TY - JOUR
T1 - Call for action
T2 - Incorporating wellness practices into a holistic management plan for rheumatoid arthritis - Going beyond treat to target
AU - Taylor, Peter C.
AU - Van De Laar, Mart
AU - Laster, Andrew
AU - Fakhouri, Walid
AU - Quebe, Amanda
AU - De La Torre, Inmaculada
AU - Jain, Saundra
N1 - Funding Information:
Acknowledgements The authors would like to acknowledge Dr Sue Chambers, Dr Ioannis Nikas and Karen Goa (Rx Communications, Mold, UK) for medical writing assistance with the preparation of this article, funded by Eli Lilly and Company. PT would like to thank the National Institute of Health Research (NIHR) for their funding of the NIHR Biomedical Research Centre in Musculoskeletal Disease at Oxford University Hospitals NHS Trust and University of Oxford.
Funding Information:
Competing interests PT: Research grants from Celgene and Galapagos and consultation fees from AbbVie, Biogen, Galapagos, Gilead, GlaxoSmithKline, Janssen, Lilly, Pfizer, BMS, Roche, Sanofi, Nordic Pharma, Fresenius and UCB. SJ has served as a consultant, member of advisory boards and/or speaker bureaus for Eli Lilly, Otsuka, Pamlab and Sunovion. MVdL reports educational grants and speaker’s–advisory fees from Eli Lilly and Company not related to this work. AL has been member of speaker bureaus for Lilly, Novartis, Amgen, Exage, Myria and Pfizer and a consultant for Amgen. WF, AQ and IdlT are employees of Eli Lilly and Company.
Publisher Copyright:
©
PY - 2021/12/10
Y1 - 2021/12/10
N2 - This expert opinion article explores the strategy of adopting a holistic approach to the management of rheumatoid arthritis (RA) by incorporating the wellness practices of exercise, optimised sleep, optimised nutrition, mindfulness, social connectedness and positive emotions into the management plan. The aim is to attain optimal health for each patient beyond that achievable by limiting disease management to pharmacological treatment to attain the lowest achievable composite scores of disease activity, as recommended with the current treat-to-target approach, and addressing the recent recognition of pain control as a key patient-reported outcome. Incorporating wellness practices into a busy clinical setting requires creativity and customisation based on the individual practice setting and the individual needs of each patient. Such practices can help people living with RA to achieve optimum wellness through the introduction of measures - according to individual need - designed to improve the aspects of life most impacted for that person, thereby complementing treat-to-target and pain control strategies with pharmacological agents. Clinicians must consider wellness practices in addition to treat-to-target pharmacological agents for the holistic management of people with RA.
AB - This expert opinion article explores the strategy of adopting a holistic approach to the management of rheumatoid arthritis (RA) by incorporating the wellness practices of exercise, optimised sleep, optimised nutrition, mindfulness, social connectedness and positive emotions into the management plan. The aim is to attain optimal health for each patient beyond that achievable by limiting disease management to pharmacological treatment to attain the lowest achievable composite scores of disease activity, as recommended with the current treat-to-target approach, and addressing the recent recognition of pain control as a key patient-reported outcome. Incorporating wellness practices into a busy clinical setting requires creativity and customisation based on the individual practice setting and the individual needs of each patient. Such practices can help people living with RA to achieve optimum wellness through the introduction of measures - according to individual need - designed to improve the aspects of life most impacted for that person, thereby complementing treat-to-target and pain control strategies with pharmacological agents. Clinicians must consider wellness practices in addition to treat-to-target pharmacological agents for the holistic management of people with RA.
KW - autoimmune diseases
KW - patient care team
KW - physical therapy modalities
KW - rheumatoid arthritis
UR - http://www.scopus.com/inward/record.url?scp=85122512858&partnerID=8YFLogxK
U2 - 10.1136/rmdopen-2021-001959
DO - 10.1136/rmdopen-2021-001959
M3 - Review article
C2 - 34893537
AN - SCOPUS:85122512858
SN - 2056-5933
VL - 7
JO - RMD Open
JF - RMD Open
IS - 3
M1 - e001959
ER -