Zeitschrift fur Rheumatologie最新文献_第10页

[German translation and linguistic validation of the modified short questionnaire to assess health-enhancing physical activity (mSQUASH) for patients with axial spondyloarthritis (axSpA)]. [轴性脊柱关节炎（axSpA）患者增强健康体育活动评估简短问卷（mSQUASH）的德文翻译和语言验证]。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-08 DOI: 10.1007/s00393-024-01508-9

David Kiefer, Kristina Vaupel, Uta Kiltz, Ludwig Hammel, Yvonne M van der Kraan, Suzanne Arends, Xenofon Baraliakos

{"title":"[German translation and linguistic validation of the modified short questionnaire to assess health-enhancing physical activity (mSQUASH) for patients with axial spondyloarthritis (axSpA)].","authors":"David Kiefer, Kristina Vaupel, Uta Kiltz, Ludwig Hammel, Yvonne M van der Kraan, Suzanne Arends, Xenofon Baraliakos","doi":"10.1007/s00393-024-01508-9","DOIUrl":"https://doi.org/10.1007/s00393-024-01508-9","url":null,"abstract":"Background: Patients with axial spondyloarthritis (axSpA) often experience chronic pain and inflammation, resulting in physical impairments, reduced mobility and decreased physical activity. The modified short questionnaire to assess health-enhancing physical activity (mSQUASH) was developed to assess daily physical activity in patients with axSpA.Objective: To translate, cross-culturally adapt and linguistically validate the original mSQUASH into German for patients with axSpA.Methods: The original mSQUASH was translated from Dutch into German using a multistep process (Beaton method) with forward-backward translations into German by bilingual Dutch-German lay people and experts. Any remaining discrepancies were resolved by a scientific committee, resulting in a prefinal German version. Field testing with cognitive debriefing interviews with patients with axSpA from diverse backgrounds led to a final German version.Results: Minor discrepancies, primarily related to formalities, semantic errors and syntax were found during translations. These were addressed, resulting in slight wording modifications. The prefinal German version was validated through cognitive debriefing by 10 patients with axSpA, confirming its linguistic validity and equivalence to the Dutch version.Conclusion: Overall, this study confirmed the final German mSQUASH as a comprehensive measurement instrument for daily physical activity. It can now be used as a patient-reported outcome by German patients with axSpA. This can enable cross-linguistic comparisons and expanding its utility across language barriers.","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877506","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

[Survey on the working, training, and research conditions of resident physicians in internistic and rheumatological continuing education-BEWUSST]. [关于住院医师在内科和风湿病继续教育中的工作、培训和研究条件的调查--BEWUSST]。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-01 Epub Date: 2023-08-11 DOI: 10.1007/s00393-023-01395-6

Fabian Proft, Diana Vossen, Xenofon Baraliakos, Michael N Berliner, Martin Fleck, Gernot Keyßer, Andreas Krause, Hanns-Martin Lorenz, Bernhard Manger, Florian Schuch, Christof Specker, Jürgen Wollenhaupt, Anna Voormann, Matthias Raspe, Martin Krusche, Alexander Pfeil

{"title":"[Survey on the working, training, and research conditions of resident physicians in internistic and rheumatological continuing education-BEWUSST].","authors":"Fabian Proft, Diana Vossen, Xenofon Baraliakos, Michael N Berliner, Martin Fleck, Gernot Keyßer, Andreas Krause, Hanns-Martin Lorenz, Bernhard Manger, Florian Schuch, Christof Specker, Jürgen Wollenhaupt, Anna Voormann, Matthias Raspe, Martin Krusche, Alexander Pfeil","doi":"10.1007/s00393-023-01395-6","DOIUrl":"10.1007/s00393-023-01395-6","url":null,"abstract":"Background: Data on the training and continuing education situation of residents in the field of internal medicine and rheumatology are not available for Germany. For this reason, the Commission for Education and Training of the German Society of Rheumatology (DGRh) initiated the BEWUSST survey on the working, training and research conditions of residents in rheumatology.Methods: A total of 102 questions on the topics of working conditions in everyday professional life, continuing medical education and training, compatibility of career and family, compatibility of work and research, perspectives as a rheumatologist and practical activities were included in an online questionnaire.Results: A total of 102 participants took part in the survey. Of the respondents 48.1% were satisfied with their professional situation, 40.2% of the participants were supervised by a specialist mentor and 54.9% were working as scientists during their work as a physician. A compatibility of family and career was possible for 34.7%. After completion of the residency 52.9% of the respondents aspired to a combined clinical and outpatient activity.Conclusion: Half of the trainee rheumatologists are satisfied with their professional activities, although mentoring of the assistants in training should be further improved. With respect to the desired combined clinical and outpatient activity, the existing options should be expanded or new professional fields of activity should be established, so that the specialty remains attractive for the upcoming generations.","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":"257-268"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9974884","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}

引用次数: 0

[Hughes-Stovin syndrome: a life-threatening manifestation of Behçet's syndrome]. [休斯-斯托文综合征：白塞氏综合征的一种危及生命的表现]。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-01 Epub Date: 2023-06-06 DOI: 10.1007/s00393-023-01371-0

Nikolas Ruffer, Martin Krusche, Konstanze Holl-Ulrich, Fabian Lötscher, Ina Kötter

引用次数: 0

[Localized tenosynovial giant cell tumor : Results from the Histopathological Arthritis Register of the German Society for Orthopedic Rheumatology]. [局部腱鞘巨细胞瘤：德国骨科风湿病学会组织病理学关节炎登记的结果]。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-01 Epub Date: 2023-08-24 DOI: 10.1007/s00393-023-01402-w

M Liebisch, N El Hamrawi, M Dufour, F Nöllner, V Krenn

{"title":"[Localized tenosynovial giant cell tumor : Results from the Histopathological Arthritis Register of the German Society for Orthopedic Rheumatology].","authors":"M Liebisch, N El Hamrawi, M Dufour, F Nöllner, V Krenn","doi":"10.1007/s00393-023-01402-w","DOIUrl":"10.1007/s00393-023-01402-w","url":null,"abstract":"Background: The tenosynovial giant cell tumor (pigmented villonodular synovitis) is a proliferative, mainly benign soft tissue tumor of the tendon sheaths, bursae and joints arising from the synovia. It can be divided into circumscribed localized and destructive diffuse types. Approximately 1% of all joint diseases are due to this entity. The tumor is considered as a rarity. Mostly case studies exist. For this study the focus was set on the localized type (L-TSRZT), which accounts for 90% of the diagnoses of this tumor. Given its rarity, data are limited. Therefore, the research aim was to provide data on prevalence, primary location and sensitivity of clinical versus histopathological diagnosis in a German sample.Methods: Based on the Histopathological Arthritis Register of the German Society for Orthopedic Rheumatology, the data of the L‑TSRZT were retrospectively analyzed (time frame 1 January 2018-28 December 2020).Results: This database contained N = 7595 cases of arthropathy. A total of n = 45 patients with the diagnosis L‑TSRZT were identified. The prevalence of the tumor was 0.6%, 95% CI [0.4%, 0.8%], or 5.9 cases per 1000. The primary location involved the finger (48.9%). In 14 of 45 cases the diagnosis was correctly determined from the clinical side, corresponding to a sensitivity of 31.1%, 95% CI [18.2%, 46.7%].Conclusion: For the first time, this paper was able to provide data on a large sample for Germany. Notably, the low sensitivity of the clinical diagnosis confirms the importance of histopathology for diagnosing L‑TSRZT.","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":"277-282"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068820","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

Multifocal leukoencephalopathy in a patient medicated with etanercept and methotrexate for rheumatoid arthritis. 用依那西普和甲氨蝶呤治疗类风湿性关节炎患者的多灶性白质脑病。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-01 Epub Date: 2023-09-27 DOI: 10.1007/s00393-023-01430-6

Tieer Yu, Chunying Yang

{"title":"Multifocal leukoencephalopathy in a patient medicated with etanercept and methotrexate for rheumatoid arthritis.","authors":"Tieer Yu, Chunying Yang","doi":"10.1007/s00393-023-01430-6","DOIUrl":"10.1007/s00393-023-01430-6","url":null,"abstract":"Methotrexate (MTX) and etanercept are commonly used in the treatment of rheumatoid arthritis (RA). Several important adverse events, including central nervous system lesions, have been reported during RA treatment. Among them, MTX-induced leukoencephalopathy is a recognized complication that is often observed following intrathecal or intravenous MTX administration. Herein, we report a case of a RA patient who was diagnosed with multifocal leukoencephalopathy during etanercept and MTX therapy. A 77-year-old Chinese woman with a 3-year history of RA had been taking subcutaneous etanercept and low-dose oral MTX since February 2021. Five months after the initial administration, she developed cognitive impairment and experienced a dropped attack. She was then admitted to our hospital in June 2021. T2-weighted magnetic resonance imaging (MRI) images revealed disseminated lesions in the white matter of the brain. Based on these MRI findings and extensive clinical investigation that excluded other possible causes of white matter lesions, she was suspected of having a demyelinating disorder. There was no evidence suggesting other neurological disorders. High-dose corticosteroid was administered, which resulted in improved cognitive impairment. This case report illustrates an important example of multifocal leukoencephalopathy induced by the combined use of etanercept and MTX, which resolved with high-dose corticosteroid. With the recent emphasis on various biologic agents for treatment of RA, our case highlights the importance of identifying leukoencephalopathy that may be induced by various biologics.","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":"297-302"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162381","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

[First classification criteria for diseases caused by calcium pyrophosphate deposition (CPPD)-Translation, explanation and assessment]. [焦磷酸钙沉积（CPPD）所致疾病的首个分类标准--翻译、解释和评估]。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-01 Epub Date: 2024-02-21 DOI: 10.1007/s00393-024-01482-2

Jürgen Braun, Martin Krekeler, Uta Kiltz

{"title":"[First classification criteria for diseases caused by calcium pyrophosphate deposition (CPPD)-Translation, explanation and assessment].","authors":"Jürgen Braun, Martin Krekeler, Uta Kiltz","doi":"10.1007/s00393-024-01482-2","DOIUrl":"10.1007/s00393-024-01482-2","url":null,"abstract":"Aim: For diseases caused by calcium pyrophosphate deposition (CPPD), validated classification criteria were previously lacking. In this article the recently developed and validated classification criteria are translated, explained, and assessed.Methods: In recent years a multinational research group developed classification criteria for CPPD disease with the support by the European Alliance of Associations for Rheumatology (EULAR) and the American College of Rheumatology (ACR), following an established method. The developed criteria were finally validated in an independent cohort. The translation and annotation of the new first classification criteria were carried out in an iterative procedure in consensus with the authors.Results: The presence of a crowned dens syndrome or calcium pyrophosphate crystals in the synovial fluid in patients with pain, swelling or sensitivity of the joints (entry criterion) is sufficient for the classification as CPPD disease, where the symptoms cannot be completely explained by another rheumatic disease (exclusion criterion). If these symptoms are not present, a count of more than 56 points based on weighted criteria comprised of clinical features and the results of laboratory and imaging investigations can be included for classification as a CPPD disease. These criteria had a sensitivity of 92.2% and a specificity of 87.9% in the derivation cohorts (190 CPPD cases and 148 mimics), whereas the sensitivity was 99.2% and the specificity 92.5% in the validation cohorts (251 CPPD cases and 162 mimics).Conclusion: The ACR/EULAR classification criteria 2023 of a CPPD disease will facilitate clinical research in this field. The use in the clinical routine will show how practical the criteria are.","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":"306-315"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913590","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}

引用次数: 0

Mitteilungen der DGRh - Veranstaltungen der Rheumaakademie. DGRh 的公告 - 风湿病研究院的活动。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-01 DOI: 10.1007/s00393-024-01507-w

引用次数: 0

[Changes in the Board of the journal "Zeitschrift für Rheumatologie"]. [Zeitschrift für Rheumatologie》杂志理事会的变动]。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-01 Epub Date: 2024-04-29 DOI: 10.1007/s00393-024-01510-1

Ulf Müller-Ladner, Philipp Klemm

引用次数: 0

Phalangeal microgeodic syndrome: case report of a young woman treated with pentoxifylline. 趾骨小关节综合征：一名年轻女性接受喷托非利辛治疗的病例报告。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-01 Epub Date: 2024-01-04 DOI: 10.1007/s00393-023-01470-y

Tiago Borges, Miguel Castro

引用次数: 0

Magnetic resonance imaging in polymyalgia rheumatica-contrast enhancement is not always needed. 多发性风湿痛的磁共振成像--并非总是需要对比增强。

IF 1 4区医学

Zeitschrift fur Rheumatologie Pub Date : 2024-05-01 Epub Date: 2023-08-11 DOI: 10.1007/s00393-023-01394-7

Martin Fruth, Annika Seggewiss, Jessica Kozik, Philipp Martin-Seidel, Xenofon Baraliakos, Jürgen Braun

{"title":"Magnetic resonance imaging in polymyalgia rheumatica-contrast enhancement is not always needed.","authors":"Martin Fruth, Annika Seggewiss, Jessica Kozik, Philipp Martin-Seidel, Xenofon Baraliakos, Jürgen Braun","doi":"10.1007/s00393-023-01394-7","DOIUrl":"10.1007/s00393-023-01394-7","url":null,"abstract":"Background: Extracapsular inflammation at entheseal sites in the pelvic girdle as demonstrated by magnetic resonance imaging (MRI) was shown to be useful as an additional tool for diagnosing polymyalgia rheumatica (PMR). However, it is unclear whether MRI needs to be performed with contrast enhancement or whether oedema-sensitive sequences are sufficient.Objective: To evaluate the performance of T2w TIRM (turbo inversion recovery magnitude) imaging compared to fat-saturated contrast-enhanced (ce) T1w at predefined pelvic sites to detect extracapsular inflammation in patients with PMR.Methods: A total of 120 pelvic MRIs of patients with pelvic girdle pain, 40 with clinically diagnosed PMR and 80 controls, were retrospectively scored by three blinded radiologists separately evaluating the MRI with and without contrast enhancement at 19 previously defined pelvic structures. The intra- and interrater reliability and the diagnostic performance of both techniques were statistically analysed and evaluated.Results: The detection of inflammatory MRI signals correlated moderately between both techniques (Cohen's κ 0.583). With ceT1w imaging 20.7% more sites were detected as inflamed compared to T2w TIRM in PMR patients. Inter- and intrareader reliability was superior with ceT1w imaging. If the inflammatory signal was detected at three sites bilaterally including the origin of the rectus femoris muscle or adductor longus muscle, the sensitivity and specificity was 100% and 97.1% by ceT1w imaging vs. 80.8% and 93.3% by T2w TIRM, respectively.Conclusion: Contrast enhancement is superior to oedema-sensitive MRI in the detection of extracapsular inflammation in PMR. However, using T2w TIRM also detects many but not all PMR cases.","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":"269-276"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9974888","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}

引用次数: 0