Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders最新文献

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The Protein Tyrosine Phosphatase Nonreceptor 22 (PTPN22) R620W Functional Polymorphism in Psoriasis. 蛋白酪氨酸磷酸酶非受体22 (PTPN22) R620W在银屑病中的功能多态性
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2018-01-11 eCollection Date: 2018-01-01 DOI: 10.1177/1179544117751434
Ghaleb Bin Huraib, Fahad Al Harthi, Misbahul Arfin, Sadaf Rizvi, Abdulrahaman Al-Asmari
{"title":"The Protein Tyrosine Phosphatase Nonreceptor 22 (<i>PTPN22</i>) R620W Functional Polymorphism in Psoriasis.","authors":"Ghaleb Bin Huraib,&nbsp;Fahad Al Harthi,&nbsp;Misbahul Arfin,&nbsp;Sadaf Rizvi,&nbsp;Abdulrahaman Al-Asmari","doi":"10.1177/1179544117751434","DOIUrl":"https://doi.org/10.1177/1179544117751434","url":null,"abstract":"<p><strong>Background: </strong>Psoriasis is a complex autoimmune disease caused by the interaction of genetic and environmental factors. <i>PTPN22</i> gene polymorphism has been reported to affect psoriasis susceptibility; however, no data are available for Middle Eastern populations.</p><p><strong>Objective: </strong>The aim of this study was to investigate the association of PTPN22 (1858C/T) R620W polymorphism with psoriasis in a Saudi cohort.</p><p><strong>Methods: </strong>Saudi subjects (n = 306) including patients with psoriasis (n = 106) and matched controls (n = 200) were studied for <i>PTPN22</i> variants using tetra-primer amplification refractory mutation system-polymerase chain reaction method. The frequencies of alleles and genotypes of PTPN22 (1858C/T) polymorphism were compared between patients and controls.</p><p><strong>Results: </strong>The frequency of CT genotype of PTPN22 (1858C/T) polymorphism was significantly higher, whereas that of CC genotype was lower in patients with psoriasis than in controls (<i>P </i>< .001, relative risk [RR] = 7.151). The homozygous genotype TT was absent in both the patients and healthy controls. The frequency of allele T encoding tryptophan (W) was significantly increased (<i>P </i>< .001, RR = 5.76), whereas that of allele C encoding arginine (R) decreased in psoriasis cases as compared with controls (<i>P </i>< .001, RR = 0.173) indicating that individuals carrying allele T are more susceptible to psoriasis than noncarriers.</p><p><strong>Conclusions: </strong>PTPN22 (1858C/T) polymorphism is positively associated with susceptibility of psoriasis in Saudis and can be developed as biomarker for evaluating psoriasis risk. However, further studies on PTPN22 polymorphism in larger samples from different geographical areas and ethnicity are warranted.</p>","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544117751434","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35749426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Does HLA-B27 Status Influence Ankylosing Spondylitis Phenotype? HLA-B27状态是否影响强直性脊柱炎表型?
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2018-01-08 eCollection Date: 2018-01-01 DOI: 10.1177/1179544117751627
Amal Akassou, Youssef Bakri
{"title":"Does HLA-B27 Status Influence Ankylosing Spondylitis Phenotype?","authors":"Amal Akassou,&nbsp;Youssef Bakri","doi":"10.1177/1179544117751627","DOIUrl":"https://doi.org/10.1177/1179544117751627","url":null,"abstract":"<p><p>The association of HLA-B27 with ankylosing spondylitis (AS) remains as one of the intriguing models that could exist between a molecule and human disease in medicine. Although it was reported in 1973, its contribution to AS and related spondyloarthritis continues to be a major challenge for scientific community. It is important to understand its etiopathogenic mechanism and its functions in these diseases. Although the diagnostic and prognostic roles of HLA-B27 in AS are still debated, there is an increasing interest for HLA-B27-based effects especially in HLA-B27(+) patients with AS. This review will focus in the examination of published reports regarding the influence of HLA-B27 status on the demographic and clinical features in AS, with specific interest to its role on AS severity.</p>","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544117751627","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35744788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
Medial Pivot in Total Knee Arthroplasty: Literature Review and Our First Experience. 全膝关节置换术中的内侧支点:文献回顾和我们的第一次经验。
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2018-01-04 eCollection Date: 2018-01-01 DOI: 10.1177/1179544117751431
Luigi Sabatini, Salvatore Risitano, Gennaro Parisi, Ferdinando Tosto, Pier Francesco Indelli, Francesco Atzori, Alessandro Massè
{"title":"Medial Pivot in Total Knee Arthroplasty: Literature Review and Our First Experience.","authors":"Luigi Sabatini,&nbsp;Salvatore Risitano,&nbsp;Gennaro Parisi,&nbsp;Ferdinando Tosto,&nbsp;Pier Francesco Indelli,&nbsp;Francesco Atzori,&nbsp;Alessandro Massè","doi":"10.1177/1179544117751431","DOIUrl":"https://doi.org/10.1177/1179544117751431","url":null,"abstract":"<p><strong>Background: </strong>Traditional total knee implants designs, usually, are not able to reproduce the physiological kinematics of the knee, leaving almost 20% of the patients, those who underwent a total knee arthroplasty (TKA), not fully satisfied. Modern inserts are nowadays designed with a fully congruent medial compartment to reproduce the normal medial pivoting biomechanics of the knee. The aim of this article was to evaluate preliminary clinical improvement using the Medial Congruent (MC) insert as specific level of constraint.</p><p><strong>Materials and methods: </strong>A total of 10 consecutive patients have been enrolled in this study and treated using an MC tibial polyethylene insert. The Oxford Knee Score (OKS) and the Knee Society Score (KSS) have been assessed preoperatively and at 3-month, 6-month, and 1-year follow-up (FU) and used as validated measurements to evaluate early clinical improvements. Postoperative radiological examination was reviewed looking for radiolucent lines or loosening of the components.</p><p><strong>Results: </strong>Average improvement in OKS was from 19.5 to 41.2, whereas KSS improved with an average score from 64.7 preoperatively to 167.5 at the final FU showing good to excellent results in 95% of the treated knees. Evaluating the range of motion, the average maximum active movement was 124° and none of the patients needing for a revision surgery or manipulation under anesthesia. No complications were observed at the final FU as septic or aseptic loosening or vascular or neurologic injury.</p><p><strong>Discussion and conclusions: </strong>Medial Congruent insert showed good to excellent clinical results at 1-year FU. Range of motion and subjective outcomes were satisfying and comparable with results obtained in literature using traditional TKA design.</p>","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544117751431","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35730257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 41
Rheological Properties of Commercially Available Hyaluronic Acid Products in the United States for the Treatment of Osteoarthritis Knee Pain. 美国市售透明质酸产品治疗骨关节炎膝关节疼痛的流变学特性。
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2018-01-03 eCollection Date: 2018-01-01 DOI: 10.1177/1179544117751622
Mathew Nicholls, Ajay Manjoo, Peter Shaw, Faizan Niazi, Jeffrey Rosen
{"title":"Rheological Properties of Commercially Available Hyaluronic Acid Products in the United States for the Treatment of Osteoarthritis Knee Pain.","authors":"Mathew Nicholls,&nbsp;Ajay Manjoo,&nbsp;Peter Shaw,&nbsp;Faizan Niazi,&nbsp;Jeffrey Rosen","doi":"10.1177/1179544117751622","DOIUrl":"https://doi.org/10.1177/1179544117751622","url":null,"abstract":"<p><strong>Objective: </strong>The inconsistent results within the current literature regarding the efficacy of intra-articular-hyaluronic acid (IA-HA) for the treatment of knee osteoarthritis (OA) have been suggested to be due to intrinsic differences between individual HA products. The purpose of this investigation is to define the rheological differences between currently available HA products in the United States at the time of this study for the treatment of knee OA, which will help elaborate on the appropriateness of classifying HA products as a class opposed to as individual agents.</p><p><strong>Methods: </strong>The rheological parameters for Euflexxa, Orthovisc, Supartz, Monovisc, Synvisc, Synvisc-One, Gel-One, and Hyalgan were obtained with a TA AR 2000 EX Rheometer with a cone-plate geometry (40-mm plate diameter and a 2° cone angle) at room temperature.</p><p><strong>Results: </strong>The bulk rheological parameters of the different products suggest molecular structures traversing the range of dilute solution (Hyalgan, Supartz), semidilute solution (Euflexxa, Orthovisc), entangled solutions (Monovisc, Synvisc, Synvisc-One), and even gel-like (Gel-One) behavior.</p><p><strong>Conclusions: </strong>Due to the differences in rheological properties between IA-HA products, the universal assessment of these products as a class may not be appropriate. Instead, it may be more appropriate to assess each product individually. Future research should aim to link these differences in rheological properties to the differences in clinical efficacy seen across these IA-HA products.</p>","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544117751622","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35730256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 27
Osteoarthritis and the Complement Cascade. 骨关节炎与补体级联。
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2018-01-03 eCollection Date: 2018-01-01 DOI: 10.1177/1179544117751430
Sandeep Silawal, Jakob Triebel, Thomas Bertsch, Gundula Schulze-Tanzil
{"title":"Osteoarthritis and the Complement Cascade.","authors":"Sandeep Silawal, Jakob Triebel, Thomas Bertsch, Gundula Schulze-Tanzil","doi":"10.1177/1179544117751430","DOIUrl":"10.1177/1179544117751430","url":null,"abstract":"<p><p>Accumulating evidence demonstrates that complement activation is involved in the pathogenesis of osteoarthritis (OA). However, the intimate complement regulation and cross talk with other signaling pathways in joint-associated tissues remain incompletely understood. Recent insights are summarized and discussed here, to put together a more comprehensive picture of complement involvement in OA pathogenesis. Complement is regulated by several catabolic and inflammatory mediators playing a key role in OA. It seems to be involved in many processes observed during OA development and progression, such as extracellular cartilage matrix (ECM) degradation, chondrocyte and synoviocyte inflammatory responses, cell lysis, synovitis, disbalanced bone remodeling, osteophyte formation, and stem cell recruitment, as well as cartilage angiogenesis. In reverse, complement can be activated by various ECM components and their cleavage products, which are released during OA-associated cartilage degradation. There are, however, some other cartilage ECM components that can inhibit complement, underlining the diverse effects of ECM on the complement activation. It is hypothesized that complement might also be directly activated by mechanical stress, thereby contributing to OA. The question arises whether keeping the complement activation in balance could represent a future therapeutic strategy in OA treatment and in the prevention of its progression.</p>","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/82/10.1177_1179544117751430.PMC5805003.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35824152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proliferative Synovitis of the Shoulder Bursae is a Key Feature for Discriminating Elderly Onset Rheumatoid Arthritis Mimicking Polymyalgia Rheumatica From Polymyalgia Rheumatica. 肩滑囊增生性滑膜炎是区分老年类风湿关节炎与风湿性多肌痛的关键特征。
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2017-12-07 eCollection Date: 2017-01-01 DOI: 10.1177/1179544117745851
Takeshi Suzuki, Ryochi Yoshida, Yuka Hidaka, Yu Seri
{"title":"Proliferative Synovitis of the Shoulder Bursae is a Key Feature for Discriminating Elderly Onset Rheumatoid Arthritis Mimicking Polymyalgia Rheumatica From Polymyalgia Rheumatica.","authors":"Takeshi Suzuki,&nbsp;Ryochi Yoshida,&nbsp;Yuka Hidaka,&nbsp;Yu Seri","doi":"10.1177/1179544117745851","DOIUrl":"https://doi.org/10.1177/1179544117745851","url":null,"abstract":"<p><p>Semiquantitative scoring for subacromial bursa (SAB), subdeltoid bursa (SDB), and subcoracoid bursa by both gray-scale (GS) and power Doppler (PD) ultrasonography was performed in 15 patients with polymyalgia rheumatica (PMR) (72.6 ± 7.7 years old) and 15 patients with elderly onset rheumatoid arthritis with PMR-like onset (pm-EORA) (70.7 ± 7.0 years old) before starting treatment. The GS grades of SAB were significantly higher in the shoulders with pm-EORA than in the shoulders with PMR. The GS and PD scores of SAB and the PD scores of SDB were significantly higher in pm-EORA than in PMR cases. The sums of GS and/or PD scores for the three bursae were significantly higher in pm-EORA than in patients with PMR. The sums of GS and PD scores for SAB were significantly higher in pm-EORA than in PMR cases. Moderate to severe proliferative synovitis of the shoulder bursae, especially in SAB, is a key feature for discriminating pm-EORA from PMR.</p>","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2017-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544117745851","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35657581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Efficacy of Intra-articular Injection of a Newly Developed Plasma Rich in Growth Factor (PRGF) Versus Hyaluronic Acid on Pain and Function of Patients with Knee Osteoarthritis: A Single-Blinded Randomized Clinical Trial. 关节内注射新开发的富生长因子血浆(PRGF)与透明质酸对膝关节骨关节炎患者疼痛和功能的疗效:一项单盲随机临床试验
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2017-10-10 eCollection Date: 2017-01-01 DOI: 10.1177/1179544117733452
Seyed Ahmad Raeissadat, Seyed Mansoor Rayegani, Azadeh Gharooee Ahangar, Porya Hassan Abadi, Parviz Mojgani, Omid Gharooi Ahangar
{"title":"Efficacy of Intra-articular Injection of a Newly Developed Plasma Rich in Growth Factor (PRGF) Versus Hyaluronic Acid on Pain and Function of Patients with Knee Osteoarthritis: A Single-Blinded Randomized Clinical Trial.","authors":"Seyed Ahmad Raeissadat,&nbsp;Seyed Mansoor Rayegani,&nbsp;Azadeh Gharooee Ahangar,&nbsp;Porya Hassan Abadi,&nbsp;Parviz Mojgani,&nbsp;Omid Gharooi Ahangar","doi":"10.1177/1179544117733452","DOIUrl":"https://doi.org/10.1177/1179544117733452","url":null,"abstract":"<p><strong>Background and objectives: </strong>Knee osteoarthritis is the most common joint disease. We aimed to compare the efficacy and safety of intra-articular injection of a newly developed plasma rich in growth factor (PRGF) versus hyaluronic acid (HA) on pain and function of patients with knee osteoarthritis.</p><p><strong>Methods: </strong>In this single-blinded randomized clinical trial, patients with symptomatic osteoarthritis of knee were assigned to receive 2 intra-articular injections of our newly developed PRGF in 3 weeks or 3 weekly injections of HA. Our primary outcome was the mean change from baseline until 2 and 6 months post intervention in scores of visual analog scale, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Lequesne index. We used analysis of variance for repeated-measures statistical test.</p><p><strong>Results: </strong>A total of 69 patients entered final analysis. The mean age of patients was 58.2 ± 7.41 years and 81.2% were women. In particular, total WOMAC index decreased from 42.9 ± 13.51 to 26.8 ± 13.45 and 24.4 ± 16.54 at 2 and 6 months in the newly developed PRGF group (within subjects <i>P</i> = .001), and from 38.8 ± 12.62 to 27.8 ± 11.01 and 27.4 ± 11.38 at 2 and 6 months in the HA group (within subjects <i>P</i> = .001), respectively (between subjects <i>P</i> = .631). There was no significant difference between PRGF and HA groups in patients' satisfaction and minor complications of injection, whereas patients in HA group reported significantly lower injection-induced pain.</p><p><strong>Conclusions: </strong>In 6 months follow up, our newly developed PRGF and HA, both are effective options to decrease pain and improvement of function in patients with symptomatic mild to moderate knee osteoarthritis.</p>","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2017-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544117733452","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35624702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 48
Feasibility of the Atlas Unicompartmental Knee System Load Absorber in Improving Pain Relief and Function in Patients Needing Unloading of the Medial Compartment of the Knee: 1-Year Follow-Up of a Prospective, Multicenter, Single-Arm Pilot Study (PHANTOM High Flex Trial). Atlas单室膝关节系统负荷吸收器在需要卸载膝关节内侧隔室的患者中改善疼痛缓解和功能的可行性:一项前瞻性、多中心、单臂试点研究(PHANTOM高弯曲试验)的1年随访。
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2017-09-27 eCollection Date: 2017-01-01 DOI: 10.1177/1179544117733446
Konrad Slynarski, Jacek Walawski, Robert Smigielski, Willem van der Merwe
{"title":"Feasibility of the Atlas Unicompartmental Knee System Load Absorber in Improving Pain Relief and Function in Patients Needing Unloading of the Medial Compartment of the Knee: 1-Year Follow-Up of a Prospective, Multicenter, Single-Arm Pilot Study (PHANTOM High Flex Trial).","authors":"Konrad Slynarski,&nbsp;Jacek Walawski,&nbsp;Robert Smigielski,&nbsp;Willem van der Merwe","doi":"10.1177/1179544117733446","DOIUrl":"https://doi.org/10.1177/1179544117733446","url":null,"abstract":"<p><p>In young patients with medial knee osteoarthritis (OA), surgical intervention may not be desirable due to preferences to avoid bone cutting procedures, return to high activity levels, and prolong implant survival. The Atlas Knee System was designed to fill the gap between ineffective conservative treatments and invasive surgery. This single-arm study included 26 patients, aged 25 to 65 years, who completed 12 months of follow-up. All dimensions of the Knee injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Knee Society Score significantly improved from baseline to 12 months. About 96.2% and 92.3% of patients experienced a ⩾20% improvement in their KOOS pain and WOMAC pain scores, respectively, at 12 months. This study highlights the potential benefit of a joint unloading device in the management of young patients with medial knee OA. The trial is still ongoing and another analysis is planned at 24 months.</p>","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544117733446","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35481782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Patient Preferences Regarding Surgical Interventions for Knee Osteoarthritis. 膝关节骨关节炎患者对手术干预的偏好。
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2017-09-20 eCollection Date: 2017-01-01 DOI: 10.1177/1179544117732039
Claude T Moorman, Tom Kirwan, Jennifer Share, Christopher Vannabouathong
{"title":"Patient Preferences Regarding Surgical Interventions for Knee Osteoarthritis.","authors":"Claude T Moorman,&nbsp;Tom Kirwan,&nbsp;Jennifer Share,&nbsp;Christopher Vannabouathong","doi":"10.1177/1179544117732039","DOIUrl":"https://doi.org/10.1177/1179544117732039","url":null,"abstract":"<p><p>Surgical interventions for knee osteoarthritis (OA) have markedly different procedure attributes and may have dramatic differences in patient desirability. A total of 323 patients with knee OA were included in a dual response, choice-based conjoint analysis to identify the relative preference of 9 different procedure attributes. A model was also developed to simulate how patients might respond if presented with the real-world knee OA procedures, based on conservative assumptions regarding their attributes. The \"amount of cutting and removal of the existing bone\" required for a procedure had the highest preference score, indicating that these patients considered it the most important attribute. More specifically, a procedure that requires the least amount of bone cutting or removal would be expected to be the most preferred surgical alternative. The model also suggested that patients who are younger and report the highest pain levels and greatest functional limitations would be more likely to opt for surgical intervention.</p>","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2017-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544117732039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35470586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
Magnetic Resonance Imaging of the Axial Skeleton in Patients With Spondyloarthritis: Distribution Pattern of Inflammatory and Structural Lesions. 脊椎关节炎患者中轴骨骼的磁共振成像:炎症和结构性病变的分布模式。
IF 2.6
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2017-08-29 eCollection Date: 2017-01-01 DOI: 10.1177/1179544117728081
Patrick Hoffstetter, Mohammed H Al Suwaidi, Alexander Joist, Achim Benditz, Martin Fleck, Christian Stroszczynski, Christian Dornia
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引用次数: 3
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