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Table 1 PICO research questions declared by the core team for development of the guidelines

From: Updated clinical practice treat-to-target guidelines for JIA management: the Egyptian College of Pediatric Rheumatology initiative

Number

PICO formulation

RQ 1

Considering T2T, what would be the best initial therapy, most likely to achieve the treatment target, for the 4 clinical phenotypes of JIA?

RQ 2

What is the efficacy and safety of DMARDs?

RQ 3

Which DMARDs would be the first treatment option and what is its dose and route of administration?

RQ 4

What is the efficacy and safety of NSAID?

RQ 5

When NSAIDs should be considered in the management plan?

RQ 6

What would be the subsequent step of treatment in case the disease activity remains moderate/high in spite of DMARDs therapy?

RQ 7

What is the best choice DMARDs standalone or combination of biologic and DMARDs

RQ 8

When steroids therapy should be considered in the management plan and what its dose and route of administration?

RQ 9

What is the best approach for switching between biologic therapies?

RQ 10

What is the best schedule for monitoring disease activity and how frequent?

RQ 11

How treatment tapering or withdrawal can be undertaken?

RQ 12

What should be the treatment targets?

RQ 13

When physical therapy should be considered in the management pathway?

RQ 14

What are the treatment options for refractory polyarticular/oligoarticular JIA?

RQ 15

What are the treatment options for refractory systemic JIA?

RQ 16

What are the treatment options for refractory enthesitis/spondyloarthritis?

RQ 17

What are the treatment options for refractory uveitis?

  1. T2T Treat to target, DMARDs Disease-modifying antirheumatic drugs, JIA Juvenile idiopathic arthritis, NSAIDs Nonsteroidal anti-inflammatory drugs