic diseases" 79 : 39-52, 2020

      19 Singh JA, "2015 American College of Rheumatology guideline for the treatment of rheumatoid arthritis" 68 : 1-26, 2016

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