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[Asthma diagnosis in adults : practical recommendations of the European Respiratoty Society]. [成人哮喘诊断：欧洲呼吸学会的实用建议]。
Revue medicale de Liege Pub Date : 2025-05-01
Renaud Louis, Gilles Louis, Benoît Pétré, Florence Schleich
{"title":"[Asthma diagnosis in adults : practical recommendations of the European Respiratoty Society].","authors":"Renaud Louis, Gilles Louis, Benoît Pétré, Florence Schleich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Asthma is a common disease the diagnostic of which remains challenging in real life with a substantial proportion of misdiagnosis. The European Respiratory Society has recently published practical recommendations for asthma diagnosis in adults distinguishing what can be done in both primary and secondary care in order to improve diagnostic accuracy. Here we review the algorithm which has been proposed and discuss the strengths and the weaknesses of these recommendations.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"381-386"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304156","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
[Clinical Practice Guidelines in complex situations : better prioritisation using the GOC approach]. [复杂情况下的临床实践指南：使用GOC方法更好地确定优先级]。
Revue medicale de Liege Pub Date : 2025-05-01
Isabelle Heymans, Jean-Luc Belche, Amandine Stassen, Hélène Kersten, Laeticia Buret
{"title":"[Clinical Practice Guidelines in complex situations : better prioritisation using the GOC approach].","authors":"Isabelle Heymans, Jean-Luc Belche, Amandine Stassen, Hélène Kersten, Laeticia Buret","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The application of clinical practice guidelines faces specific challenges in complex or multi-morbid situations. In these cases, the proposal is to shift the focus from disease-oriented care to patient's goal-oriented care, in which disease management becomes a means of supporting the achievement of the person's life goals. The GOC approach (\"Goal Oriented Care\") offers a method and tools for implementing this approach. The approach also implies a series of conditions for implementation. The GOC involves shared decision-making, with healthcare professionals translating the patient's personal goals into realistic professional objectives. It promotes better coordination of care, improves patient compliance and responds to various challenges in the current healthcare system. It complements other approaches that already exist in the practices. Concrete examples and current initiatives illustrate the application of this method.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"288-295"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304160","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
[Vaccination recommendations for psoriasis patients treated with biologics]. [生物制剂治疗银屑病患者的疫苗接种建议]。
Revue medicale de Liege Pub Date : 2025-05-01
Thomas Damsin, Gilles Absil, Florence Libon, Arjen Nikkels
{"title":"[Vaccination recommendations for psoriasis patients treated with biologics].","authors":"Thomas Damsin, Gilles Absil, Florence Libon, Arjen Nikkels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The treatment of moderate to severe psoriasis relies currently on the use of IL17 and IL23 antagonists. These biological treatments are highly efficacious with an excellent long-term safety profile. Despite the targeted actions of these agents, they are associated with a mild degree of immunosuppression, potentially leading to the reactivation of preexisting infectious diseases, or to an increased susceptibility to infectious diseases or an increased severity and duration of an infectious disease. Hence psoriasis patients receiving biologics must be counseled on recommended vaccinations before initiating a biological therapy or during a biological treatment. In general, for living attenuated vaccinations biologic treatment must be interrupted but for inactivated vaccinations it may be continued. Currently there is no proof that psoriasis patients treated with IL17 or IL23 antagonists present an increased risk for the infections covered by the conventional vaccines and hence the vaccination guidelines should follow the recommendations for the general population.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"308-314"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304196","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
[Categorization and practical application of recommendations for the management of pancreatic cystic lesions]. 【胰腺囊性病变的分类及治疗建议的实际应用】。
Revue medicale de Liege Pub Date : 2025-05-01
Chloé Van Severen, Pierrette Gast, Édouard Louis, Jean-Philippe Loly
{"title":"[Categorization and practical application of recommendations for the management of pancreatic cystic lesions].","authors":"Chloé Van Severen, Pierrette Gast, Édouard Louis, Jean-Philippe Loly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the increasing use and quality of imaging techniques, pancreatic cystic lesions are being diagnosed more frequently, and their prevalence increases with age. Some of these lesions are precancerous and therefore require appropriate follow-up. However, the precise diagnosis of these lesions is complex, and there is considerable variability in the recommendations for monitoring them. This heterogeneity can lead to high costs for society and increased anxiety for patients. The aim of this article is to review the recommendations for the management and monitoring of pancreatic cystic lesions, and to propose a clinical practice algorithm for the assessment of these lesions.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"394-400"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304159","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
[Clinical recommendations in clinical biology protocols : application to clinical chemistry]. [临床生物学方案中的临床建议：在临床化学中的应用]。
Revue medicale de Liege Pub Date : 2025-05-01
Marion Janssen, Aurélie Ladang, Romy Gadisseur, Laurence Lutteri, Caroline Le Goff, Étienne Cavalier
{"title":"[Clinical recommendations in clinical biology protocols : application to clinical chemistry].","authors":"Marion Janssen, Aurélie Ladang, Romy Gadisseur, Laurence Lutteri, Caroline Le Goff, Étienne Cavalier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The interpretation of laboratory results traditionally relies on comparison with reference values or clinical recommendations. Reference values are established from a population considered «healthy», while clinical recommendations come from epidemiological studies or expert consensus. Recommendations represent a more personalized approach compared to reference values, as they take into account various criteria such as the patient's pathophysiological condition, risk factors, etc. It is important to understand the process of developing recommendations and reference values and to be aware of their potential limitations to ensure appropriate clinical application. The aim of this work is to illustrate, through concrete examples, the use of clinical recommendations or reference values and their limitations.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"296-300"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304162","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
[Holistic and multidisciplinary approach to the management of adult obesity]. [综合多学科方法治疗成人肥胖]。
Revue medicale de Liege Pub Date : 2025-05-01
Nathalie Esser, Alexandre Haumann, Jenny De Flines, Laurent Kohnen, Arnaud De Roover, Nicolas Paquot
{"title":"[Holistic and multidisciplinary approach to the management of adult obesity].","authors":"Nathalie Esser, Alexandre Haumann, Jenny De Flines, Laurent Kohnen, Arnaud De Roover, Nicolas Paquot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obesity is a chronic, multifactorial and relapsing disease, with its prevalence continuously increasing in Belgium as well as in Europe. It is associated with numerous metabolic, cardiovascular, functional, and psychological complications. Its assessment and management require a holistic and personalized approach, incorporating the latest guidelines from scientific societies such as BASO (Belgian Association for the Study of Obesity) and EASO (European Association for the Study of Obesity). This article provides a summary of current data on the definition, assessment, and various therapeutic modalities of obesity, with an emphasis on the importance of individualized, multidisciplinary care that is free of stigma and based on an integrated care model.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"410-415"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304169","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
[Implementation of the guidelines for the management of toxicities from immunotherapy in first-line care]. [一线护理中免疫治疗毒性管理指南的实施]。
Revue medicale de Liege Pub Date : 2025-05-01
Alice de Froidmont, Guy Jerusalem, Charles Pottier
{"title":"[Implementation of the guidelines for the management of toxicities from immunotherapy in first-line care].","authors":"Alice de Froidmont, Guy Jerusalem, Charles Pottier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Immune checkpoint inhibitors (ICI) have revolutionized the treatment of solid tumors. However, they can induce immune-related adverse effects (irAEs) that can affect any organ. These irAEs are different from the side effects of traditional oncological treatments and require specific management. Given the increasing use of ICI, first-line care will increasingly need to manage these irAEs. This article aims to assist in the implementation of the guidelines for managing irAEs, with a particular focus on aspects related to first-line care.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"315-322"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304171","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
[News in the diagnosis and management of pediatric asthma]. [儿童哮喘诊断和治疗的最新进展]。
Revue medicale de Liege Pub Date : 2025-05-01
Ammar Elkheir, Céline Kempeneers
{"title":"[News in the diagnosis and management of pediatric asthma].","authors":"Ammar Elkheir, Céline Kempeneers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Asthma is a chronic inflammatory disease of the respiratory tract. The etiology is multifactorial. Despite its high prevalence, asthma is often underdiagnosed or over diagnosed, based solely on medical history without diagnostic tests. This article discusses the new guidelines for paediatric asthma diagnosis, according to the age in children and adolescents, as well as the new concepts in asthma care, including some adaptations according reimbursement criteria in the Belgian context.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"387-393"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304178","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
[Recommendations for the treatment of type 2 diabetes]. [2型糖尿病的治疗建议]。
Revue medicale de Liege Pub Date : 2025-05-01
Inès Laraki, Nicolas Paquot
{"title":"[Recommendations for the treatment of type 2 diabetes].","authors":"Inès Laraki, Nicolas Paquot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The management of type 2 diabetes relies on an integrated approach that goes beyond metabolic control, also targeting the prevention of cardiovascular and renal complications. Recent guidelines emphasize the importance of a personalized therapeutic strategy, tailored to the individual characteristics of patients, their comorbidities, and based on shared decision-making. SGLT2 inhibitors and GLP-1 receptor agonists have emerged as cornerstone treatments due to their effectiveness in glycaemic control and their demonstrated protective effects on the heart and kidneys. Moreover, weight management is now considered a key therapeutic lever, offering significant metabolic and cardiovascular benefits. Beyond pharmacological choices, therapeutic education, multidisciplinary support, and addressing social determinants of health play a crucial role in optimizing treatment adherence and improving patients' quality of life. A proactive and evolving management approach, adapted to disease progression and individual patient needs, is now at the heart of type 2 diabetes recommendations.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"416-421"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304182","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
[Differences between medical recommendations based on Evidence-Based Medicine (EBM) and expert consensus]. [基于循证医学（EBM）的医学建议与专家共识的差异]。
Revue medicale de Liege Pub Date : 2025-05-01
Régis Radermecker
{"title":"[Differences between medical recommendations based on Evidence-Based Medicine (EBM) and expert consensus].","authors":"Régis Radermecker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The article compares recommendations based on Evidence-Based Medicine (EBM) and expert consensus. EBM utilizes scientific evidence from clinical trials to formulate objective recommendations, while expert consensus relies on the experience of recognized practitioners in the field of clinical trials, often, but not always, in the absence of sufficient data. EBM follows a systematic and rigorous methodology and provides a clear-cut classification, whereas consensus approaches are more subjective and less rigorous, even if also based on the results already available. While EBM recommendations (also called guidelines) are viewed as more transparent and verifiable, consensus report can provide useful insights where data are still scarce. Both approaches are complementary and essential for improving the quality of medical care.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"268-270"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304163","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
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