Balancing benefits and risks of glucocorticoids in rheumatic diseases and other inflammatory joint disorders: new insights from emerging data. An expert consensus paper from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO)

Cooper, Cyrus; Bardin, Thomas; Brandi, Maria Luisa; Cacoub, Patrice; Caminis, John; Civitelli, Roberto; Cutolo, Maurizio; Dere, Willard H.; Devogelaer, Jean‐Pierre; Díez-Pérez, Adolfo; Einhorn, Thomas A.; Emonts, Patrick; Ethgen, Olivier; Kanis, John А.; Kaufman, Jean‐Marc; Kvien, Tore K; Lems, Willem F.; McCloskey, Eugène; Miossec, Pierre; Reiter, Susanne; Ringe, J. D.; Rizzoli, René; Saag, Kenneth G.; Reginster, Jean‐Yves

doi:10.1007/s40520-015-0522-1

Cited by 25 publications

(20 citation statements)

References 169 publications

(150 reference statements)

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“…The ability to tailor interventions to the needs of the patient is a critical element in successful programs targeting older adults. 34 Future studies need to replicate these diverse methods to add strength to current findings.…”

Section: Literature Analysismentioning

confidence: 94%

An integrative review of physical activity/exercise intervention effects on function and health-related quality of life in older adults with heart failure

Floegel

Pérez

2016

Geriatric Nursing

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This paper reviews randomized, controlled trials (RCTs) that have used a physical activity/exercise intervention in older adults with heart failure and reported outcomes of physical function and/or health-related quality of life. An integrative review was necessary because a literature search indicated no reviews have been done regarding these outcomes which are deemed very important by the older adult population. Computerized database search strategies by authors between 2002 and 2015 resulted in 163 studies, with 12 meeting inclusion criteria. Interventions were performed in clinic and home-based, group and/or individual settings with durations from three to 12 months. Interventions were varied. Common methodological weaknesses of the studies include lack of theory guiding the intervention, small sample and low minority representation. Strengths included detailed intervention methods. There was a moderate effect of interventions with no reported adverse effects. Further work is essential to identify successful strategies to support older adults with heart failure to increase their physical activity levels.

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Section: Literature Analysismentioning

confidence: 94%

An integrative review of physical activity/exercise intervention effects on function and health-related quality of life in older adults with heart failure

Floegel

Pérez

2016

Geriatric Nursing

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“…An expert consensus statement from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) recommends assessment of patients for fracture risk. Bone preserving agents, calcium and vitamin D are useful for preventing GC related fractures [19]. Use of supplements was common and most physicians reported using supplements after 3-6 months of steroid use in our study.…”

Section: Discussionmentioning

confidence: 61%

“…A retrospective study from UK, showed that GC below 5 mg is not associated with elevated risk of mortality [18]. Similarly, short term use of moderate doses are also generally well tolerated [19].…”

Section: Discussionmentioning

confidence: 99%

Glucocorticoids in Management of Adult Rheumatoid Arthritis-Current Prescribing Practices and Perceptions of Physicians in India: GLUMAR Survey

Chandrappa¹,

Biswas²

2017

Rheumatology

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“…Patients should be assessed for fracture risk and bone preserving agents and be prescribed calcium and vitamin D supplementation (B) [39]. Bisphosphonates remain the first choice of treatment in GC-treated patients with high fracture risk (A) [40].…”

Section: How Long Should Sam Patients Receive Immunosuppressive / Immmentioning

confidence: 99%

Guidelines of the Brazilian Society of Rheumatology for the treatment of systemic autoimmune myopathies

et al. 2019

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Background: Recommendations of the Myopathy Committee of the Brazilian Society of Rheumatology for the management and therapy of systemic autoimmune myopathies (SAM). Main body: The review of the literature was done in the search for the Medline (PubMed), Embase and Cochrane databases including studies published until June 2018. The Prisma was used for the systematic review and the articles were evaluated according to the levels of Oxford evidence. Ten recommendations were developed addressing the management and therapy of systemic autoimmune myopathies. Conclusions: Robust data to guide the therapeutic process are scarce. Although not proven effective in controlled clinical trials, glucocorticoid represents first-line drugs in the treatment of SAM. Intravenous immunoglobulin is considered in induction for refractory cases of SAM or when immunosuppressive drugs are contra-indicated. Consideration should be given to the early introduction of immunosuppressive drugs. There is no specific period determined for the suspension of glucocorticoid and immunosuppressive drugs when individually evaluating patients with SAM. A key component for treatment in an early rehabilitation program is the inclusion of strengthbuilding and aerobic exercises, in addition to a rigorous evaluation of these activities for remission of disease and the education of the patient and his/her caregivers.

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Balancing benefits and risks of glucocorticoids in rheumatic diseases and other inflammatory joint disorders: new insights from emerging data. An expert consensus paper from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO)

Cited by 25 publications

References 169 publications

An integrative review of physical activity/exercise intervention effects on function and health-related quality of life in older adults with heart failure

An integrative review of physical activity/exercise intervention effects on function and health-related quality of life in older adults with heart failure

Glucocorticoids in Management of Adult Rheumatoid Arthritis-Current Prescribing Practices and Perceptions of Physicians in India: GLUMAR Survey

Guidelines of the Brazilian Society of Rheumatology for the treatment of systemic autoimmune myopathies

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