Abstract：
Rheumatoid arthritis causes progressive joint destruction in the long term, causing a deterioration of the foot and ankle. A clinical practice guideline has been created with the main objective of providing recommendations in the field of podiatry for the conservative management of rheumatoid arthritis. Thus, healthcare professionals involved in foot care of adults with rheumatoid arthritis will be able to follow practical recommendations. A clinical practice guideline was created including a group of experts (podiatrists, rheumatologists, nurses, an orthopaedic surgeon, a physiotherapist, an occupational therapist and patient with rheumatoid arthritis). Methodological experts using GRADE were tasked with systematically reviewing the available scientific evidence and developing the information which serves as a basis for the expert group to make recommendations. Key findings include the efficacy of chiropody in alleviating hyperkeratotic lesions and improving short-term pain and functionality. Notably, custom and standardized foot orthoses demonstrated significant benefits in reducing foot pain, enhancing physical function, and improving life quality. Therapeutic footwear was identified as crucial for pain reduction and mobility improvement, emphasizing the necessity for custom-made options tailored to individual patient needs. Surgical interventions were recommended for cases which were non-responsive to conservative treatments, aimed at preserving foot functionality and reducing pain. Moreover, self-care strategies and education were underscored as essential components for promoting patient independence and health maintenance. A series of recommendations have been created which will help professionals and patients to manage podiatric pathologies derived from rheumatoid arthritis.
摘要：
长期来看，类风湿性关节炎会导致进行性关节破坏，导致脚和脚踝恶化。已经制定了临床实践指南，其主要目的是为类风湿关节炎的保守治疗提供足病领域的建议。因此，参与类风湿关节炎成人足部护理的医疗保健专业人员将能够遵循实用建议.创建了一个临床实践指南，其中包括一组专家(足病医生，风湿病学家,护士,整形外科医生,物理治疗师,职业治疗师和类风湿关节炎患者）。使用GRADE的方法专家的任务是系统地审查现有的科学证据，并开发信息，作为专家组提出建议的基础。主要发现包括在减轻角化过度病变和改善短期疼痛和功能方面的功效。值得注意的是,定制和标准化的足部矫形器在减少足部疼痛方面表现出显著的益处，增强身体机能，提高生活质量。治疗鞋被认为对减轻疼痛和改善活动能力至关重要。强调定制选项的必要性为个人患者的需求。对于对保守治疗无反应的病例，建议进行手术干预。旨在保持足部功能和减少疼痛。此外，强调自我护理策略和教育是促进患者独立性和健康维护的重要组成部分.已经创建了一系列建议，这些建议将帮助专业人员和患者管理源自类风湿性关节炎的足病。
