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reumatoid artritis

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https://www.readbyqxmd.com/read/27825791/recommendations-by-the-spanish-rheumatology-society-for-the-management-of-patients-diagnosed-with-rheumatoid-arthritis-who-cannot-be-treated-with-methotrexate
#1
Rosario García-Vicuña, María Auxiliadora Martín-Martínez, María Rosa Gonzalez-Crespo, Jesús Tornero-Molina, Antonio Fernández-Nebro, Francisco Javier Blanco-García, Ricardo Blanco-Alonso, Sara Marsal-Barril
To establish a set of recommendations for the management of patients diagnosed with rheumatoid arthritis (RA) who cannot be treated with methotrexate (MTX) due to contraindications, drug toxicity or lack of adherence, and to establish therapeutic strategies more effective and safer in these RA patients. A qualitative analysis of the scientific evidence available to June 2015. The 2-round Delphi technique of consensus was used to collect and establish expert opinion based on the participants' clinical experience when only low quality evidence was available...
November 5, 2016: Reumatología Clinica
https://www.readbyqxmd.com/read/27603313/cut-offs-and-response-criteria-for-the-hospital-universitario-la-princesa-index-hupi-and-their-comparison-to-widely-used-indices-of-disease-activity-in-rheumatoid-arthritis
#2
Isidoro González-Álvaro, Isabel Castrejón, Ana M Ortiz, Esther Toledano, Santos Castañeda, Alberto García-Vadillo, Loreto Carmona
OBJECTIVE: To estimate cut-off points and to establish response criteria for the Hospital Universitario La Princesa Index (HUPI) in patients with chronic polyarthritis. METHODS: Two cohorts, one of early arthritis (Princesa Early Arthritis Register Longitudinal [PEARL] study) and other of long-term rheumatoid arthritis (Estudio de la Morbilidad y Expresión Clínica de la Artritis Reumatoide [EMECAR]) including altogether 1200 patients were used to determine cut-off values for remission, and for low, moderate and high activity through receiver operating curve (ROC) analysis...
2016: PloS One
https://www.readbyqxmd.com/read/27444101/further-simplification-of-the-simple-erosion-narrowing-score-with-item-response-theory-methodology
#3
Martijn A H Oude Voshaar, Olga Schenk, Peter M Ten Klooster, Harald E Vonkeman, Hein J Bernelot Moens, Maarten Boers, Mart A F J van de Laar
OBJECTIVE: To further simplify the simple erosion narrowing score (SENS) by removing scored areas that contribute the least to its measurement precision according to analysis based on item response theory (IRT) and to compare the measurement performance of the simplified version to the original. METHODS: Baseline and 18-month data of the Combinatietherapie Bij Reumatoide Artritis (COBRA) trial were modeled using longitudinal IRT methodology. Measurement precision was evaluated across different levels of structural damage...
August 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27160627/-reforming-the-ross-triangle-new-challenges-for-the-medical-excellence
#4
Heber Garagarza-Mariscal, José Dionisio Castillo-Ortiz, César Ramos-Remus
No abstract text is available yet for this article.
March 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/26534696/desarrollo-de-una-guia-de-intervencion-psicologica-para-artritis-reumatoide-en-colombia
#5
A M Orozco, I Méndez-García, A Cabal, O D Díaz-Sotelo
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/26534686/costo-utilidad-de-un-esquema-inicial-de-tratamiento-con-tofacitinib-comparado-con-terapia-biologica-anti-tnf-en-pacientes-adultos-con-artritis-reumatoide-que-han-presentado-respuesta-inadecuada-a-metotrexato-en-venezuela
#6
D Rosselli, J D Rueda, A J Andrade, V A Prieto
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/26534685/an%C3%A3-lisis-de-minimizaci%C3%A3-n-de-costos-de-tofacitinib-en-el-tratamiento-de-pacientes-con-artritis-reumatoide-que-han-presentado-respuesta-inadecuada-a-metotrexato-en-colombia
#7
J Vargas-Valencia, V A Prieto
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/26534684/an%C3%A3-lisis-de-costo-efectividad-y-costo-utilidad-de-rituximab-como-tratamiento-en-pacientes-con-artritis-reumatoide-ante-el-fallo-o-intolerancia-en-primera-l%C3%A3-nea-de-un-anti-tnf-en-el-contexto-venezolano
#8
M Romero, L M Huerfano, G Acero
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/26534682/distribuci%C3%A3-n-geogr%C3%A3-fica-y-acceso-a-terapias-biol%C3%A3-gicas-en-pacientes-con-diagn%C3%A3-stico-de-artritis-reumatoide-ar-en-colombia
#9
M E Romero Prada, L M Huerfano, J M Reyes
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/26214269/effective-treatment-for-rapid-improvement-of-both-disease-activity-and-self-reported-physical-activity-in-early-rheumatoid-arthritis
#10
RANDOMIZED CONTROLLED TRIAL
Nicole P C Konijn, Lilian H D van Tuyl, Maarten Boers, Debby den Uyl, Marieke M Ter Wee, Pit Kerstens, Alexandre E Voskuyl, Michael Nurmohamed, Dirkjan van Schaardenburg, Willem F Lems
OBJECTIVE: To investigate the longitudinal relationship between disease activity and self-reported physical activity (PA) in patients with early rheumatoid arthritis during the first year of treatment with combination therapy. METHODS: PA was measured with the Short Questionnaire to Assess Health-Enhancing Physical Activity at baseline, 13 weeks, 26 weeks, and 52 weeks after start of treatment in the context of the Combinatietherapie Bij Reumatoïde Artritis-Light trial...
February 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/26099934/considerations-on-treatment-recommendations-for-rheumatoid-arthritis
#11
EDITORIAL
Carlos Abud-Mendoza
No abstract text is available yet for this article.
July 2015: Reumatología Clinica
https://www.readbyqxmd.com/read/25889222/patients-lacking-classical-poor-prognostic-markers-might-also-benefit-from-a-step-down-glucocorticoid-bridging-scheme-in-early-rheumatoid-arthritis-week-16-results-from-the-randomized-multicenter-carera-trial
#12
RANDOMIZED CONTROLLED TRIAL
Patrick Verschueren, Diederik De Cock, Luk Corluy, Rik Joos, Christine Langenaken, Veerle Taelman, Frank Raeman, Isabelle Ravelingien, Klaas Vandevyvere, Jan Lenaerts, Elke Geens, Piet Geusens, Johan Vanhoof, Anne Durnez, Jan Remans, Bert Vander Cruyssen, Els Van Essche, An Sileghem, Griet De Brabanter, Johan Joly, Kristien Van der Elst, Sabrina Meyfroidt, Rene Westhovens
INTRODUCTION: Considering a lack of efficacy data in patients with early rheumatoid arthritis (eRA) presenting without classical markers of poor prognosis, we compared methotrexate (MTX) with or without step-down glucocorticoids in the CareRA trial. METHODS: Disease-modifying antirheumatic drug-naïve patients with eRA were stratified into a low-risk group based on prognostic markers that included non-erosiveness, anti-citrullinated protein antibodies and rheumatoid factor negativity and low disease activity (Disease Activity Score in 28 joints based on C-reactive protein (DAS28(CRP)) ≤3...
2015: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/25227967/initial-high-dose-prednisolone-combination-therapy-using-cobra-and-cobra-light-in-early-rheumatoid-arthritis
#13
RANDOMIZED CONTROLLED TRIAL
Linda A Rasch, Lilian H D van Tuyl, Willem F Lems, Maarten Boers
Treatment with initial high-dose prednisolone and a combination of methotrexate (MTX) and sulfasalazine (SSZ) according to the COBRA regimen (Dutch acronym for combinatietherapie bij reumatoide artritis, 'combination therapy for rheumatoid arthritis'), has repeatedly been demonstrated to be very effective in early rheumatoid arthritis (RA). COBRA combination therapy is superior to initial monotherapy of SSZ and MTX, is also associated with a good long-term outcome, is as safe as other treatment regimes, and performs as well as the combination of high-dose MTX and the tumor necrosis factor antagonist infliximab...
2015: Neuroimmunomodulation
https://www.readbyqxmd.com/read/24818633/intensive-combination-treatment-regimens-including-prednisolone-are-effective-in-treating-patients-with-early-rheumatoid-arthritis-regardless-of-additional-etanercept-1-year-results-of-the-cobra-light-open-label-randomised-non-inferiority-trial
#14
RANDOMIZED CONTROLLED TRIAL
Marieke M ter Wee, Debby den Uyl, Maarten Boers, Pit Kerstens, Mike Nurmohamed, Dirkjan van Schaardenburg, Alexandre E Voskuyl, Willem F Lems
BACKGROUND: Recently, we documented the likely non-inferiority of Combinatietherapie Bij Reumatoïde Artritis (COBRA)-light therapy (methotrexate increased to 25 mg/week with initial prednisolone 30 mg/day) compared with the original COBRA therapy (methotrexate 7.5 mg/week, sulfasalazine 2 g/day, with initial prednisolone 60 mg/day) after 26 weeks in patients with early active rheumatoid arthritis (RA). OBJECTIVE: To assess the non-inferiority of COBRA-light versus COBRA after 1 year in terms of disease activity (DAS44), functional outcome (Health Assessment Questionnaire (HAQ)) and radiographic progression (Sharp/van der Heijde score (SHS)), and to assess the effect of adding etanercept...
June 2015: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/23408767/association-of-high-body-mass-index-with-decreased-treatment-response-to-combination-therapy-in-recent-onset-rheumatoid-arthritis-patients
#15
L Heimans, M van den Broek, S le Cessie, B Siegerink, N Riyazi, K H Han, P J S M Kerstens, T W J Huizinga, W F Lems, C F Allaart
OBJECTIVE: To assess the association between high body mass index (BMI) and treatment response in recent-onset rheumatoid arthritis. METHODS: In the Behandelstrategieën voor Reumatoide Artritis (Treatment Strategies for Rheumatoid Arthritis) study, 508 patients were randomized to initial monotherapy or combination therapy with prednisone or infliximab (IFX). The response to Disease Activity Score (DAS) ≤2.4-steered treatment (first dose and after 1 year) was compared between patients with a BMI <25 kg/m(2) and ≥25 kg/m(2) , using relative risk (RR) regression analyses...
August 2013: Arthritis Care & Research
https://www.readbyqxmd.com/read/21794335/-criterios-utilizados-por-m%C3%A3-dicos-de-atenci%C3%A3-n-primaria-para-el-diagn%C3%A3-stico-y-derivaci%C3%A3-n-al-reumat%C3%A3-logo-del-paciente-con-artritis-reumatoide
#16
Daniel Xibillé-Friedmann, Victor Mondragón-Flores, César Horcasitas de la Rosa
INTRODUCTION: Rheumatoid arthritis (RA), an important cause of disability, affects 1% of the population. Early diagnosis and referral to a rheumatologist are positive prognostic factor but diagnosis in many cases is in the hands of primary care physicians (PCP). OBJECTIVE: To determine the criteria used by PCP for diagnosis of RA and referral of these patients to a rheumatologist; to evaluate how many cases can be classified as RA according to the ACR. METHODS: Retrospective study of 530 patients referred by PCP and seen as outpatients at a rheumatology clinic in 2002...
September 2006: Reumatología Clinica
https://www.readbyqxmd.com/read/21794264/-cost-analysis-in-a-cohort-of-rheumatoid-arthritis-patients-managed-in-rheumatology-units-in-spain
#17
M D Ruiz-Montesinos, B Hernández-Cruz, R Ariza-Ariza, L Carmona, J Ballina, F Navarro-Sarabia et al.
OBJECTIVE: To assess the annual costs of rheumatoid arthritis (RA) patients attended at rheumatology units in Spanish public hospitals. METHODS: A longitudinal, prospective, multicenter, observational, 1-year study was performed in the rheumatology units of randomly selected Spanish public hospitals. Randomly selected RA patients were included. The patients made four visits (at baseline and every 4 months). Resource use and costs were collected from patient diaries and structured questionnaires...
December 2005: Reumatología Clinica
https://www.readbyqxmd.com/read/21794253/-resource-utilization-in-a-cohort-of-rheumatoid-arthritis-patients-attended-in-rheumatology-units-in-spain
#18
M D Ruiz-Montesinos, B Hernández-Cruz, R Ariza-Ariza, L Carmona, J Ballina, F Navarro-Sarabia et al.
OBJECTIVE: To determine resource use over a 1-year period in patients with rheumatoid arthritis (RA) attended in rheumatology units in hospitals within the Spanish public health system. PATIENTS AND METHODS: An observational, longitudinal, prospective, multicenter, 1-year study was performed in randomly selected rheumatology units in hospitals of the Spanish public health system. Patients with RA were randomly selected in each hospital. Four visits (at baseline and every 4 months) were conducted by a rheumatologist not routinely involved in the care of the patient...
October 2005: Reumatología Clinica
https://www.readbyqxmd.com/read/19502907/management-of-patients-with-rheumatoid-arthritis-in-latin-america-a-consensus-position-paper-from-pan-american-league-of-associations-of-rheumatology-and-grupo-latino-americano-de-estudio-de-artritis-reumatoide
#19
REVIEW
Loreto Massardo, María E Suárez-Almazor, Mario H Cardiel, Arnulfo Nava, Roger A Levy, Ieda Laurindo, Enrique R Soriano, Eduardo Acevedo-Vázquez, Alberto Millán, Carlos Pineda-Villaseñor, Claudio Galarza-Maldonado, Carlo V Caballero-Uribe, Rolando Espinosa-Morales, Bernardo A Pons-Estel
OBJECTIVE: A consensus meeting of representatives of 18 Latin-American and Caribbean countries gathered in Reñaca, Chile, for 2 days to identify problems and provide recommendations for the care of patients with rheumatoid arthritis (RA) in Latin America, a region where poverty and other health priorities make the efforts to provide effective and high quality care difficult. This report includes recommendations for health professionals, patients, and health authorities in Latin America, with an emphasis on education and therapeutic issues...
June 2009: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/19036152/trends-towards-an-improved-disease-state-in-rheumatoid-arthritis-over-time-influence-of-new-therapies-and-changes-in-management-approach-analysis-of-the-emecar-cohort
#20
MULTICENTER STUDY
Isidoro González-Alvaro, Miguel Angel Descalzo, Loreto Carmona
INTRODUCTION: The disease activity in patients with rheumatoid arthritis has improved during the past decade. The availability of new drugs and also a better assessment of the disease have been proposed to be responsible for this improvement. In the present work we estimate the effect of these factors on disease activity and function in patients with rheumatoid arthritis at the beginning of the new century. METHODS: The Estudio de la Morbilidad y Expresión Clínica de la Artritis Reumatoide (EMECAR) cohort was assembled in 2000 from the random sampling of rheumatoid arthritis patients registered in 34 centers...
2008: Arthritis Research & Therapy
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