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Best Practice & Research in Clinical Rheumatology最新文献

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IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-06-01 DOI: 10.1016/S1521-6942(23)00104-3
{"title":"Index","authors":"","doi":"10.1016/S1521-6942(23)00104-3","DOIUrl":"https://doi.org/10.1016/S1521-6942(23)00104-3","url":null,"abstract":"","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 2","pages":"Article 101911"},"PeriodicalIF":5.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521694223001043/pdfft?md5=980e7b17ca1eb895ea843fe630d6ec82&pid=1-s2.0-S1521694223001043-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139033275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Recent targets of osteoarthritis research 骨关节炎研究的最新目标。
IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-06-01 DOI: 10.1016/j.berh.2023.101851
Po-Cheng Shih , Yung-Heng Lee , Hsi-Kai Tsou , James Cheng-Chung Wei
{"title":"Recent targets of osteoarthritis research","authors":"Po-Cheng Shih ,&nbsp;Yung-Heng Lee ,&nbsp;Hsi-Kai Tsou ,&nbsp;James Cheng-Chung Wei","doi":"10.1016/j.berh.2023.101851","DOIUrl":"10.1016/j.berh.2023.101851","url":null,"abstract":"<div><p><span>Osteoarthritis<span> is one of the most common diseases and poses a significant medical burden worldwide. Currently, the diagnosis and treatment<span> of osteoarthritis primarily rely on clinical symptoms and changes observed in radiographs or other image modalities. However, identification based on reliable biomarkers would greatly improve early diagnosis, help with precise monitoring of disease progression, and provide aid for accurate treatment. In recent years, several biomarkers for osteoarthritis have been identified, including image modalities and biochemical biomarkers such as </span></span></span>collagen degradation<span> products, pro- or anti-inflammatory cytokines, micro RNAs, long non-coding RNAs, and circular RNAs. These biomarkers offer new insights in the pathogenesis of osteoarthritis and provide potential targets for further research. This article reviews the evolution of osteoarthritis biomarkers from the perspective of pathogenesis and emphasizes the importance of continued research to improve the diagnosis, treatment, and management of osteoarthritis.</span></p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 2","pages":"Article 101851"},"PeriodicalIF":5.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10120156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 burden of osteoarthritis: Is it a rising problem? 骨关节炎的负担：骨关节炎是一个日益严重的问题吗？
IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-06-01 DOI: 10.1016/j.berh.2023.101836
William J. Scheuing , Anthony M. Reginato , Mery Deeb , Sevtap Acer Kasman
{"title":"The burden of osteoarthritis: Is it a rising problem?","authors":"William J. Scheuing ,&nbsp;Anthony M. Reginato ,&nbsp;Mery Deeb ,&nbsp;Sevtap Acer Kasman","doi":"10.1016/j.berh.2023.101836","DOIUrl":"10.1016/j.berh.2023.101836","url":null,"abstract":"<div><p><span>The objective of this review is to provide an overview of the current status of osteoarthritis (OA) as one of the most common </span>joint disorders<span><span> worldwide. Despite being the 11th cause of disability globally, there has been an increase in the prevalence, annual incidence, and years lived with disability of OA, particularly in developed and developing countries. Erosive hand OA, which affects approximately 10% of the general population, has been associated with a higher clinical burden compared to non-erosive hand OA. Patients with knee and hip OA, but not hand OA, are also at an increased risk of cardiovascular disease and all-cause mortality. Furthermore, OA has a significant contribution to healthcare costs in most countries. The recent COVID-19 pandemic has further exacerbated the </span>disease burden of OA patients due to limited access to medical and surgical treatment. With increasing life expectancy and the aging of the global population, the burden of OA is expected to worsen. Therefore, this review highlights the importance of improving population and policymaker awareness of risk factors, such as obesity and injury, as well as early intervention and management of OA to control the future burden of the disease.</span></p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 2","pages":"Article 101836"},"PeriodicalIF":5.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10131616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 osteoarthritis: Unraveling challenges, innovations, and hope for a better future 探索骨关节炎:揭开挑战、创新和对更美好未来的希望。
IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-06-01 DOI: 10.1016/j.berh.2023.101872
Mehmet Tuncay Duruöz
{"title":"Exploring osteoarthritis: Unraveling challenges, innovations, and hope for a better future","authors":"Mehmet Tuncay Duruöz","doi":"10.1016/j.berh.2023.101872","DOIUrl":"10.1016/j.berh.2023.101872","url":null,"abstract":"","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 2","pages":"Article 101872"},"PeriodicalIF":5.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
When are patients with osteoarthritis referred for surgery? 骨关节炎患者何时转诊接受手术治疗？
IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-06-01 DOI: 10.1016/j.berh.2023.101835
A.E. Postler , C. Lützner , J. Goronzy , T. Lange , S. Deckert , K.P. Günther , J. Lützner
{"title":"When are patients with osteoarthritis referred for surgery?","authors":"A.E. Postler ,&nbsp;C. Lützner ,&nbsp;J. Goronzy ,&nbsp;T. Lange ,&nbsp;S. Deckert ,&nbsp;K.P. Günther ,&nbsp;J. Lützner","doi":"10.1016/j.berh.2023.101835","DOIUrl":"10.1016/j.berh.2023.101835","url":null,"abstract":"<div><p><span><span>Current treatment strategies in hip and </span>knee osteoarthritis<span><span> (OA) involve a combined approach that includes not only modification of risk factors and conservative treatment but also joint-preserving surgical therapy in the early stages, or joint replacement in late OA. With the recent development of new etiological concepts (i.e. </span>hip dysplasia<span> and femoroacetabular impingement<span> as major risk factors for hip OA), treatment alternatives for joint preservation could be extended significantly. Satisfactory results of osteotomies and other reconstructive procedures around hip and knee joints can only be expected in early OA (Kellgren/Lawrence grade 0-II). If patients with advanced radiographic OA grades III-IV do not respond to conservative treatment over at least 3 months and express a relevant burden of </span></span></span></span>disease, joint replacement might be considered. Prior to surgery, potential contraindications must be excluded, patient expectations need to be discussed, and modifiable risk factors, which may negatively influence the outcome, should be optimized.</p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 2","pages":"Article 101835"},"PeriodicalIF":5.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Rehabilitation interventions in osteoarthritis 骨关节炎的康复干预。
IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-06-01 DOI: 10.1016/j.berh.2023.101846
Ayşe A. Küçükdeveci
{"title":"Rehabilitation interventions in osteoarthritis","authors":"Ayşe A. Küçükdeveci","doi":"10.1016/j.berh.2023.101846","DOIUrl":"10.1016/j.berh.2023.101846","url":null,"abstract":"<div><p><span>The goals of the management of osteoarthritis (OA) are to relieve joint pain and stiffness, maintain or increase joint mobility and stability, improve activities and participation, and enhance </span>quality of life<span><span>. The first step in the management is to make a comprehensive holistic assessment to understand the impact of the disease on the individual. Then, an individualized management plan can be set via a shared-decision making process between the patient and the clinician taking into account all components of functioning affected by the disease. Rehabilitation interventions serve as the basis of OA management whereas pharmacological modalities are usually administered for additional symptom control. This study aimed to overview the rehabilitation interventions used for people with OA with an update of the recent evidence. First, core management approaches that include patient education, physical activity and exercises, and weight loss were addressed; then adjunctive treatments including biomechanical interventions (e.g. orthoses, assistive devices) and </span>physical modalities were overviewed.</span></p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 2","pages":"Article 101846"},"PeriodicalIF":5.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 aspects and outcomes in osteoarthritis 骨关节炎的临床表现和疗效。
IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-06-01 DOI: 10.1016/j.berh.2023.101855
Mehmet Tuncay Duruöz , Nuran Öz , Didem Erdem Gürsoy , Halise Hande Gezer
{"title":"Clinical aspects and outcomes in osteoarthritis","authors":"Mehmet Tuncay Duruöz ,&nbsp;Nuran Öz ,&nbsp;Didem Erdem Gürsoy ,&nbsp;Halise Hande Gezer","doi":"10.1016/j.berh.2023.101855","DOIUrl":"10.1016/j.berh.2023.101855","url":null,"abstract":"<div><p><span><span><span>Osteoarthritis (OA) is the most prevalent type of arthritis worldwide, and its incidence significantly increases with age. It commonly affects the knees, hips, spine, big </span>toes, and hands. OA can be identified through clinical examination, symptoms, and imaging methods. Its main symptoms include pain, stiffness, and limitations in joint movement. Examinations may reveal coarse </span>crepitus, bony enlargement, and tenderness at the joint line. In severe cases of OA, rest pain, night pain, and deformity may occur. OA can lead to decreased physical activity, function, and </span>quality of life due to symptoms such as pain and stiffness. To evaluate these impacts, patient-reported outcome measures (PROMs) are necessary. Various generic, disease-specific, and joint-specific PROMs have been developed and used in clinical practice to assess the outcomes of OA.</p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 2","pages":"Article 101855"},"PeriodicalIF":5.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Patient-reported outcomes in vasculitis 脉管炎的患者报告结果
IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-03-01 DOI: 10.1016/j.berh.2023.101829
Helena Crawshaw , Shalini Janagan , Keziah Austin , Charlotte Baker , Julia Day , Joanna C. Robson
{"title":"Patient-reported outcomes in vasculitis","authors":"Helena Crawshaw ,&nbsp;Shalini Janagan ,&nbsp;Keziah Austin ,&nbsp;Charlotte Baker ,&nbsp;Julia Day ,&nbsp;Joanna C. Robson","doi":"10.1016/j.berh.2023.101829","DOIUrl":"10.1016/j.berh.2023.101829","url":null,"abstract":"<div><p><span><span>Systemic vasculitis encompasses a group of multisystem disorders; both the diseases and the </span>treatment strategies can have a significant impact on a patient's health-related </span>quality of life (HRQoL). Using patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) to evaluate the patient's view of their condition, treatments, and healthcare journey is essential to the patient-centered care approach. In this paper, we discuss the use of generic, disease-specific, and treatment-specific PROMs and PREMs in systemic vasculitis and future research goals.</p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 1","pages":"Article 101829"},"PeriodicalIF":5.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9579400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Seeing is believing: Smart use of musculoskeletal ultrasound in rheumatology practice 眼见为实：在风湿病学实践中巧妙使用肌肉骨骼超声波
IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-03-01 DOI: 10.1016/j.berh.2023.101850
Sahil Koppikar , Pamela Diaz , Gurjit S. Kaeley , Lihi Eder
{"title":"Seeing is believing: Smart use of musculoskeletal ultrasound in rheumatology practice","authors":"Sahil Koppikar ,&nbsp;Pamela Diaz ,&nbsp;Gurjit S. Kaeley ,&nbsp;Lihi Eder","doi":"10.1016/j.berh.2023.101850","DOIUrl":"10.1016/j.berh.2023.101850","url":null,"abstract":"<div><p><span><span>Musculoskeletal ultrasonography has become an increasingly valuable tool as a complement to the physical exam in </span>rheumatology<span> practice. Its point-of-care access, low cost, safety, portability, and reliability in trained hands, make this technique especially useful in patients<span> with inflammatory arthritis. Growing evidence has demonstrated the value of musculoskeletal ultrasound in the detection of inflammatory and structural changes in patients with </span></span></span>joint pain<span> without obvious joint swelling, in differentiating various inflammatory diagnoses, in the monitoring of inflammatory arthritis, and interventional procedures. The potential role of ultrasound guiding treat-to-target strategies or tapering treatment in inflammatory arthritis requires further research. However, musculoskeletal ultrasound can also have pitfalls and limitations that a clinician should be aware of.</span></p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 1","pages":"Article 101850"},"PeriodicalIF":5.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9855691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 1
Synovial fluid analysis: Relevance for daily clinical practice 滑膜液分析：与日常临床实践的相关性
IF 5.2 2区 医学
Best Practice & Research in Clinical Rheumatology Pub Date : 2023-03-01 DOI: 10.1016/j.berh.2023.101848
Francesca Oliviero , Brian F. Mandell
{"title":"Synovial fluid analysis: Relevance for daily clinical practice","authors":"Francesca Oliviero ,&nbsp;Brian F. Mandell","doi":"10.1016/j.berh.2023.101848","DOIUrl":"10.1016/j.berh.2023.101848","url":null,"abstract":"<div><p>Synovial fluid analysis can provide a prompt and definite diagnosis of crystal-induced arthritis, the most common acute inflammatory arthritis and a cause of chronic arthritis that may mimic rheumatoid, psoriatic, or peripheral spondyloarthritis. In many patients the diagnosis of gout or calcium pyrophosphate arthritis cannot be made with certainty without synovial fluid analysis. Additional information from fluid analysis can assist the clinician in honing the differential diagnosis of non-crystalline arthritis.</p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"37 1","pages":"Article 101848"},"PeriodicalIF":5.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521694223000347/pdfft?md5=2964ac879f6eb15f26dfc59b6b388395&pid=1-s2.0-S1521694223000347-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9769765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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