scholarly journals Perioperative Management of Patients with Rheumatic Diseases

2013 ◽  
Vol 7 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Lina Bissar ◽  
Hani Almoallim ◽  
Khaled Albazli ◽  
Manal Alotaibi ◽  
Samar Alwafi
Keyword(s):  
Patient Education ◽  
Lupus Erythematosus ◽  
Perioperative Management ◽  
Medical Condition ◽  
Postoperative Management ◽  
Factors Associated ◽  
Rheumatologic Diseases ◽  
Management Of Complications ◽  
Perioperative Assessment

This paper aims to explore the assessment of patients with rheumatologic diseases, especially rheumatoid arthritis (RA), before undergoing orthopedic surgery. Perioperative assessment ensures an early diagnosis of the patient's medical condition, overall health, medical co-morbidities, and the assessment of the risk factors associated with the proposed procedures. Perioperative assessment allows for proper postoperative management of complications and of the management of drugs such as disease-modifying anti-rheumatic drugs (DMARD) and anti-platelets, and corticosteroids. The assessment also supports follow up plans, and patient education. Perioperative assessment enables the discussion of the proposed treatment plans and the factors associated with them in each case among the different specialists involved to facilitate an appropriate early decision-making about the assessment and treatment of patients with rheumatologic diseases. It also enables the discussion of both condition and procedure with the patient to ensure a good postoperative care. The article identifies the components of perioperative medical evaluation, discusses perioperative management of co-morbidities and the management of specific clinical problems related to RA, systemic lupus erythematosus, the management of DMARDs, like methotrexate (MTX) and biologic therapies, prophylactic antibiotics, and postoperative follow up, including patient education and rehabilitation

scholarly journals Perioperative Management of Patients with Rheumatic Diseases

2021 ◽  
pp. 407-417
Author(s):  
Manal Alotaibi ◽  
Khaled Albazli ◽  
Lina Bissar ◽  
Hani Almoallim
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Orthopedic Surgery ◽  
Medical Condition ◽  
Postoperative Management ◽  
Simple Approach ◽  
Rheumatologic Diseases ◽  
Management Of Complications ◽  
Disease Modifying ◽  
Perioperative Assessment

AbstractThe aim of this chapter is to present a simple approach to the assessment of patients with different rheumatologic diseases, especially rheumatoid arthritis (RA), before undergoing orthopedic surgery. Perioperative assessment confirms an early diagnosis of the patient’s medical condition and comorbidities, overall health, and the assessment of the risk factors associated with the proposed interventions. Perioperative assessment allows for proper postoperative management of complications. It can also aid in the management of high-risk drugs used by rheumatologic patients such as disease-modifying antirheumatic drugs (DMARD), antiplatelets, and corticosteroids. The assessment also supports postoperative plans and patient education [1–3].

Systemic lupus erythematosus in a multiethnic US cohort (LUMINA) XXXI: factors associated with patients being lost to follow-up

Lupus ◽  
2006 ◽  
Vol 15 (1) ◽  
pp. 19-25 ◽  
Author(s):  
A M Bertoli ◽  
M Fernández ◽  
J Calvo-Alén ◽  
L M Vilá ◽  
M L Sanchez ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Systemic Lupus ◽  
Factors Associated ◽  
Lost To Follow Up

People with Epilepsy Achieving Independence: A Study of a Rehabilitation Hostel

1984 ◽  
Vol 47 (1) ◽  
pp. 7-10
Author(s):  
Hilary Britten ◽  
Nicky Britten ◽  
Peter Fenwick
Keyword(s):  
Daily Activity ◽  
Medical Condition ◽  
Practical Skills ◽  
Factors Associated ◽  
Follow Up Study ◽  
Improved Outcomes ◽  
Patients With Epilepsy ◽  
Living Circumstances

This paper reports a follow-up study of 35 ex-residents of a rehabilitation hostel for patients with epilepsy. The areas investigated include living circumstances, daily activity, practical skills, relationships with other people and medical condition. The results suggest that subjects achieved greater independence in their daily activity and living circumstances and improved relationships with other people, but no overall improvement in their practical skills. Some factors associated with improved outcomes are identified.

Factors associated with neuropsychiatric involvement in Latin American patients with systemic lupus erythematosus

Lupus ◽  
2021 ◽  
pp. 096120332110203
Author(s):  
Leonor A Barile-Fabris ◽  
Hilda Fragoso-Loyo ◽  
Daniel Wojdyla ◽  
Rosana Quintana ◽  
Guillermo J Pons-Estel ◽  
...  
Keyword(s):  
Hemolytic Anemia ◽  
Latin American ◽  
Lupus Erythematosus ◽  
Lower Risk ◽  
Disease Duration ◽  
Cox Regression ◽  
Laboratory Data ◽  
Cohort Entry ◽  
Factors Associated

Introduction Factors related to presentation of neuropsychiatric (NP) SLE manifestations, early in the course of the disease, and during follow up have not been clearly established. Purpose To identify disease and non-disease related factors associated with NP manifestations in early SLE. Methods We included 1193 patients from the GLADEL inception cohort free of NP involvement at cohort entry. We evaluated the association of demographic, clinical and laboratory data with NP involvement during follow-up. Statistical methods Independent factors associated with NP involvement were identified using a multivariable Cox regression model. Results Factors independently associated with NP manifestations were: mestizo ethnicity (HR 1.701, 95% CI 1.282–2.258, p = 0.0002), myalgias/myositis (HR 1.832, 95% CI 1.335–2.515, p = 0.0002), pneumonitis (HR 2.476, 95% CI 1.085–5.648, p = 0.0312), shrinking lung (HR 2.428, 95% CI 1.074–5.493, p = 0.0331) and hemolytic anemia (HR 1.629, 95% CI 1.130–2.347, p = 0.0089). Longer disease duration at cohort entry (13 to 24 months) was associated with a lower risk of developing NP manifestations (HR 0.642, 95% CI 0.441–0.934, p = 0.0206). Conclusions Patients with myalgias/myositis, pneumonitis, shrinking lung and hemolytic anemia are at higher risk of NP involvement, whereas longer disease duration at cohort entry is associated with a lower risk of developing NP involvement.

Risk Factors Associated with Systemic Lupus Erythematosus in Oman

2020 ◽  
Vol 03 (04) ◽  
Author(s):  
Asma Al-Kindi ◽  
Batool Hassan ◽  
Aliaa Al-Moqbali ◽  
Aliya Alansari
Keyword(s):  
Risk Factors ◽  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Systemic Lupus ◽  
Factors Associated

Factors related to complete occlusion of arteriovenous malformations after gamma knife radiosurgery

2000 ◽  
Vol 93 (supplement_3) ◽  
pp. 96-101 ◽  
Author(s):  
Jong Hee Chang ◽  
Jin Woo Chang ◽  
Yong Gou Park ◽  
Sang Sup Chung
Keyword(s):  
Gamma Knife ◽  
Arteriovenous Malformations ◽  
Gamma Knife Radiosurgery ◽  
Maximum Diameter ◽  
Content Type ◽  
Complete Occlusion ◽  
Factors Associated ◽  
Martin Grade ◽  
Fine Print

Object. The authors sought to evaluate the effects of gamma knife radiosurgery (GKS) on cerebral arteriovenous malformations (AVMs) and the factors associated with complete occlusion. Methods. A total of 301 radiosurgical procedures for 277 cerebral AVMs were performed between December 1988 and December 1999. Two hundred seventy-eight lesions in 254 patients who were treated with GKS from May 1992 to December 1999 were analyzed. Several clinical and radiological parameters were evaluated. Conclusions. The total obliteration rate for the cases with an adequate radiological follow up of more than 2 years was 78.9%. In multivariate analysis, maximum diameter, angiographically delineated shape of the AVM nidus, and the number of draining veins significantly influenced the result of radiosurgery. In addition, margin radiation dose, Spetzler—Martin grade, and the flow pattern of the AVM nidus also had some influence on the outcome. In addition to the size, topography, and radiosurgical parameters of AVMs, it would seem to be necessary to consider the angioarchitectural and hemodynamic aspects to select proper candidates for radiosurgery.

Demographic factors associated with missed follow-up among solid tumor patients treated at a large multi-site academic institution

2020 ◽  
Vol 16 (32) ◽  
pp. 2635-2643
Author(s):  
Samantha L Freije ◽  
Jordan A Holmes ◽  
Saleh Rachidi ◽  
Susannah G Ellsworth ◽  
Richard C Zellars ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Odds Ratio ◽  
Regression Models ◽  
Tumor Patients ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Follow Up Care ◽  
Risk Patients ◽  
African American Race

Aim: To identify demographic predictors of patients who miss oncology follow-up, considering that missed follow-up has not been well studies in cancer patients. Methods: Patients with solid tumors diagnosed from 2007 to 2016 were analyzed (n = 16,080). Univariate and multivariable logistic regression models were constructed to examine predictors of missed follow-up. Results: Our study revealed that 21.2% of patients missed ≥1 follow-up appointment. African–American race (odds ratio [OR] 1.33; 95% CI: 1.17–1.51), Medicaid insurance (OR 1.59; 1.36–1.87), no insurance (OR 1.66; 1.32–2.10) and rural residence (OR 1.78; 1.49–2.13) were associated with missed follow-up. Conclusion: Many cancer patients miss follow-up, and inadequate follow-up may influence cancer outcomes. Further research is needed on how to address disparities in follow-up care in high-risk patients.

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