Development and feasibility of 4 checklists for the evaluation of comorbidity in patients with rheumatoid arthritis, axial spondyloarthritis and psoriatic arthritis: GECOAI Project

Castañeda, Santos; González, Carlos; Villaverde, Virginia; Petisco, Cristina Lajas; Castro, M.C.; Jirout, F.; Obaya, Juan Carlos; Hermosa, Juan Carlos; Suárez, Carmen; García, Silvia; Rodero, M.; León, Leticia; Esteban, A. Lopez; Gobbo, Milena; Alcaide, Laly; Torre-Alonso, Juan Carlos

doi:10.1016/j.reumae.2020.09.002

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…В крупном международном исследовании установлено, что коморбидные заболевания при СпА отрицательно влияли на физическую функцию, работоспособность и качество жизни [18], поэтому их важно учитывать в повседневной клинической практике. На сегодняшний день разными группами экспертов разработаны разные варианты чек-листов для оценки коморбидных состояний при аксСпА [19,20]. Реальную значимость этих методов еще предстоит установить.…”

Section: коморбидные состояния при спондилоартритах и их значениеunclassified

Optimal Management of Comorbid Patients with Spondyloarthritis: Focus on Cardiovascular Safety

Karateev¹,

Лучихина²,

Markelova³

2023

EPh

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Comorbidity and multimobidity are typical for rheumatic diseases (RD) in general. Comorbidities have a complex negative impact on the patient with RD: they are often a direct cause of the premature death of patients, they may contribute to the severe course of the inflammatory process, comorbidities reduce choice of treatment options. Spondyloarthritis, such as psoriatic arthritis (PsA) and axial spondyloarthritis (axSpA), is also characterized by the frequent presence of comorbid conditions, in particular, cardiovascular diseases. Pleiotropic effects of pro-inflammatory cytokines such as interleukin 17A (IL-17A) promote these processes. IL-17A is a versatile pro-inflammatory T cell cytokine. At the same time, there is evidence that IL-17 involved in many other pathological processes: bone tissue remodeling, the development of endothelial dysfunction, formation of the unstable atherosclerotic plaques, heart ventricle remodeling after ischemic attack, etc. Clinical data confirm the role of hyperproduction of IL-17A in the development of cardiovascular diseases. On the example of Secukinumab IL-17A inhibition in PsA and axSpA, it has been shown that this treatment is associated with a high level of cardiovascular safety, and it is likely may help reduce cardiovascular risk. Therapy with IL-17A inhibitors, in particular, Secukinumab, in combination with generally accepted methods of correction of traditional cardiovascular risk factors, may be a promising direction in the management of patients with SpA and concomitant cardiovascular diseases

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Section: коморбидные состояния при спондилоартритах и их значениеunclassified

Optimal Management of Comorbid Patients with Spondyloarthritis: Focus on Cardiovascular Safety

Karateev¹,

Лучихина²,

Markelova³

2023

EPh

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“…To facilitate the management of comorbidity in these patients, specific checklists can be used, both for healthcare professionals and for the patients themselves. (17) The role of nursing in comorbidity management has been emphasised by several authors, (16,18,19) as well as by the EULAR recommendations on the role of nursing in chronic inflammatory arthritis published in 2018. (9) R2.…”

Section: R1 Screening For Comorbidities Should Be Performedmentioning

confidence: 99%

Openreuma Consensus on the role of nursing in the care of patients with rheumatoid arthritis and diffuse interstitial lung disease

García¹,

Yébenes²,

Vázquez³

et al. 2022

Invest. Educ. Enferm.

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Objective. To develop practical recommendations, based on the best available evidence and experience, on the nursing management of patients with rheumatoid arthritis (RA) and interstitial lung disease (ILD). Methods. The usual consensus methodology was used, with a nominal group, systematic reviews (SRs), and Delphi survey. The expert panel, consisting of rheumatology nurses, rheumatologists, a psychologist, a physiotherapist, and a patient, defined the scope, the users, the topics on which to explore the evidence and on which to issue recommendations. Results. Three PICO questions evaluated the efficacy and safety of pulmonary rehabilitation and non-pharmacological measures for the treatment of chronic cough and gastroesophageal reflux by means of SR of the literature. With the results of the reviews, 15 recommendations were established for which the degree of agreement was obtained with a Delphi survey. Three recommendations were rejected in the second round. The 12 recommendations were in patient assessment (n=4); patient education (n=4); and risk management (n=4). Only one recommendation was based on available evidence, while the remaining were based on expert opinion. The degree of agreement ranged from 77% to 100%. Conclusion. This document presents a series of recommendations with the aim of improving the prognosis and quality of life of patients with RA-ILD. Nursing knowledge and implementation of these recommendations can improve the follow-up and prognosis of patients with RA who present with ILD.

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“…In fact, up to 30% of patients with PsO may develop psoriatic arthritis (PsA) during their lifetime [11]. This finding is of particular interest because PsA may interfere with daily routines, leisure/sports activities, and work/education in a serious manner [12,13]. In summary, musculoskeletal pain is frequently observed in patients with psoriasis both with and without PsA [14,15].…”

Section: Introductionmentioning

confidence: 99%

Regular Exercise Improved Fatigue and Musculoskeletal Pain in Young Adult Psoriatic Patients without Psoriatic Arthritis

Diaz,

Rosety,

Armario

et al. 2023

Nutrients

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Fatigue and musculoskeletal pain are also frequent in patients with psoriasis (PsO) without arthritis (PsA). The current study aimed to assess the impact of an intervention program based on aerobic training to reduce fatigue and musculoskeletal pain in patients with PsO without PsA. A total of 118 male patients with PsO volunteered in the current interventional study and were randomly allocated to the experimental (n = 59) or control group (n = 59). The intervention consisted of a 16-week aerobic training program on a treadmill, three sessions per week, consisting of a warm-up, 35–50 min treadmill exercise (increasing 5 min/4 weeks) at a work intensity of 50–65% of peak heart-rate (increasing 5%/4 weeks), and cooling-down. The functional assessment of chronic illness therapy fatigue scale (FACIT-Fatigue), health assessment questionnaire disability index (HAQ-DI), and visual analog scale (VAS) were compared pre and post intervention. Nutritional intake, maximal aerobic power, lipid profile, serum markers of muscle damage, and body composition were also assessed. When compared to baseline, FACIT-Fatigue, HAQ-DI, and VAS scores were significantly improved without increasing markers of muscle damage. Fat mass percentage, lipid profile, and maximal oxygen consumption were also improved. In conclusion, a 16-week aerobic training program at moderate intensity was safe, well tolerated, and effective in psoriatic patients without PsA. Long-term follow-up studies are required to examine whether these promising results may improve clinical outcomes.

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Development and feasibility of 4 checklists for the evaluation of comorbidity in patients with rheumatoid arthritis, axial spondyloarthritis and psoriatic arthritis: GECOAI Project

Cited by 3 publications

References 25 publications

Optimal Management of Comorbid Patients with Spondyloarthritis: Focus on Cardiovascular Safety

Optimal Management of Comorbid Patients with Spondyloarthritis: Focus on Cardiovascular Safety

Openreuma Consensus on the role of nursing in the care of patients with rheumatoid arthritis and diffuse interstitial lung disease

Regular Exercise Improved Fatigue and Musculoskeletal Pain in Young Adult Psoriatic Patients without Psoriatic Arthritis

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