Resumen de Crenobalneotherapy in spondylarthropathy, a systematic review

R. Forestier, A. Bugnard, A. Françon, F.B. Erol Forestier, T.A. Thomas

• The purpose of this study is to find and summarize the evidence for crenobalneotherapy in spondylarthropathies.

  Method A bibliographic analysis was performed independently by 2 reviewers, on following databases: pubmed by medline (AB + RF), SCOPUS (AB), PEDRO database (RF), EMBASE (AB), Cochrane database (AB + RF), WEB OF SCIENCE (AB). The Keywords were: Ankylosing spondylitis AND Hydrotherapy OR Balneology OR Balneotherapy OR renotherapy OR Mud OR Water exercises OR Radon OR Spa therapy. Discrepancies between the reviewers were solved by consensus.

  Quality of evidence was performed with 3 checklists. Internal validity by CLEAR NTP: 10 items evaluating selection bias; performance bias, detection bias and attrition bias. External and statistical validity was evaluated by personal checklists.

  Heterogeneity and publication bias was evaluated by the empiricas test of Sutton (Sutton BMJ 2012).