{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:51:59Z","timestamp":1789685519564,"version":"4.0.1"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Musculoskeletal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Psoriatic arthritis (PsA) is a heterogeneous inflammatory arthritis associated with psoriasis, affecting multiple domains, including peripheral joints, axial skeleton, enthesis, dactylitis, and skin. Several multinational organizations, including European Alliance of Associations for Rheumatology (EULAR), Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), and Pan American League of Associations for Rheumatology (PANLAR), have established treatment recommendations to optimize patient care. However, differences may exist in their guidelines, reflecting methodology regional differences, expert consensus, and evolving evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and objectives:<\/jats:title>\n                    <jats:p>This review compares the treatment recommendations for PsA established by EULAR, GRAPPA, and PANLAR, highlighting similarities, differences, and challenges in achieving standardized treatment strategies worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A comparative literature review analyzing key aspects of each guideline was performed. A systematic evaluation of the latest three multinational treatment recommendations was conducted, focusing on pharmacological and nonpharmacological management approaches. Differences in treatment sequencing, targeted therapies, and emphasis domains were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>While all three organizations emphasize a multidisciplinary and personalized approach to PsA treatment, some variations exist in the preferred sequencing of therapies, the role of targeted synthetic disease-modifying antirheumatic drugs, and the approach to extra-musculoskeletal manifestations. PANLAR provides a regional perspective with emphasis on access constraints, EULAR integrates real-world evidence and long-term safety data, and GRAPPA emphasizes domain-based treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>While PANLAR, EULAR, and GRAPPA guidelines align in core treatment principles, key differences persist, influencing clinical decision-making. Greater international collaboration may enhance the harmonization of treatment recommendations, ensuring optimal patient outcomes globally.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1759720x261419240","type":"journal-article","created":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T17:24:07Z","timestamp":1772299447000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Psoriatic arthritis management: a comparative analysis of PANLAR, EULAR, and GRAPPA treatment recommendations"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0684-9542","authenticated-orcid":false,"given":"Wilson","family":"Bautista-Molano","sequence":"first","affiliation":[{"name":"Rheumatology Section, University Hospital Fundaci\u00f3n Santa Fe de Bogot\u00e1, School of Medicine Universidad El Bosque, Carrera 7 Bis No. 124-56, Bogot\u00e1 110111, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel G.","family":"Fern\u00e1ndez-\u00c1vila","sequence":"additional","affiliation":[{"name":"School of Medicine, Pontificia Universidad Javeriana, Rheumatology Section, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia"},{"name":"Rheumatology Section, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3143-1084","authenticated-orcid":false,"given":"Enrique Roberto","family":"Soriano","sequence":"additional","affiliation":[{"name":"Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, University Hospital Italiano de Buenos Aires, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,28]]},"reference":[{"issue":"21","key":"e_1_3_3_2_2","first-page":"2095","article-title":"Psoriatic arthritis","volume":"376","author":"Ritchlin CT","year":"2017","unstructured":"Ritchlin CT, Colbert RA, Gladman DD. Psoriatic arthritis. N Engl J Med 2017; 376(21): 2095\u20132096.","journal-title":"N Engl J Med"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keq369"},{"key":"e_1_3_3_4_2","article-title":"Prevalence and demographic characteristics of psoriatic arthritis in Colombia: data from the National Health Registry 2012\u20132018","volume":"30","author":"Fern\u00e1ndez-\u00c1vila D","year":"2023","unstructured":"Fern\u00e1ndez-\u00c1vila D, Rinc\u00f3n-Ria\u00f1o D, Bernal-Mac\u00edas S, et al. Prevalence and demographic characteristics of psoriatic arthritis in Colombia: data from the National Health Registry 2012\u20132018. Rev Colomb Reumatol 2023; 30(S1): S1\u2013S7.","journal-title":"Rev Colomb Reumatol"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.7705\/biomedica.7555"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms24054901"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24578"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-023-06838-8"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard-2023-225087"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40744-017-0066-2"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.15319"},{"issue":"6","key":"e_1_3_3_12_2","first-page":"563","article-title":"Pan American League of Associations for Rheumatology (PANLAR). Pan American League of Associations for Rheumatology recommendations for the treatment of psoriatic arthritis","volume":"51","author":"Fern\u00e1ndez-\u00c1vila DG","year":"2024","unstructured":"Fern\u00e1ndez-\u00c1vila DG, Bautista-Molano W, Brance ML, et al. Pan American League of Associations for Rheumatology (PANLAR). Pan American League of Associations for Rheumatology recommendations for the treatment of psoriatic arthritis. J Rheumatol 2024; 51(6): 563\u2013576.","journal-title":"J Rheumatol"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard-2024-225531"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41584-022-00798-0"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-020-04934-7"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2023.05.010"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2020.01.012"},{"issue":"3","key":"e_1_3_3_18_2","first-page":"36","article-title":"Non-pharmacological interventions for treating psoriatic arthritis","volume":"30","author":"Talotta R","year":"2024","unstructured":"Talotta R, Aiello MR, Restuccia R, et al. Non-pharmacological interventions for treating psoriatic arthritis. 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