Rheumatic Fever: Semicentennial Experience in Studying the Problem. Reflections of a Rheumatologist

Кузьмина, Н. Н.; Медынцева, Л. Г.; Белов, Б. С.

doi:10.14412/1995-4484-2017-125-137

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…The remaining 28 publications were excluded due to their failure to describe the outcomes of interest or to meet other inclusion criteria (Table S3 ). 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 Among the excluded studies, 17 described interventions but did not report the impact on the incidence or prevalence of the diseases. 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 Five studies described interventions that were implemented before the year 2000.…”

Section: Resultsmentioning

confidence: 99%

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Preventive Interventions to Reduce the Burden of Rheumatic Heart Disease in Populations at Risk: A Systematic Review

Shimanda,

Shumba,

Brunström

et al. 2024

JAHA

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Background Rheumatic heart disease (RHD) is a devastating yet preventable condition that disproportionately affects low‐middle–income countries and indigenous populations in some high‐income countries. Various preventive interventions have been implemented across the globe, but evidence for the effectiveness of these measures in reducing the incidence or prevalence of acute rheumatic fever and RHD is scattered. This systematic review aims to assess the effectiveness of preventive interventions and identify the strategies used to reduce the burden of RHD. Methods and Results A comprehensive search was conducted to identify relevant studies on RHD prevention interventions including interventions for primordial, primary, and secondary prevention. Effectiveness measures for the interventions were gathered when available. The findings indicate that school‐based primary prevention services targeting the early detection and treatment of Group A Streptococcus pharyngitis infection with penicillin have the potential to reduce the incidence of Group A Streptococcus pharyngitis and acute rheumatic fever. Community‐based programs using various prevention strategies also reduced the burden of RHD. However, there is limited evidence from low‐middle–income countries and a lack of rigorous evaluations reporting the true impact of the interventions. Narrative synthesis was performed, and the methodological quality appraisal was done using the Joanna Briggs Institute critical appraisal tools. Conclusions This systematic review underscores the importance of various preventive interventions in reducing the incidence and burden of Group A Streptococcus pharyngitis, acute rheumatic fever, and RHD. Rigorous evaluations and comprehensive analyses of interventions are necessary for guiding effective strategies and informing public health policies to prevent and reduce the burden of these diseases in diverse populations. Registration URL: https://www.crd.york.ac.uk/prospero/ ; Unique identifier: CRD42020170503.

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Section: Resultsmentioning

confidence: 99%

“…Two papers were written in Russian and excluded due to unavailability of translators. 53 , 54 Finally, 2 studies did not report on actually implemented interventions, only on clinical activities. 55 , 56 …”

Section: Resultsmentioning

confidence: 99%

Preventive Interventions to Reduce the Burden of Rheumatic Heart Disease in Populations at Risk: A Systematic Review

Shimanda,

Shumba,

Brunström

et al. 2024

JAHA

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“…По мнению Н.Н. Кузьминой и соавт., в настоящее время «…выросло целое поколение врачей, которые не видели больных истинной ОРЛ…» [9], и поэтому особое внимание следует обратить не только на первичную профилактику ОРЛ, но и на ее современную и своевременную диагностику и лечение.…”

Section: Discussionunclassified

Analysis of the Incidence of Rheumatic Diseases in the Arkhangelsk Region: Trends in the 2010–2015 Statistical Characteristics

Титова¹,

Макарова²

2017

rsp

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Болезни костно-мышечной системы и соединительной ткани (БКМС), относимые к XIII классу Международной класси-фикации болезней 10-го пересмотра (МКБ-10), составляют основную группу ревматических заболеваний (РЗ), медицинское О р и г и н а л ь н ы е и с с л е д о в а н и я ФГБОУ ВО «Северный государственный медицинский университет» Минздрава России 163000 Архангельск, Троицкий проспект, 51

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Acute rheumatic fever and rheumatic heart disease: what's new?

Andriyashkina

Aksionova

et al. 2023

Klinicist

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Rheumatic heart disease (RHD) is a preventable heart disease that remains endemic in developing countries. More than 30 million people in the world suffer from RHD, of which approximately 300,000 die every year, despite the fact that this disease is preventable and treatable. After a period of relative neglect of rheumatic heart diseases due to a decrease in the incidence in developed countries, interest in this problem has increased again over the past decade, due, apparently, to an underestimation of its true prevalence due to the subclinical course of carditis. Research over the past two decades has demonstrated the advantage of diagnosing RHD with echocardiographic screening based on World Heart Federation echocardiographic criteria, which is 10 times greater than the clinical auscultatory picture only and it allowsearly detection of it in patients, while prevention is to be more likely to be effective. Although understanding of the pathogenesis of the disease has advanced in recent years, key issues remain unresolved. Preventing or providing early treatment for streptococcal infections is the most important step in reducing the burden of this disease. The management of women with rheumatic heart disease before, during and after pregnancy remains a serious task requiring the efforts of a multidisciplinary team. In 2015, a civil society movement was launched aimed at raising awareness and supporting countries seeking to solve the RHD problem. In May 2018, the World Health Organization adopted a resolution aimed at intensifying global and national efforts to prevent and combat acute rheumatic fever/RHD. Ultimately, a combination of treatment options, research and advocacy based on existing knowledge and science provides the best opportunity to cope with the burden of rheumatic heart disease. The article summarizes the latest achievements in the science of RHD and presents priorities for current actions and future research.

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Rheumatic Fever: Semicentennial Experience in Studying the Problem. Reflections of a Rheumatologist

Cited by 5 publications

References 4 publications

Preventive Interventions to Reduce the Burden of Rheumatic Heart Disease in Populations at Risk: A Systematic Review

Preventive Interventions to Reduce the Burden of Rheumatic Heart Disease in Populations at Risk: A Systematic Review

Analysis of the Incidence of Rheumatic Diseases in the Arkhangelsk Region: Trends in the 2010–2015 Statistical Characteristics

Acute rheumatic fever and rheumatic heart disease: what's new?

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