M. Docteur ROMAIN BRIER
Diplômes
🎓 DES & spécialité ordinale
- DES Rhumatologie
- Rhumatologie (SM)
🎓 Diplômes
- DE Docteur en médecine
Source : Annuaire Santé ANS (FHIR Practitioner.qualification) · Mises à jour quotidiennes.
Livres & ouvrages
Source : Google Books — filtre catégories médicales/santé/sciences.
Localisation des cabinets
Adresses géocodées via la Base Adresse Nationale (api-adresse.data.gouv.fr). Précision indicative.
Lieux de consultation
RHUMARTHRITE
CENTRE MEDICO CHIRURGICAL DU MANS, POLE SANTE SUD — 28 RUE DE GUETTELOUP, 72100 Le Mans
LibéralCENTRE HOSPITALIER DU MANS
194 Avenue RUBILLARD, 72037 Le Mans
SSR CENTRE DE L'ARCHE
1 Boulevard DE MAULE, 72650 Saint-Saturnin
☎ 0243517272Hospitalier© OpenStreetMap
Tarifs & secteur de conventionnement
Prendre rendez-vous & contact
Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).
Top publications · les plus citées
- 1Confirmation of TNIP1 and IL23A as susceptibility loci for psoriatic arthritis
Annals of the rheumatic diseases · 2011
- 2Evaluation of short-term mortality in patients with Medicare undergoing endovascular interventions for chronic limb-threatening ischemia
Vascular medicine (London, England) · 2024
📚 4 citations🎯 RCR 1.20Lire l'abstract Crossref ↓
Introduction: Patients with chronic limb-threatening ischemia (CLTI) have high mortality rates after revascularization. Risk stratification for short-term outcomes is challenging. We aimed to develop machine-learning models to rank predictive variables for 30-day and 90-day all-cause mortality after peripheral vascular intervention (PVI). Methods: Patients undergoing PVI for CLTI in the Medicare-linked Vascular Quality Initiative were included. Sixty-six preprocedural variables were included. Random survival forest (RSF) models were constructed for 30-day and 90-day all-cause mortality in the training sample and evaluated in the testing sample. Predictive variables were ranked based on the frequency that they caused branch splitting nearest the root node by importance-weighted relative importance plots. Model performance was assessed by the Brier score, continuous ranked probability score, out-of-bag error rate, and Harrell’s C-index. Results: A total of 10,114 patients were included. The crude mortality rate was 4.4% at 30 days and 10.6% at 90 days. RSF models commonly identified stage 5 chronic kidney disease (CKD), dementia, congestive heart failure (CHF), age, urgent procedures, and need for assisted care as the most predictive variables. For both models, eight of the top 10 variables were either medical comorbidities or functional status variables. Models showed good discrimination (C-statistic 0.72 and 0.73) and calibration (Brier score 0.03 and 0.10). Conclusion: RSF models for 30-day and 90-day all-cause mortality commonly identified CKD, dementia, CHF, need for assisted care at home, urgent procedures, and age as the most predictive variables as critical factors in CLTI. Results may help guide individualized risk-benefit treatment conversations regarding PVI.
Publications scientifiques (2) — classées par pathologie
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
Transversal2
▼
Transversal2
▼- Evaluation of short-term mortality in patients with Medicare undergoing endovascular interventions for chronic limb-threatening ischemia
Vascular medicine (London, England) · 2024 · Journal Article
Cleman J, Romain G, Callegari S, Scierka L, et al.
📚 4 cit.🎯 RCR 1.20 - Confirmation of TNIP1 and IL23A as susceptibility loci for psoriatic arthritis
Annals of the rheumatic diseases · 2011 · Journal Article
Bowes J, Orozco G, Flynn E, Ho P, et al.
📚 102 cit.🎯 RCR 2.43🔬→🩺 Translationnel
