Clinics最新文献

{"title":"Metabolomics in juvenile idiopathic arthritis: A distinct profile in patients under methotrexate","authors":"Renato B. Tomioka ,&nbsp;Gabriela R.V. Ferreira ,&nbsp;Nadia E. Aikawa ,&nbsp;Gustavo A.R. Maciel ,&nbsp;José M. Soares Junior ,&nbsp;Edmund C. Baracat ,&nbsp;Eloisa Bonfá ,&nbsp;Ismael Dale Cotrim Guerreiro da Silva ,&nbsp;Clovis Almeida da Silva","doi":"10.1016/j.clinsp.2024.100522","DOIUrl":"10.1016/j.clinsp.2024.100522","url":null,"abstract":"<div><div>The objective of the present study was to evaluate biochemical quantitative metabolites in peripheral blood serum samples of Juvenile Idiopathic Arthritis (JIA) patients and healthy controls. A cross-sectional study included 33 post-pubertal JIA (21 without and 12 with Methotrexate (MTX) women and 28 age-matched healthy controls. Metabolomic analyses based on targeted electrospray ionization tandem mass spectrometry were used to identify possible biochemical pathway modifications in serum from JIA patients. The mean current age (<em>p</em> = 0.065) was similar in JIA patients and healthy controls. Current MTX use in all subtypes of JIA patients was associated with an increase in concentrations of free carnitine [21.74 (12.7‒35.2) vs. 27.49 (14.5‒41.3) µM/L, <em>p</em> = 0.02], suggesting an enhanced mitochondrial metabolism and intestinal absorptive function. In contrast, a decreased mitochondrial metabolism was observed in polyarticular and systemic JIA subtypes, with a decrease of several acylcarnitines’ concentrations (<em>p</em> &lt; 0.05). In conclusion, the present study identified a distinctive pattern of serum metabolic signatures in JIA patients under MTX therapy. Our findings indicate that MTX use is associated with a more efficient mitochondrial function.</div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100522"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of mycobacteria in pulmonary granulomatous lesions","authors":"Sibele Inácio Meireles,&nbsp;Mariana Vargas Cruz,&nbsp;Gustavo Palmer Irffi,&nbsp;Leonardo Abreu Testagrossa","doi":"10.1016/j.clinsp.2024.100564","DOIUrl":"10.1016/j.clinsp.2024.100564","url":null,"abstract":"<div><div>Mycobacteria infections are caused by species of the <em>Mycobacterium tuberculosis</em> complex (MTB) and other species called Non-Tuberculosis Mycobacteria (NTM). Identification of mycobacteria species is very important to define treatment and it can be achieved by direct culture. However, the lack of clear protocols regarding the use of culture or molecular tests on specimens diagnosed with granulomatous lesions causes delays in the diagnosis of the etiological agents and, consequently, the definition of the right treatment. This work aimed to characterize the incidence of mycobacteria species in pulmonary granulomatous lesions and the contribution of Polymerase Chain Reaction (PCR) in Formalin-Fixed Paraffin-Embedded Tissue (FFPE), direct culture, and Ziehl-Neelsen histological stain to the diagnosis. The authors performed an observational, centralized, and retrospective study in a cohort of 336 cases with pulmonary granulomatous lesions. Mycobacteria were detected by ZNS in 54/323 (16.72 %) and by direct culture in 40/198 (20.20 %). MTB DNA was detected by PCR in 10/57 (17.54 %). Mycobacterial culture results revealed MTB in 26/40 (65.00 %), whereas NTM was detected in 13/40 (32.50 %). NTM was represented by <em>M. avium</em> (<em>n</em> = 4), <em>M. intracellulare</em> (<em>n</em> = 3), <em>M. kansasii</em> (<em>n</em> = 3), <em>M. colombiense</em> (<em>n</em> = 1), <em>M. paraffinicum</em> (<em>n</em> = 1), and <em>M. abscessus</em> subsp. <em>massiliense</em> (<em>n</em> = 1). In conclusion, this study demonstrated that mycobacteria are detected in 16.72 % to 20.20 % of pulmonary granulomatous lesions. Moreover, MTB and NTM were detected in these lesions. The use of different methods for mycobacteria detection, in addition to culture, is complementary and contributes to fastening and increasing the detection of mycobacteria in these lesions.</div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100564"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of a modified DVD regimen followed by lenalidomide for the treatment of Newly Diagnosed Multiple Myeloma","authors":"Zhichao Li ,&nbsp;Wenhao Zhang ,&nbsp;Fang Huang ,&nbsp;Siguo Hao","doi":"10.1016/j.clinsp.2025.100575","DOIUrl":"10.1016/j.clinsp.2025.100575","url":null,"abstract":"<div><h3>Background</h3><div>The common drugs used for the treatment of Newly Diagnosed Multiple Myeloma (NDMM) include bortezomib and lenalidomide, but the adverse effects of lenalidomide cannot be ignored, especially when it is used in the initial therapy.</div></div><div><h3>Methods</h3><div>This retrospective study evaluated the efficacy and safety of a modified DVD regimen (pegylated liposomal doxorubicin, bortezomib, and dexamethasone) followed by lenalidomide in the treatment of NDMM. A total of 40 NDMM patients were treated with a reduced dose of pegylated liposomal doxorubicin (20 mg/m²) on day 1, subcutaneous bortezomib (1.3 mg/m²) on days 1, 4, 8, and 11, and dexamethasone (20 mg) on days 1, 2, 3, 4, 8, 9, 11, and 12 (20 days for each course). When patients failed to achieve partial or better response after 2 courses of treatment, a regimen containing lenalidomide was administered. After the induction therapy, 15 eligible patients received Peripheral Blood Stem Cells (PBSC) mobilization and transplantation followed by maintenance therapy with lenalidomide.</div></div><div><h3>Results</h3><div>The response rate (≥ very good partial response) was 55% and 80% after 2 and 4 courses, respectively. The 18-month Progression Free Survival (PFS) and Overall Survival (OS) were 78.6% and 83.4%, respectively. Grade 3 or 4 hematologic toxicity occurred in less than 10% of patients. In addition, all 15 transplant-eligible patients successfully mobilized PBSC (median CD34⁺cells = 4.59 × 10⁶/kg) and underwent autologous PSBC transplantation.</div></div><div><h3>Conclusions</h3><div>This study suggests that the modified DVD regimen followed by lenalidomide is an effective and well-tolerated regimen, and has little influence on the PBSC collection and transplantation for patients with NDMM.</div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100575"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biliary HMGB1 levels and biochemical indices in the assessment of acute obstructive septic cholangitis combined with septic shock","authors":"DanYang Gu ,&nbsp;YuHao Wu ,&nbsp;ZhengHua Ding ,&nbsp;Yang Dai","doi":"10.1016/j.clinsp.2025.100611","DOIUrl":"10.1016/j.clinsp.2025.100611","url":null,"abstract":"<div><h3>Background</h3><div>Acute Obstructive Septic Cholangitis (AOSC) is a serious infectious disease of the biliary system. It is prone to develop into septic shock without prompt management.</div></div><div><h3>Methods</h3><div>Bile was collected from 71 AOSC patients (45 AOSC without septic shock, 26 AOSC with septic shock) during biliary drainage and on days 1 and 3 postoperatively. The levels of High Mobility Group Protein 1 (HMGB1), Interleukin (IL)-1, IL-6, and Tumor Necrosis Factor alpha (TNF-α) were measured. The differences in the levels of biliary factors and their correlation with clinical biochemical indicators were assessed in the two groups.</div></div><div><h3>Results</h3><div>HMGB1 gradually decreased in both groups in the postoperative period. Intraoperative levels of biliary HMGB1 were significantly higher in patients with AOSC with septic shock. TNF-α and HMGB1 decreased slowly in patients with AOSC with septic shock on postoperative days 1 and 3, and the levels of the factors decreased less. Biliary HMGB1 levels were negatively correlated with white blood cell count and positively correlated with blood urea nitrogen, blood creatinine, procalcitonin, and C-reactive protein. A bile HMGB1 level of 1108.3 pg/mL was the cut-off value to differentiate patients with AOSC with or without septic shock.</div></div><div><h3>Conclusion</h3><div>Biliary HMGB1 levels are elevated in patients with AOSC with septic shock and decrease slowly in the postoperative period. This suggests that HMGB1 is of considerable importance as a potential therapeutic target in the pathogenesis of septic shock in AOSC patients.</div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100611"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between serum C-reactive protein and low muscle mass among US adults: Results from NHANES 1999 to 2006","authors":"Ruzheng Lin ,&nbsp;Ying Chen ,&nbsp;Kai Liu","doi":"10.1016/j.clinsp.2025.100588","DOIUrl":"10.1016/j.clinsp.2025.100588","url":null,"abstract":"<div><h3>Introduction</h3><div>Inflammation is hypothesized to be a pivotal factor influencing muscle function, with C-Reactive Protein (CRP) serving as a common biomarker of inflammation. However, the literature pertaining to the relationship between CRP and muscle mass remains scant, particularly among representative adult populations in the United States. The present study aimed to delve into the association between serum CRP levels and muscle mass among American adults, leveraging data from the National Health and Nutrition Examination Survey (NHANES) conducted from 1999 to 2006.</div></div><div><h3>Methods</h3><div>A cohort of 13,518 participants, representative of the US adult population, underwent dual-energy X-Ray Absorptiometry (DXA) to assess Appendicular Skeletal Muscle Mass (ASM) and had their CRP levels measured. Muscle mass was defined using ASM adjusted by Body Mass Index (ASM/BMI) criteria. Employing weighted logistic regression models, restricted cubic spline analysis, and subgroup analyses, the authors examined the association between serum CRP and low muscle mass.</div></div><div><h3>Results</h3><div>After meticulously adjusting for various covariates, the present findings revealed a positive association between serum CRP levels and the risk of low muscle mass in American adults (OR = 1.07, 95 % CI 1.01‒1.14, <em>p</em> = 0.016). Notably, an inverse J-shaped relationship was observed, with serum CRP inflection points of 0.273 mg/dL for the overall population, 0.172 mg/dL for males, and 0.296 mg/dL for females. Subgroup analysis further demonstrated that factors such as gender, race, educational level, smoking status, congestive heart failure, stroke, renal weakness/failure, coronary heart disease, diabetes, hypertension, vigorous physical activity, moderate physical activity, and muscle strengthening activities did not significantly impact this positive correlation (all p for interaction values &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>This nationally representative cross-sectional study provides robust evidence of an inverse J-shaped association between serum CRP levels and the risk of low muscle mass in adults in the United States, with a critical inflection point of 0.273 mg/dL. These findings may inform future research and clinical strategies aimed at mitigating the negative effects of inflammation on muscle mass and function in the adult population.</div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100588"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatal long-term complications due to bendamustine for Waldenstrom's macroglobulinemia","authors":"Fulvio Alexandre Scorza ,&nbsp;Carla Alexndra Scorza ,&nbsp;Josef Finsterer","doi":"10.1016/j.clinsp.2025.100591","DOIUrl":"10.1016/j.clinsp.2025.100591","url":null,"abstract":"","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100591"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143203656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical variations of the marginal mandibular nerve","authors":"Arthur Paredes Gatti ,&nbsp;Matheus Trovão Ribeiro ,&nbsp;Flávio Hojaij","doi":"10.1016/j.clinsp.2024.100548","DOIUrl":"10.1016/j.clinsp.2024.100548","url":null,"abstract":"<div><h3>Introduction</h3><div>The Marginal Mandibular Nerve (MMN), despite being didactically described as being a unique branch of the other branches of the Facial Nerve, has in practice an abundant anatomical variation. Both in relation to its ramifications and the positioning of these in relation to the lower edge of the mandible, as well as its anastomoses along its path, play a fundamental role in the surgical strategy during the approach of this cervicofacial site, and can generate, as underestimated its characteristics, inadvertent injuries and motor consequences to the patient.</div></div><div><h3>Objective</h3><div>To analyze the types of anatomical variations of the MMN in relation to its position, ramification, and distance from reference points, as well as its incidence that could imply technical difficulties in surgery.</div></div><div><h3>Methods</h3><div>A systematic review was conducted in the literature in search of anatomical studies, in vivo or in cadavers, between 1981 and 2024, which described the quantification of the MMN branches, their positioning and peculiarities in relation to anastomoses with other peripheral nerves.</div></div><div><h3>Results</h3><div>511 hemifaces were studied, with the identification of 290 cases of single nerve, 160 cases of double branch, 54 cases of triple branch, and 7 cases of quadruple branch. Of the 456 nerves that were possible to study, the average distance when superior to the lower limit of the mandible was 1.61 cm, while its lower analysis was 2.53 cm. The branches presented different proportions of presentation in relation to this reference point depending on how many branches it had, being more common to remain below it. Anastomoses were identified between the MMN and the buccal and cervical branch of the Facial Nerve, as well as with the Trigeminal Nerve.</div></div><div><h3>Conclusion</h3><div>The varied presentations of the MMN, both in its anatomical positioning and in the number of branches leads us to question whether the surgical thinking when performing an exploration in this site may not be the reason whythe authors verify several motor complaints superior to described injuries.</div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100548"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral therapies for the treatment of autism spectrum disorder: A systematic review","authors":"Clara Lucato dos Santos ,&nbsp;Indyanara Inacio Barreto ,&nbsp;Ana Carolina Furian da Silva ,&nbsp;Juliana Firmino Batista Soriano ,&nbsp;Jeferson de Lima Silva Castro ,&nbsp;Luca Schiliró Tristão ,&nbsp;Wanderley Marques Bernardo","doi":"10.1016/j.clinsp.2024.100566","DOIUrl":"10.1016/j.clinsp.2024.100566","url":null,"abstract":"<div><h3>Introduction</h3><div>Autism Spectrum Disorder (ASD) is a neurodevelopment spectrum characterized by persistent deficits in social communication and interpersonal interaction, along with restricted and repetitive patterns of behavior, interest, or activities. The appropriate screening and diagnosis must be realized to improve the children's prognosis. Moreover, appropriate treatments are necessary to promote better social integration and development. In this scenario, this systematic review aims to evaluate the impacts of behavioral therapies applied in healthcare settings for patients with ASD.</div></div><div><h3>Methods</h3><div>This systematic review followed the PRISMA guidelines. The databases MEDLINE, Embase, CENTRAL (Cochrane), and Lilacs were accessed, and gray and manual searches were performed. The search strategy was created with terms referring to autism and behavioral therapy. The studies were assessed qualitatively.</div></div><div><h3>Results</h3><div>Randomized clinical trials and observational studies demonstrated improvements in cognitive and verbal components of patients who received behavioral therapies in therapeutic settings. These results indicate a positive impact of both cognitive-behavioral therapy and ESDM on the development of patients’ skills. Among the cognitive-behavioral therapies, the one based on the MASSI protocol did not impact the reduction of anxious symptoms. As for cognitive-behavioral therapy, one study demonstrated that the Behavioral Intervention for Anxiety in Children with Autism (BIACA), when compared to the Coping Cat protocol, improves cognition and reduces anxiety symptoms. Despite these results, further randomized clinical trials comparing behavioral therapies with one another are needed.</div></div><div><h3>Conclusion</h3><div>In the context of behavioral therapy within a healthcare setting, the Early Start Denver Model (ESDM) showed improvements in the cognitive, verbal, and social aspects of the evaluated patients. Improvement in scores sometimes is achieved independently of the group and related to the time of interventions.</div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100566"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agreement analysis and associated factors of SARC-F and SARC-CALF in screening of risk sarcopenia in people living with human immunodeficiency virus","authors":"Lara Cristina Vieira ,&nbsp;Jaine Alves Ximenez ,&nbsp;Maria Claudia Bernardes Spexoto","doi":"10.1016/j.clinsp.2024.100565","DOIUrl":"10.1016/j.clinsp.2024.100565","url":null,"abstract":"<div><h3>Introduction</h3><div>People Living with Human Immunodeficiency Virus (PLHIV) appear to be at a higher risk of developing sarcopenia. Various factors seem to influence the risk of sarcopenia, and its prevalence may differ depending on the screening tool used. This study aimed to (i) Screen the risk of sarcopenia in PLHIV using the SARC-F and SARC<img>Calf and identify associated factors; (ii) Analyze the agreement between the instruments in PLHIV.</div></div><div><h3>Methods</h3><div>Cross-sectional study including PLHIV taking antiretroviral therapy. The authors assessed sarcopenia risk using the SARC-F and SARC<img>Calf tools with ≥4 and ≥11 cutoff points, respectively, and a wide spectrum of variables was analyzed.</div></div><div><h3>Results</h3><div>Participated 76 patients (44.9 ± 12.7 years). Sarcopenia risk, according to the SARC-F, was 27.6 % and was associated with socioeconomic status (<em>p</em> = 0.004), smoking (<em>p</em> = 0.001), disease status (<em>p</em> &lt; 0.001), opportunistic infections (<em>p</em> = 0.001), CD4 T-cell count (<em>p</em> &lt; 0.001), Handgrip Strength (HGS) (<em>p</em> &lt; 0.001), and Gait Speed (GS) (<em>p</em> = 0,001). Using the SARC<img>Calf, sarcopenia risk was 36.8 % and was associated with work activity (<em>p</em> = 0.029), socioeconomic status (<em>p</em> = 0.004), smoking (<em>p</em> = 0.009), disease status (<em>p</em> &lt; 0.001), opportunistic infections (<em>p</em> = 0.015), CD4 T-cell count (<em>p</em> = 0.002), HGS (<em>p</em> = 0.001), Appendicular Skeletal Muscle Mass Index (ASMMI) (<em>p</em> = 0.009), and GS (<em>p</em> &lt; 0.001). The agreement between tools was moderate (<em>k</em> = 0.49).</div></div><div><h3>Conclusion</h3><div>Sarcopenia risk, as determined by both tools, was higher in low-income PLHIV with opportunistic infections, CD4 T-cell count ≤ 200 cells/mm³, low HGS, and low GS, and lower in asymptomatic and non-smoking individuals. The authors recommend investigating these factors in hospital and outpatient settings. The SARC<img>Calf proved to be more appropriate for screening sarcopenia risk in PLHIV.</div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100565"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OSVE or multiple-choice test: Is that a relevant question?","authors":"Francine Jomara Lopes ,&nbsp;Renato Fraga Righetti ,&nbsp;Matheus Belloni Torsani ,&nbsp;Gustavo Silva Azevedo ,&nbsp;Fernando Mauad Sacramento ,&nbsp;Iolanda de Fátima Lopes Calvo Tibério","doi":"10.1016/j.clinsp.2024.100519","DOIUrl":"10.1016/j.clinsp.2024.100519","url":null,"abstract":"<div><h3>Introduction</h3><div>The OSCE has been a robust tool for assessing clinical skills in medical education, adaptable across various clinical domains and stages. The COVID-19 pandemic, however, posed significant challenges to traditional assessment methods. This led to the development of the OSVE as an alternative.</div></div><div><h3>Objective</h3><div>This study aimed to correlate OSVE results with MCT scores and Grade Point Average (GPA) of clerkship.</div></div><div><h3>Methods</h3><div>This cross-sectional study involved 129 clerkships. It compared two OSVEs and two MCTs, covering content from the 5th and 6th years of the curriculum, against final graduation grades.</div></div><div><h3>Results</h3><div>The score of GPA was 8.13 ± 0.43. The authors compared OSVE-5th (7.13 ± 0.93) and OSVE-6th (7.23 ± 0.83, NS), MCT-5th (7.08 ± 0.91) vs. MCT-6th (7.68 ± 1.21, <em>p</em> &lt; 0.001), OSVE-5th (7.13 ± 0.93) and MCT-5th (7.08 ± 0.91, NS), OSVE-6th (7.23 ± 0.83) and MCT-6th (7.68 ± 1.21, <em>p</em> &lt; 0.001) OSVE-5th (7.13 ± 0.93) and MCT-6th (7.68 ± 1.21, <em>p</em> &lt; 0.001), OSVE-6th (7.23 ± 0.83) and MCT-5th (7.08 ± 0.91, NS), OSVE-5th (7.13 ± 0.93) and GPA (8.13 ± 0.43, <em>p</em> &lt; 0.001), OSVE-6th (7.23 ± 0.83) and GPA (8.13 ± 0.43, <em>p</em> &lt; 0.001), MCT-5th (7.08 ± 0.91) and GPA (8.13 ± 0.43, <em>p</em> &lt; 0.001), and MCT-6th (7.68 ± 1.21) and GPA (8.13 ± 0.43, <em>p</em> &lt; 0.001). There were positive correlations between OSVE-5th and OSVE-6th (<em>R</em> = 0.418, <em>p</em> &lt; 0.05), OSVE-5th and MCT-5th (<em>R</em> = 0.475, <em>p</em> &lt; 0.05), MCT-5th, OSVE-6th and MCT-6th (<em>R</em> = 0,180, <em>p</em> &lt; 0.05), MCT-6th (<em>R</em> = 0.227, <em>p</em> &lt; 0.05), with OSVE-6th and MCT-5th (<em>R</em> = 0.478, <em>p</em> &lt; 0.05), OSVE-5th and GPA (<em>R</em> = 0.481, <em>p</em> &lt; 0.05), OSVE-6th and GPA (<em>R</em> = 0,439, <em>p</em> &lt; 0.05), MCT-5th and GPA (<em>R</em> = 0.681, <em>p</em> &lt; 0.05) and MCT-6th and GPA (<em>R</em> = 0.195, <em>p</em> &lt; 0.05), no correlation was found between OSVE-6th and MCT-6th (<em>R</em> = 0.070, NS).</div></div><div><h3>Conclusions</h3><div>The correlations between the assessments revealed mild to moderate, suggesting that the assessments can be used interchangeably in the context of formative assessment. These results indicate the feasibility of using both OSVE and multiple-choice tests as effective tools to enhance intern training and monitoring<strong>.</strong></div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100519"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}