Revista Colombiana de Reumatologia最新文献_第4页

Evaluating the efficacy and safety of sodium thiosulfate in calcific tendinitis of the rotator cuff – Data from an ongoing randomized clinical trial 评估硫代硫酸钠治疗肩袖钙化性肌腱炎的疗效和安全性--来自正在进行的随机临床试验的数据

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/j.rcreu.2023.12.003

引用次数: 0

Evaluaciones económicas en reumatología. Nuevos aprendizajes 风湿病学的经济评估。新收获

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/j.rcreu.2024.05.001

Juan Manuel Bello Gualtero

引用次数: 0

Antinuclear antibody staining patterns by indirect immunofluorescence assay observed in patients from a tertiary health center in Latin America 用间接免疫荧光法观察拉丁美洲某三级卫生中心患者的抗核抗体染色模式

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/j.rcreu.2023.05.003

{"title":"Antinuclear antibody staining patterns by indirect immunofluorescence assay observed in patients from a tertiary health center in Latin America","authors":"","doi":"10.1016/j.rcreu.2023.05.003","DOIUrl":"10.1016/j.rcreu.2023.05.003","url":null,"abstract":"<div><h3>Introduction/Objective</h3><p>This study aimed to describe the frequency of antinuclear antibody (ANA) staining patterns by indirect immunofluorescence assay observed in patients from a tertiary health center in Latin America.</p></div><div><h3>Materials and methods</h3><p>This retrospective, descriptive, and observational study evaluated data from all patients undergoing antinuclear antibody indirect immunofluorescence assay from a single-tertiary center (University Hospital Fundación Valle del Lili, Cali-Colombia) in 2020.</p></div><div><h3>Results</h3><p>One thousand and eight patients met the inclusion criteria. The median patient age was 47 (34–59.2) years, and most were female (769, 75.3%). A positive ANA immunofluorescence assay was observed in approximately two-thirds of patients (664, 65.8%). ANA test results were primarily used to exclude a suspected diagnosis in approximately half of the patients (466, 46.2%). Thirty-seven percent (250/664) of the cohort with ANA-positive titers had a systemic autoimmune rheumatic disease (SARD). The most prevalent SARDs included rheumatoid arthritis (RA) (55, 8.2%) followed by systemic lupus erythematosus (SLE) (37, 5.5%). The vast majority of ANA-positive patients had a reported speckled pattern (anti-cell [AC]-2,4,5; 269; 40.5%) followed by homogenous (AC-1; 266; 40%), nucleolar (AC-8,9,10; 46; 6.9%), and centromere (AC-3; 16; 2.4%). The most frequent patterns observed among SLE patients included homogenous (AC-1) patterns in 17 (45.9%) patients, speckled (AC-2,4,5) nuclear patterns in 11 (29.7%) patients, mixed patterns in 7 (18.9%) patients, and reticular/anti-mitochondrial antibody (AMA, AC-21) cytoplasmic patterns in 2 (5.4%) patients.</p></div><div><h3>Conclusion</h3><p>This study is the first to describe ANA patterns in a Colombian population. Speckled and homogenous patterns were predominant in patients with SARDs.</p></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"31 3","pages":"Pages 296-303"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44500770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Análisis de costo-efectividad del abordaje clínico en fase temprana vs. fase establecida en una cohorte de pacientes con artritis reumatoide de una institución prestadora de servicios de salud de cuarto nivel en Colombia 对哥伦比亚一家四级医疗机构的一组类风湿关节炎患者进行早期临床方法与成熟期临床方法的成本效益分析。

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/j.rcreu.2023.06.004

{"title":"Análisis de costo-efectividad del abordaje clínico en fase temprana vs. fase establecida en una cohorte de pacientes con artritis reumatoide de una institución prestadora de servicios de salud de cuarto nivel en Colombia","authors":"","doi":"10.1016/j.rcreu.2023.06.004","DOIUrl":"10.1016/j.rcreu.2023.06.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Rheumatoid arthritis (RA) is a high-cost disease, which allows patients to be classified into early or established phase approaches.</p></div><div><h3>Objective</h3><p>The purpose of this work was to perform a cost-effectiveness analysis comparing both phases with patient data at a 6-month time horizon from a third-party payer perspective.</p></div><div><h3>Materials and methods</h3><p>The population was delimited. The costs and effectiveness of each of the phases were estimated. A decision tree-type economic evaluation model was developed, and the Incremental Cost-Effectiveness Ratio (ICER) was calculated with the respective sensitivity analyses, both deterministic and probabilistic.</p></div><div><h3>Results</h3><p>In terms of costs, it was found that for effectiveness in goals, the cost was 85% higher in the established than in the early phase. Similarly, for non-target effectiveness, the cost was 77% higher in the established than in the early phase. On the other hand, the effectiveness results were better in the early phase compared to the established phase. Regarding the ICER, it was determined that the early phase approach saves $2,326,389 COP<sub>cte</sub> (colombian pesos current currency) per patient in goals at 6 months of treatment, compared to the established phase approach.</p></div><div><h3>Conclusion</h3><p>The clinical approach to early-stage rheumatoid arthritis is a less costly and more effective alternative vs. the established phase, as it generates savings for the third-party payer over a 6-month time horizon, from a third-party payer perspective.</p></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"31 3","pages":"Pages 327-338"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135606984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patients with psoriatic arthritis followed in tertiary centers in Southern Brazil have a high prevalence of metabolic syndrome 在巴西南部三级中心随访的银屑病关节炎患者代谢综合征的患病率很高

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/j.rcreu.2022.12.004

{"title":"Patients with psoriatic arthritis followed in tertiary centers in Southern Brazil have a high prevalence of metabolic syndrome","authors":"","doi":"10.1016/j.rcreu.2022.12.004","DOIUrl":"10.1016/j.rcreu.2022.12.004","url":null,"abstract":"<div><h3>Introduction/Objective</h3><p>Patients with psoriatic arthritis (PsA) have a significant prevalence of metabolic syndrome (MS), however studies conducted in Latin America describing comorbidities of PsA patients are still scarce. The aim of the present work was to estimate the prevalence of MS in patients attending PsA clinics in tertiary university centers in the south region of Brazil and to evaluate the achievement of the minimal disease activity criteria among those with and without MS.</p></div><div><h3>Materials and methods</h3><p>A cross-sectional study was conducted; patients were recruited in two university hospitals and data collected during a routine clinic visit. The prevalence of MS was estimated using the National Cholesterol Education Programme's Adult Treatment Panel III (NCEP/ATP III). The prevalence of patients achieving the MDA criteria was compared between individuals with and without MS using Chi-square test.</p></div><div><h3>Results</h3><p>One hundred and five patients with PsA were evaluated, 81 in center A (Rio Grande do Sul) and 24 in center B (Paraná); 54.3% were female (<em>N</em>  =54) were diagnosed with MS., hypertension was found in 51.4% (<em>N</em>  =40) of the sample. There was no statistically significant association between MS and MDA.</p></div><div><h3>Conclusion</h3><p>Patients followed in PsA clinics in university tertiary centers in the south of Brazil have a significant prevalence of MS. This work emphasizes the importance of the screening and treatment of comorbidities in PsA.</p></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"31 3","pages":"Pages 283-289"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46749197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hallazgos ecocardiográficos en pacientes con lupus eritematoso sistémico: análisis retrospectivo en un centro de referencia terciaria 系统性红斑狼疮患者的超声心动图发现:三级参考中心的回顾性分析

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/j.rcreu.2022.08.002

{"title":"Hallazgos ecocardiográficos en pacientes con lupus eritematoso sistémico: análisis retrospectivo en un centro de referencia terciaria","authors":"","doi":"10.1016/j.rcreu.2022.08.002","DOIUrl":"10.1016/j.rcreu.2022.08.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Introduction:Transthoracic echocardiography is a useful noninvasive tool in the assessment of cardiac involvement in patients with systemic lupus erythematosus.</p></div><div><h3>Objective</h3><p>We aimed to investigate the main echocardiographic alterations in patients with a diagnosis of systemic lupus erythematosus and to describe the relationship between various disease factors and echocardiographic findings.</p></div><div><h3>Materials and methods</h3><p>We performed a retrospective review of patients with a diagnosis of SLE between 2016 and 2020 at a referral centre. All 98 patients were included, 87% were female, the mean age for the whole population was 35 years (IQR 27.0- 49.7), 40% had a recent diagnosis, 55% with previous or new diagnosis of arterial hypertension, 37% were using steroids at admission.</p></div><div><h3>Results</h3><p>Among the echocardiographic findings, 64.3% had valvular disease, 63% had pericardial involvement, 25.5% systolic function compromise, 27.5% some degree of diastolic dysfunction, 13% ventricular hypertrophy, 46% left atrial enlargement, 87% right ventricular systolic dysfunction, 24.5% some probability of pulmonary hypertension, 3% non-infectious vegetations. The presence of lupus activity was associated with a higher percentage of abnormal echocardiographic findings. There was no significant relationship between disease duration and cardiac abnormalities, anti-DNA and positive antiphospholipid antibodies were more frequently observed in the cardiac involvement group.</p></div><div><h3>Conclusion</h3><p>We consider that echocardiography should be part of the routine evaluation in patients with lupus. Right ventricular systolic dysfunction, pericardial involvement and non-significant valvular disease were the most frequently reported abnormalities.</p></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"31 3","pages":"Pages 311-317"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41412982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fe de errores del artículo «Artritis por Cryptococcus neoformans en un paciente con lupus eritematoso sistémico: reporte de un caso» [Rev Colomb Reumatol.2024;31(1):97 -102] 文章《一名系统性红斑狼疮患者的新型隐球菌关节炎：病例报告》的更正 [Rev Colomb Reumatol.2024;31(1):97 -102] [Rev Colomb Reumatol.2024;31(1):97-102]。

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/j.rcreu.2024.04.004

Diana C. Quintero-González , Andrés F. Cardona-Cardona , Adriana L. Vanegas-García , Carlos H. Muñoz-Vahos , Gloria Vásquez , Luis Alonso González-Naranjo

引用次数: 0

What it means to live with fibromyalgia for Peruvian women: A phenomenological study 秘鲁妇女患纤维肌痛意味着什么：一项现象学研究

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/j.rcreu.2023.07.003

{"title":"What it means to live with fibromyalgia for Peruvian women: A phenomenological study","authors":"","doi":"10.1016/j.rcreu.2023.07.003","DOIUrl":"10.1016/j.rcreu.2023.07.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Patients with fibromyalgia experience pain at a constant and incapacitating pace. It is still a complex entity yet to be fully understood but meanwhile affects patients in every aspect of their lives.</p></div><div><h3>Objective</h3><p>The purpose of this study is to describe what living with fibromyalgia means for Peruvian women and how it affects their family, work, and social lives in 2021.</p></div><div><h3>Materials and methods</h3><p>The study has a qualitative design with a phenomenological approach; snowball sampling and theoretical saturation sample size; 10 patients were interviewed through semi-structured in-depth interviews. An ideographic and a nomothetic analysis were conducted, divergences and convergences in the statements were sought and units of analysis were obtained.</p></div><div><h3>Results</h3><p>There were 12 categories: meaning of fibromyalgia, clinical picture, complications and sequelae, diagnostic process, impact on work, impact on family life, impact on social life, experience with health personnel, lessons learned from fibromyalgia, ecclesiastical support, and myths, misinformation, and prejudices about fibromyalgia.</p></div><div><h3>Conclusion</h3><p>The experiences and the clinical picture are diverse, the family remains an active and reliable support network for patients, unlike social and work lives, where there is a lack of initiative or empathy towards patients. In light of our findings, we expect healthcare workers and the public in general to learn and see beyond “just histrionics” or “attention seekers” and thus improve the patient's quality of life.</p></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"31 3","pages":"Pages 339-348"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41604986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Capillaroscopic abnormalities in systemic lupus erythematosus and its association with clinical manifestation 系统性红斑狼疮的瞳孔镜异常及其与临床表现的关系

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/j.rcreu.2023.05.006

{"title":"Capillaroscopic abnormalities in systemic lupus erythematosus and its association with clinical manifestation","authors":"","doi":"10.1016/j.rcreu.2023.05.006","DOIUrl":"10.1016/j.rcreu.2023.05.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Capillaroscopy is a non-invasive tool used to evaluate microcirculation and determine whether a Raynaud's phenomenon is primary or secondary. Capillaroscopic changes are well-described in systemic sclerosis; however, these alterations have been less studied in other autoimmune diseases.</p></div><div><h3>Objective</h3><p>The aim of this study is to determine videocapillaroscopic alterations in lupus, and its association with clinical manifestations.</p></div><div><h3>Materials and methods</h3><p>A cross-sectional study with analytical intention was performed. Videocapillaroscopy and medical evaluations were performed on 76 patients with lupus, according to SLICC 2012 classificatory criteria, from January to June 2019. Chi<sup>2</sup>, Fisher, and Mann–Whitney <em>U</em> tests were used to evaluate association, and the prevalence ratios (PR) were determined. A multivariate analysis was performed.</p></div><div><h3>Results</h3><p>Seventy-one (93.4%) of the patients were female with a median age of 33.5 years (interquartile range [IQR]: 27–44.8); the median lupus duration was 84 months (IQR: 30–168). The main clinical manifestations were articular, cutaneous, hematological, and Raynaud's phenomenon. A non-specific pattern was found in 43 patients (56.6%), and a systemic sclerosis-like pattern was found in 7 patients (9.2%). In bivariate and multivariate analyses, Raynaud episodes occurring more than once a week (PR 1.24; 95% CI: 1.13–1.33) were more frequent in patients with a sclerosis-like or a non-specific pattern.</p></div><div><h3>Conclusion</h3><p>Lupus patients frequently have videocapillaroscopic alterations with non-specific and systemic sclerosis like patterns, which are more common in patients with Raynaud's phenomenon that occurs more than once a week. Due to the study's design, it is impossible to determine causality.</p></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"31 3","pages":"Pages 304-310"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47316446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comite Editorial online 编辑委员会在线

Revista Colombiana de Reumatologia Pub Date : 2024-07-01 DOI: 10.1016/S0121-8123(24)00038-0

引用次数: 0