Support for Polymyalgia and Giant Cell Arteritis Sufferers in Scotland
Issue 33 (Spring 2021) of NewsWire was posted to be with you by Monday 19th of April. If yours hasn’t arrived, please email Secretary@PMRGCAScotland.com.
An electronic copy that you can view or print is available by clicking on NewsWire Issue 33.
Next version of NewsWire (Issue 34) is planned to be posted in the week starting 16th August.
For previous versions of Newswire please see lower down this column.
NEXT ZOOM MEETING
Next zoom meeting is to be arranged in the autumn. Watch this space for details or become a member by sending an email to Secretary@PMRGCAScotland.com
LAST ZOOM MEETINGS
On Saturday 15th May 2021 at 11am a general chat took place arround the subject of Alendronic Acid tablets. No recording was made.
On Friday 19th March 2021 the annual meeting took place.
The talks were recorded with permission.
The talks were “GCA diagnosis and treatment in NHS Lanarkshire” by Dr Anna Ciechomska (https://vimeo.com/528577287) and
“Monitoring disease activity in large vessel vasculitis” by Dr Dan Pugh (https://vimeo.com/527908451).
Both very well received. They are excellent talks and we recommend that they are worth watching. Anna’s talk is about 50 minutes long and Dan’s about 45 minutes.
Talks were followed by the Annual General Meeting of the charity.
If you have any suggestions for topic to be discussed, please get in touch with the Secretary (secretary @pmrgcascotland.com) or the Helpline (0300 777 5090) to add to this list.
Prednisolone doses in the event of infection
Dr Sarah Mackie is an established friend and supporter of the UK charities and she has compiled a leaflet about prednisolone doses in the event of coronavirus infection. The document can be found here.
GCA GUIDELINES for patients
This summary based on the BSR GCA guidelines (see below) was written by Sarah Mackie, Keith Slater and Lorna Neill.
It is a short summary of the new British Society for Rheumatology guidelines on giant cell arteritis written for patients.
The authors of the guidelines, a group of leading medical experts on the condition together with patient representatives, divided their report into two sections: general principles and key recommendations for use by patients.
The summary can be found here
GCA GUIDELINES 2020
Giant cell arteritis affects the blood supply to the scalp, jaw muscles or the back of the eye. If left untreated, it can lead to blindness or stroke. Our updated guideline on its treatment ensures clinicians have the latest information about diagnosis and treatment, bringing the latest peer-reviewed evidence up-to-date and supporting clinicians in providing the best treatment for people with this disease.
Our guidelines team worked with over 35 national and international experts in the field, including rheumatologists, GPs, ophthalmologists and patients, to update the guideline. This involved a rigorous process, using a framework for evidence appraisal called GRADE, coupled with our BSR Guidelines Protocol, which is endorsed by NICE.
Guideline co-lead Dr Sarah Mackie, Associate Clinical Professor in Vascular Rheumatology at the University of Leeds, co-led the development of the guideline.
She explains: “The way patients with suspected GCA have been assessed and treated has been variable across the UK. Giant cell arteritis is very time critical; a delay in starting high-dose steroid treatment can cause blindness, but this same treatment can also cause serious side-effects, so this is not a matter to be taken lightly.
“We recommend that all patients are referred to a specialist who can see them promptly – on the same working day if possible and in all cases within three working days.”
TOCILIZUMAB latest news…
The SMC (Scottish Medical Consortium) announced on Monday 10th September 2018, their approval for the use of tocilizumab (RoActemra®) for restricted use within NHSScotland. This drug may be used in the treatment of Giant Cell Arteritis (GCA) in adult patients subject to a 12 month clinical stopping rule.
This is the first new drug for GCA since steroids were first used 70 years ago. Thousands of patients have had no option up to now but to take high doses of steroids for several years.
The relevant Detailed Advice Document can be found here and a link to the Decision Explained public information summary can be found here .
The charity’s submission to the SMC can be found here.
The charity has been thanked for the considerable time and effort taken to capture the patient and carer perspective during the submission process. We particularly thank Lorna for all her efforts and we welcome this decision.
To see the report on the trial of Tocilizumab in Giant-Cell Arteritis issued on 27th July 2017 go to Research and clinical guidelines.