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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/27733760/rheumatoid-arthritis-paving-the-way-for-tnf-vaccines
#2
Joanna Collison
No abstract text is available yet for this article.
October 13, 2016: Nature Reviews. Rheumatology
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
#3
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
#4
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/27186693/systems-level-analysis-of-genome-wide-association-study-results-for-a-pilot-juvenile-idiopathic-arthritis-family-study
#5
Yeşim Aydın-Son, Ezgi Deniz Batu, Erkan Demirkaya, Yelda Bilginer, Özgür Kasapçopur, Erbil Ünsal, Mehmet Alikaşifoglu, Seza Özen
Genome wide association studies (GWAS) determine susceptibility profiles for complex diseases. In this study, GWAS was performed in 26 patients with oligo and rheumatoid factor negative polyarticular juvenile idiopathic artritis (JIA) and their healthy parents by Affymetrix 250K SNP arrays. Biological function and pathway enrichment analysis was done. This is the first GWAS reported for JIA families from the eastern Mediterranean population. Enrichment of FcγR-mediated phagocytosis pathway and response to various stimuli were the leading discoveries, along with the presentation of the strong interaction of JIA-associated genes with HLA cluster in the co-expression network...
July 2015: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27160627/-reforming-the-ross-triangle-new-challenges-for-the-medical-excellence
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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/26099934/considerations-on-treatment-recommendations-for-rheumatoid-arthritis
#12
EDITORIAL
Carlos Abud-Mendoza
No abstract text is available yet for this article.
July 2015: Reumatología Clinica
https://www.readbyqxmd.com/read/25734320/from-less-to-maximally-invasiveness-in-cervical-spine-surgery-a-nightmare-case-who-deserve-consideration
#13
M Visocchi, G Conforti, R Roselli, G La Rocca, A Spallone
INTRODUCTION: Multilevel cervical myelopathy without surgical treatment is generally poor in the neurological deficit without surgical decompression. The two main surgical strategies used for the treatment of multilevel cervical myelopathy are anterior decompression via anterior corpectomy or posterior decompression via laminctomy/laminoplasty. PRESENTATION OF CASE: We present the case of a 62 year-old lady, harboring rheumatoid artritis (RA) with gait disturbances, pain, and weakness in both arms...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25227967/initial-high-dose-prednisolone-combination-therapy-using-cobra-and-cobra-light-in-early-rheumatoid-arthritis
#14
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/25020845/p461new-targets-of-therapy-at-rheumatoid-vasculitis-focus-on-microcirculation
#15
D Bublikov, A Andrienko
UNLABELLED: The rheumatoid vaskulitis (RV) strikes about a quarter of patients with rheumatoid arthritis, causing defeat of visceral bodies and systems, a cachexy and progressing of articulate destruction. Therefore RV treatment - an actual problem of modern rheumatology. AIM: To study microcirculation at sick RV and possibility of its improvement the pentoxifyllini. MATERIALS AND METHODS: Research included women, patients rheumatoid artritis (n=69)...
July 15, 2014: Cardiovascular Research
https://www.readbyqxmd.com/read/24871116/diagnostic-utility-of-oxidative-damage-markers-for-early-rheumatoid-arthritis-in-non-smokers-and-negative-anti-ccp-patients
#16
E Melguizo, V Navarro, B Hernández, K Santos, T Arrobas, C Domínguez, F Navarro, C González
BACKGROUND: Besides the development of new markers and diagnostic criteria for rheumatoid arthritis (RA), many patients are still diagnosed after several years of symptoms. Oxidative stress markers are already increased at an early stage of RA. Our aim was to evaluate the additional diagnostic value of these markers. METHODS: A case-control study was performed. Patients met the 1987 RA ACR criteria, less than 2 years of symptoms and no previous treatment with disease-modifying anti-rheumatic drugs (DMARD), steroids or vitamin E...
January 2014: Anales del Sistema Sanitario de Navarra
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
#17
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/24133533/osteonecrosis-of-the-jaw-in-a-patient-with-rheumatoid-artritis-treated-with-an-oral-aminobisphosphonate-a-clinical-case-report
#18
Lorena Longato, Loredana Cavalli, Gemma Marcucci, Alessia Metozzi, Francesca Giusti, Maria Luisa Brandi, Prisco Piscitelli
Osteonecrosis of the jaw (ONJ) has been recently described after intravenous administration of amino-bisphosphonates and - less frequently - in association with the use of oral bisphosphonates. Bisphosphonate-Related Osteonecrosis of the Jaw (BRONJ) may affect mandible bone (65%), maxilla bone (26%) and rarely (9%) both sites simultaneously. Although causality may never be proven, emerging experimental data have established a strong association between monthly intravenous bisphosphonate administration and ONJ...
May 2013: Clinical Cases in Mineral and Bone Metabolism
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
#19
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/21794580/-a-comparison-of-leflunomide-and-subcutaneous-methotrexate-in-the-treatment-of-rheumatoid-arthritis-an-approximation-based-on-the-number-needed-to-treat
#20
Antonio J García Ruiz, Ana C Montesinos Gálvez, Lucía Pérez Costillas, Pablo Rebollo
OBJECTIVE: To compare, in the Spanish setting, two drugs for adults with rheumatoid artritis (RA): leflunomide and subcutaneous methotrexate (SC). The high price of methotrexate SC compared with traditional presentations of methotrexate justifies conducting an economic evaluation comparing it with leflunomide. METHODS: The analysis considered the annual costs of the drugs and their effectiveness, measured with a Number Needed to Treat (NNT) approach, considering both the ACR20 and ACR50 criteria for effectiveness...
March 2009: Reumatología Clinica
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