Clinical and experimental rheumatology最新文献_第10页

The change over time in the prescription pattern of the first targeted drug after failure of conventional therapy in patients with rheumatoid arthritis: a 20-year real-world experience. 类风湿性关节炎患者在常规治疗失败后首次使用靶向药物的处方模式随时间的变化：20 年的实际经验。

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-06-04 DOI: 10.55563/clinexprheumatol/c4pgcd

Gabriella Maioli, Gilberto Cincinelli, Martina Biggioggero, Roberto Caporali, Ennio Giulio Favalli

{"title":"The change over time in the prescription pattern of the first targeted drug after failure of conventional therapy in patients with rheumatoid arthritis: a 20-year real-world experience.","authors":"Gabriella Maioli, Gilberto Cincinelli, Martina Biggioggero, Roberto Caporali, Ennio Giulio Favalli","doi":"10.55563/clinexprheumatol/c4pgcd","DOIUrl":"10.55563/clinexprheumatol/c4pgcd","url":null,"abstract":"Objectives: To evaluate the change over time in the pattern of the first biologic/targeted synthetic drug (b/tsDMARD) prescription and baseline characteristics in patients with rheumatoid arthritis (RA) from 1999 to the present.Methods: A retrospective data analysis from RA patients enrolled in an Italian single-center registry was conducted. The analysis was limited to all the patients who received the first b/tsDMARD between October 1999 and December 2022. Patients were stratified according to the date of b/tsDMARD initiation into 4 groups (1999-2004, 2005-2010, 2011-2016, and 2017-2022) and a comparative analysis of prescription patterns and patients' baseline characteristics was performed.Results: The study population included 1206 patients. The characteristics of patients at baseline in the 4 groups were similar overall, with the exception of disease duration (12.26, 10.5, 9.7, 8.1 years, respectively; p<0.0001), mean number of conventional DMARDs used before the first b/tsDMARD (3, 2.5, 2.1, 1.4, respectively; p<0.0001), and mean clinical disease activity index (CDAI) score (30.1, 24.3, 21.8, 20.4, respectively; p<0.0001). A progressive reduction (from 95 to 43% of patients) in the prescription of first-line TNF-α inhibitors toward other mechanisms of action has been observed. The rate of patients treated with b/tsDMARDs as monotherapy progressively increased (from 18 to 26%) especially among those not receiving a TNFα inhibitor.Conclusions: The expansion of the therapeutic armamentarium has changed the management strategy of RA over time towards an earlier introduction of targeted drugs (increasingly often as monotherapy) in patients with progressive lower disease activity and a history of failure with fewer previous conventional drugs.","PeriodicalId":10274,"journal":{"name":"Clinical and experimental rheumatology","volume":" ","pages":"1838-1841"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141295613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower total cholesterol and triglyceride levels in ankylosing spondylitis than non-inflammatory rheumatic disease controls in a 1978-98 study: a potential effect of increased physical energetics in manual occupations in the pre-2000 chronologic era. 在一项 1978-98 年的研究中，强直性脊柱炎患者的总胆固醇和甘油三酯水平低于非炎症性风湿病对照组：这可能是 2000 年前体力劳动增加的潜在影响。

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-04-16 DOI: 10.55563/clinexprheumatol/u41mn1

Alfonse T Masi, Ponnaiah C Mohan, Tsr Murugan, Chadrick R Evans, Michael J Ryan, Megan L Brezka, Vaughn Hanna, Gerald R Cooper, Jean C Aldag

{"title":"Lower total cholesterol and triglyceride levels in ankylosing spondylitis than non-inflammatory rheumatic disease controls in a 1978-98 study: a potential effect of increased physical energetics in manual occupations in the pre-2000 chronologic era.","authors":"Alfonse T Masi, Ponnaiah C Mohan, Tsr Murugan, Chadrick R Evans, Michael J Ryan, Megan L Brezka, Vaughn Hanna, Gerald R Cooper, Jean C Aldag","doi":"10.55563/clinexprheumatol/u41mn1","DOIUrl":"10.55563/clinexprheumatol/u41mn1","url":null,"abstract":"Objectives: No article on serum lipids in ankylosing spondylitis (AS) and control subjects has been reported from USA. The primary aim of this study was to determine if any difference occurred in serum lipid levels in AS and control rheumatic disorders in two time periods, 1978-98 and 2000-10. The secondary aim was to investigate variables associated with lipid levels and if a difference was found between AS and control disorders.Methods: The AS patients were compared to non-inflammatory rheumatic disorders (NIRDs) in 1978-98 and 2000-10 surveys and to rheumatoid arthritis (RA) in the 2000-10 survey. Patients were matched within 5 years of age, sex, and clinic or hospital source.Results: In the 1978-98 survey, entry mean (SEM) serum cholesterol level [mg/dL] was highly (p<0.001) significantly lower in 69 AS [179.0 (4.8)] than 69 matched NIRD controls [208.0 (5.6)]. In 29 pairs of AS and NIRD subjects having manual labour occupations, mean (SEM) cholesterol level was additionally lower in AS [156.7 (5.9)] and higher in 29 NIRD controls [213.3 (8.6)] (p<0.001). In manual labour workers, mean (SEM) serum triglyceride was significantly lower (p=0.004) in 15 AS [110.3 (14.1)] than 14 NIRD controls [185.2 (19.3)]. In the 2000-10 survey, no lipid difference was found between AS vs. NIRD control patients.Conclusions: In the 1978-98 survey, AS had significantly lower mean serum cholesterol and triglyceride levels than NIRD control patients. Associated manual labour occupations may have significantly contributed to results, possibly related to increased energy expenditures from physical activity in the pre-2000 era.","PeriodicalId":10274,"journal":{"name":"Clinical and experimental rheumatology","volume":" ","pages":"1756-1762"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Performance of a novel high-resolution infrared thermography marker in detecting and assessing joint inflammation: a comparison with joint ultrasound. 新型高分辨率红外热成像标记在检测和评估关节炎症方面的性能：与关节超声波的比较。

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-05-01 DOI: 10.55563/clinexprheumatol/ne4k8y

Konstantinos Triantafyllias, Marina Clasen, Michele De Blasi, Manfred Berres, Eleftherios Nikolodimos, Andreas Schwarting

{"title":"Performance of a novel high-resolution infrared thermography marker in detecting and assessing joint inflammation: a comparison with joint ultrasound.","authors":"Konstantinos Triantafyllias, Marina Clasen, Michele De Blasi, Manfred Berres, Eleftherios Nikolodimos, Andreas Schwarting","doi":"10.55563/clinexprheumatol/ne4k8y","DOIUrl":"10.55563/clinexprheumatol/ne4k8y","url":null,"abstract":"Objectives: To examine the value of a novel high-resolution thermographic marker in the detection of joint inflammation compared to joint ultrasound (US) and to suggest thermographic cut-off values of joint inflammatory activity.Methods: Infrared thermographies were performed in patients with inflammatory arthritides and healthy controls. Patients were moreover examined clinically and by joint-US [Power-Doppler-(PDUS), Greyscale-US (GSUS)]. Regions of interest (ROIs) were defined for every joint and absolute temperature values within the ROIs were documented. The hottest areas (\"hotspots\") were identified by a clustering algorithm and the Hotspot/ROI-Ratio (HRR)-values were calculated. Subsequently, the HRR of patient-joints with different grades of hypervascularity (PDUS I°-III°) were compared among each other and with PDUS 0° control-joints. Diagnostic HRR-performance was tested by receiver-operating-characteristics.Results: 360 joints of 75 arthritis-patients and 1,808 joints of 70 controls were thermographically examined. HRR-values were statistically different between PDUS I-III vs. PDUS 0 and vs. healthy subjects for all four joint groups as well as in the majority of cases between patient-joints with different grades of hypervascularity (PDUS I°-III°; p<0.05). Taking joint-US as a reference, the best performance of HRR was found at the level of the wrist-joints by an area under the curve (AUC) of 0.91 (95%CI 0.84-0.98) with a sensitivity of 0.83 and specificity of 0.88.Conclusions: HRR showed an excellent performance in the differentiation of joints with US inflammatory activity from non-inflamed joints. Moreover, HRR was able to differentiate between joints with different grades of hypervascularity, making HRR a promising tool to assist disease activity monitoring.","PeriodicalId":10274,"journal":{"name":"Clinical and experimental rheumatology","volume":" ","pages":"1802-1811"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the link between dietary omega-3 and omega-6 fatty acid intake and rheumatoid arthritis risk: NHANES 1999-2020 study. 探索膳食中欧米茄-3 和欧米茄-6 脂肪酸摄入量与类风湿性关节炎风险之间的联系：NHANES 1999-2020 研究。

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-05-06 DOI: 10.55563/clinexprheumatol/91tmfb

Tianlun Kang, Yajing Xi, Tangliang Qian, Siyi Lu, Mengmeng Du, Xiaojun Shi, Xiujuan Hou

{"title":"Exploring the link between dietary omega-3 and omega-6 fatty acid intake and rheumatoid arthritis risk: NHANES 1999-2020 study.","authors":"Tianlun Kang, Yajing Xi, Tangliang Qian, Siyi Lu, Mengmeng Du, Xiaojun Shi, Xiujuan Hou","doi":"10.55563/clinexprheumatol/91tmfb","DOIUrl":"10.55563/clinexprheumatol/91tmfb","url":null,"abstract":"Objectives: The association between the ingestion of n-3 and n-6 fatty acids and rheumatoid arthritis (RA) remains unclear. To address this, this study utilised data from the National Health and Nutrition Examination Survey (NHANES) spanning from 1999 to 2020.Methods: Dietary intake information on n-3 and n-6 fatty acids was gathered through 24-hour interviews about dietary recall and adjusted based on weight. RA patient data was collected using questionnaires. Associations were evaluated using logistic regression and spline analyses. The study included a total of 50,352 participants in a cross-sectional manner.Results: In the adjusted Model 2, higher odds ratios (ORs) of 0.72 (95% CI: 0.60-0.86) and 0.76 (95% CI: 0.62-0.92) were observed for n-3 and n-6 fatty acid intake, respectively, compared to the lowest category.Conclusions: The results suggest a negative correlation between the ingestion of n-3 and n-6 fatty acids and the risk of rheumatoid arthritis in US adults.","PeriodicalId":10274,"journal":{"name":"Clinical and experimental rheumatology","volume":" ","pages":"1720-1728"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treat-to-target and shared decision-making in systemic lupus erythematosus from the patients' perspective: results from an international patient survey. 从患者角度看系统性红斑狼疮的目标治疗和共同决策：国际患者调查的结果。

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-04-29 DOI: 10.55563/clinexprheumatol/jp828o

Johanna Mucke, Daliya T Pencheva, Agner R Parra Sánchez, Kyra Cramer, Matthias Schneider, Irene E M Bultink

{"title":"Treat-to-target and shared decision-making in systemic lupus erythematosus from the patients' perspective: results from an international patient survey.","authors":"Johanna Mucke, Daliya T Pencheva, Agner R Parra Sánchez, Kyra Cramer, Matthias Schneider, Irene E M Bultink","doi":"10.55563/clinexprheumatol/jp828o","DOIUrl":"10.55563/clinexprheumatol/jp828o","url":null,"abstract":"Objectives: Treat-to-target (T2T) is being recognised as a promising concept to significantly improve the outcomes of patients with systemic lupus erythematosus (SLE). Despite its success being closely tied to patients' involvement, the patients' perspective regarding T2T has not been evaluated. We aimed to investigate patients' attitude towards T2T and their involvement in treatment decisions.Methods: We designed a 13-question online survey on T2T, examining acceptance, willingness to participate in T2T trials, and potential obstacles. This was distributed amongst Dutch, Austrian, German, and Bulgarian patient organisations.Results: In total, 863 patients participated of whom 48.4% reported being in remission, while 13% were uncertain about their remission status. Regarding shared decision-making, 62.1% reported being somewhat fully involved in treatment decisions, while 20.7% felt uninvolved. Shared decision-making was associated with disease duration, Dutch origin and satisfaction with treatment and remission. As for satisfaction with their health status, 56.2% were somewhat fully satisfied, while 29.3% were unsatisfied. 65.5% were satisfied with their treatment, 14.8% were not. Leading treatment goals were quality of life (QoL) normalisation (37.4%), organ damage prevention (24.6%) and absence of disease activity (22.6%). T2T was mainly seen positive with additional doctors' visits and initiation of new immunosuppressive drugs as potential disadvantages.Conclusions: T2T was perceived as beneficial with improvement of QoL as the most important treatment goal and the possibility of additional doctors' visits and initiation of new immunosuppressive agents as potential drawbacks. Patients unsatisfied with their health status and treatment may benefit from greater involvement in treatment decisions.","PeriodicalId":10274,"journal":{"name":"Clinical and experimental rheumatology","volume":" ","pages":"1744-1749"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The great challenge: bone fragility and environment. 巨大的挑战：骨质脆弱和环境。

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI: 10.55563/clinexprheumatol/7azn44

Maurizio Mazzantini, Giammarco De Mattia

引用次数: 0

Ultrasound-detected tenosynovitis in ankles with clinical arthritis and short-term outcome of patients with new-onset juvenile idiopathic arthritis. 临床关节炎患者踝关节超声检测到的腱鞘炎和新发幼年特发性关节炎患者的短期疗效。

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.55563/clinexprheumatol/r35akp

Stefano Lanni, Orazio De Lucia, Dario Consonni, Federica Chironi, Stefania Costi, Silvia Maria Orsi, Gisella Beretta, Martina Rossano, Roberto Caporali, Carlo Agostoni, Giovanni Filocamo

{"title":"Ultrasound-detected tenosynovitis in ankles with clinical arthritis and short-term outcome of patients with new-onset juvenile idiopathic arthritis.","authors":"Stefano Lanni, Orazio De Lucia, Dario Consonni, Federica Chironi, Stefania Costi, Silvia Maria Orsi, Gisella Beretta, Martina Rossano, Roberto Caporali, Carlo Agostoni, Giovanni Filocamo","doi":"10.55563/clinexprheumatol/r35akp","DOIUrl":"10.55563/clinexprheumatol/r35akp","url":null,"abstract":"Objectives: To determine features and frequency of ultrasound (US)-detected tenosynovitis in ankles with clinically active disease and to investigate whether its detection may affect the achievement of inactive disease in patients with new-onset juvenile idiopathic arthritis (JIA).Methods: The study included children with new-onset JIA and clinically active disease of the ankle. Based on US, patients were stratified as having isolated arthritis or as having tenosynovitis irrespective of the presence of concomitant arthritis in the ankle. Estimation of patients who were able to achieve clinically inactive disease 6 months after starting treatment was assessed by the Kaplan-Meier method. Cox model was used to calculate hazard ratio (HR) and 95% confidence interval (CI). Reliability of US was tested using kappa statistic.Results: Forty-five patients were recruited. On US, tenosynovitis of the ankle was detected in 28 patients (62.2%); isolated arthritis was found in 17 patients (37.8%). The medial and lateral tendon compartments were the tendon sites most frequently inflamed. Patients with tenosynovitis had similar likelihood of those without tenosynovitis to achieve clinically inactive disease (60.7% and 58.8%, respectively; HR 1.12, 95%CI:0.51-2.45). In the subanalysis excluding patients who were given biologics, the probability of experiencing inactive disease was slightly higher for patients with tenosynovitis compared to those without (64.7% and 54.5%, respectively; HR 1.56, 95%CI: 0.58-4.24). The rate of US reliability was high.Conclusions: US-detected tenosynovitis is frequent in ankles with clinical arthritis at JIA onset but does not impair the chance of achieving clinically inactive disease in the early disease phase.","PeriodicalId":10274,"journal":{"name":"Clinical and experimental rheumatology","volume":" ","pages":"1876-1883"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142104906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-06-06 DOI: 10.55563/clinexprheumatol/hdtkjz

Xueyan Gong, Yang Liu, Yazhen Su, Sumiao Liu, Haizhuan An, Liyun Zhang

引用次数: 0

Beyond diagnosis: exploring the significance of IgG4+ plasma cell count through immunostaining in IgG4-related disease. 诊断之外：通过免疫染色探讨 IgG4 相关疾病中 IgG4+ 浆细胞计数的意义。

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-06-19 DOI: 10.55563/clinexprheumatol/cniut0

Eduardo Martín-Nares, Jacobo Guerrero-Castillo, Arturo Ángeles-Ángeles, Jésus Delgado-de la Mora, Daniel Montante-Montes de Oca, Gabriela Hernández-Molina

{"title":"Beyond diagnosis: exploring the significance of IgG4+ plasma cell count through immunostaining in IgG4-related disease.","authors":"Eduardo Martín-Nares, Jacobo Guerrero-Castillo, Arturo Ángeles-Ángeles, Jésus Delgado-de la Mora, Daniel Montante-Montes de Oca, Gabriela Hernández-Molina","doi":"10.55563/clinexprheumatol/cniut0","DOIUrl":"10.55563/clinexprheumatol/cniut0","url":null,"abstract":"Objectives: To evaluate whether the grade of IgG4+ plasma cell infiltration in biopsies is associated with clinical or serologic outcomes in IgG4-RD.Methods: We included 57 patients with biopsy proven IgG4-RD according to the Comprehensive Diagnostic Criteria and/or the 2019 ACR/EULAR Classification Criteria. We collected histological, clinical (disease duration, phenotype, remission and relapses) and serological variables.Results: 29 (50.9%) patients were men, mean age 49.9 years, with a median disease duration of 22 months. The distribution among clinical phenotypes were 14% pancreato-hepato-biliary, 12.3% retroperitoneal/aortic, 29.8% head and neck-limited, 29.8% Mikulicz/systemic and 14% undefined. Thirty-nine patients had a proliferative and 18 a fibrotic phenotype. Most biopsies were from lacrimal gland, lymph node, pancreas, orbit, kidney, retroperitoneum and thyroid gland. Thirty-nine (68.4%) patients had <100 IgG4+ plasma cells/HPF and 18 (31.6%) ≥100 IgG4+ plasma cells/HPF. Patients with ≥100 IgG4+ plasma cells/HPF were more likely to belong to the pancreato-hepato-biliary and the proliferative phenotypes, had fewer relapses and a higher remission rate. On multivariate analysis, the OR for remission at last follow-up was 6.7, 95% CI 1.1-4.42, p=0.03. The log-rank test showed a difference in relapse-free survival between the two groups (HR 2.6, 95% CI 1.2-5.6, p=0.01). According to the ROC analysis, patients with more than 61 IgG4+ plasma cells were less likely to relapse.Conclusions: A count of ≥100 IgG4+ plasma cells/HPF may identify patients with a proliferative phenotype, fewer relapses and a higher remission rate.","PeriodicalId":10274,"journal":{"name":"Clinical and experimental rheumatology","volume":" ","pages":"1842-1845"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical response to brodalumab in a patient affected by refractory SAPHO syndrome. 一名难治性 SAPHO 综合征患者对布达鲁单抗的临床反应。

IF 3.4 4区医学

Clinical and experimental rheumatology Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI: 10.55563/clinexprheumatol/qhq2o0

Emilio D'Ignazio, Emanuele Trovato, Luca Cantarini, Laura Calabrese, Bruno Frediani, Stefano Gentileschi

引用次数: 0