{ "abstract": "Low or nonadherence to treatment is a widespread challenge in the management of rheumatic and musculoskeletal diseases (RMDs), significantly affecting disease outcomes, quality of life, and healthcare costs. The 2020 European Alliance of Associations for Rheumatology (EULAR) Points to Consider provide a comprehensive framework for the prevention, screening, assessment, and management of nonadherence in RMDs. However, real-world implementation of these recommendations remains limited. The challenge is no longer the lack of recommendations, but their integration into routine rheumatology care. This viewpoint discusses the rationale and evidence supporting implementation of the 2020 EULAR Points to Consider in clinical practice and highlights key priorities for the operationalisation of the recommendations into feasible and sustainable care strategies. Particular emphasis is placed on routine adherence assessment, patient-centred communication, multidisciplinary collaboration, and healthcare professional training as essential components of adherence support in RMD care.", "abstract_shown": true, "affiliations": [ "Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa, Pisa, Italy.", "Spanish Association for Antiphospholipid Syndrome (SAF España), Elche, Spain.", "Lupus Europe, Brussels, Belgium.", "German League Against Rheumatism, Bonn, Germany.", "Sjögren Europe, Gland, Switzerland.", "Department of Autoimmune Diseases, University of Barcelona, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.", "IRIDIS (Investigation in Rheumatology and Immune-Mediated Diseases)-VIGO Group, Galicia Sur Health Research Institute, Vigo, Spain.", "National Referral Centre for Rare Autoimmune and Systemic Diseases, Department of Internal Medicine, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP) Centre, Université Paris Cité, Paris, France.", "Université Paris Cité and Université Sorbonne Paris Nord, Inserm, French National Research Institute for Agriculture, Food and Environment (INRAE), Centre for Research in Epidemiology and Statistics (CRESS), Paris, France.", "Institute of Nursing Science, University of Basel, Basel, Switzerland.", "Department of Rheumatology, University Hospital Basel, Switzerland.", "Physical Medicine, Balneology and Rheumatology, University of Medicine and Pharmacy Victor Babes Timisoara, Timisoara, Romania.", "School of Health and Social Wellbeing, University of the West of England, Bristol, UK.", "Academic Rheumatology, Bristol Royal Infirmary, Bristol, UK.", "Institute of Dentistry, Queen Mary University of London, London, UK.", "Barts Health National Health Service (NHS) Trust, The London Hospital, London, UK.", "Federation of European Scleroderma Associations, Wavre, Belgium.", "Sorbonne Université, French National Institute of Health and Medical Research (INSERM), Institut Pierre Louis d'Epidémiologie et de Santé Publique, Team Pepites, Paris, France.", "AP-HP, Pitié-Salpêtrière hospital, Rheumatology Department, Paris, France.", "Service de Médecine Interne, Centre de référence des Maladies Auto-immunes et Auto-inflammatoires Systémiques Rares de l'Adulte du Nord, Méditerranée et Guadeloupe (CeRAINOM), University of Lille, CHU Lille, Nord-Ouest, Lille, France.", "Center for Treatment of Rheumatic and Musculoskeletal Diseases, Diakonhjemmet Hospital, Oslo, Norway.", "Deptartment of Rheumatology, Emergency County Teaching Hospital, University of Medicine Iuliu Hatieganu, Cluj-Napoca, Romania.", "Institute for Outcomes Research, Center for Medical Data Science, Medical University of Vienna, Vienna, Austria.", "Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria.", "Rheumatology Department, Hospital de Santa Maria, Unidade Local de Saúde Santa Maria, Lisbon Academic Medical Center and Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.", "Rheumatology Division, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.", "University of Modena and Reggio Emilia, Modena, Italy.", "Department of Clinical and Biological Sciences, University Center of Excellence on Nephrology, Rheumatology and Rare Diseases, ASL Città Di Torino and University of Turin, Turin, Italy.", "UK Behcet's Syndrome Society, London, UK.", "Department of Clinical and Academic Rheumatology, King's College Hospital, London, UK.", "Pharmacy, Sint Maartenskliniek, Nijmegen, The Netherlands.", "Department of Pharmacy, Radboud University Medical Center, Nijmegen, The Netherlands.", "Instituto de Salud Musculoesquelética, Madrid, Spain." ], "article_type": "review article", "arxiv": null, "author_total": 31, "authors": [ { "affs": [ 0 ], "name": "Rosaria Talarico", "orcid": "0000-0003-4268-9611" }, { "affs": [ 0 ], "name": "Federica Di Cianni" }, { "affs": [ 1 ], "name": "Silivia Aguilera" }, { "affs": [ 2 ], "name": "Jeanette Andersen" }, { "affs": [ 3 ], "name": "Peter Böhm" }, { "affs": [ 4 ], "name": "Coralie Bouillot", "orcid": "0009-0003-8021-2539" }, { "affs": [ 5, 6 ], "name": "Ricard Cervera" }, { "affs": [ 7, 8 ], "name": "Nathalie Costedoat-Chalumeau" }, { "affs": [ 9, 10 ], "name": "Sofia de Sousa Guimaraes Calado" }, { "affs": [ 11 ], "name": "Ravzan Dragoi" }, { "affs": [ 12, 13 ], "name": "Emma Dures" }, { "affs": [ 14, 15 ], "name": "Farida Fortune" }, { "affs": [ 16 ], "name": "Ilaria Galetti" }, { "affs": [ 17, 18 ], "name": "Laure Gossec" }, { "affs": [ 19 ], "name": "Eric Hachulla" }, { "affs": [ 9, 10 ], "name": "Agnes Kocher" }, { "affs": [ 0 ], "name": "Diana Marinello" }, { "affs": [ 20 ], "name": "Ellen Moholt" }, { "affs": [ 0 ], "name": "Marta Mosca" }, { "affs": [ 21 ], "name": "Cristina Pamfil" }, { "affs": [ 22, 23 ], "name": "Valentin Ritschl" }, { "affs": [ 24 ], "name": "Vasco C Romão" }, { "affs": [ 25, 26 ], "name": "Carlo Salvarani" }, { "affs": [ 22, 23 ], "name": "Valentina Schmolik" }, { "affs": [ 27 ], "name": "Savino Sciascia" }, { "affs": [ 28 ], "name": "Richard West" }, { "affs": [ 9, 10 ], "name": "Christina Wettengl" }, { "affs": [ 29 ], "name": "Chris Wincup" }, { "affs": [ 30, 31 ], "name": "Bart J F van den Bemt" }, { "affs": [ 32 ], "name": "Loreto Carmona" }, { "name": "EULAR Study Group on Adherence to Therapy in RMDs" } ], "bibtex": "https://research.draconitic.com/paper/6meh4kbnjvmv7.bib", "cited_by": 0, "doi": "10.1016/j.ero.2026.100261", "fulltext_url": "https://europepmc.org/articles/PMC13694731", "id": "6meh4kbnjvmv7", "issns": [ "3050-7081" ], "landing_url": "https://europepmc.org/article/MED/42927138", "language": "eng", "licence": "CC-BY-NC-ND", "licence_label": "CC BY-NC-ND", "licence_source": "article", "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/", "metadata_licence": null, "native_subjects": [ [ "openalex", "2714|Medication Adherence and Compliance" ] ], "openalex": "W7221866832", "pdf_url": "https://europepmc.org/articles/PMC13694731?pdf=render", "pmcid": "PMC13694731", "pmid": "42927138", "published": "2026-10-15", "publisher": null, "ris": "https://research.draconitic.com/paper/6meh4kbnjvmv7.ris", "sources": [ { "first_seen": "2026-10-30T12:21:18Z", "native_id": "MED:42927138", "source": "europepmc", "url": "https://europepmc.org/article/MED/42927138" } ], "subjects": [ { "field": "medicine", "origin": "openalex:2714|Medication Adherence and Compliance", "subfield": "general" } ], "title": "Challenges in implementing the 2020 EULAR Points to Consider on nonadherence in RMDs.", "title_text": "Challenges in implementing the 2020 EULAR Points to Consider on nonadherence in RMDs.", "type": "peer-reviewed", "updated_at": "2026-10-30T12:21:18Z", "url": "https://research.draconitic.com/paper/6meh4kbnjvmv7", "venue": "EULAR rheumatology open", "versions": [] }