📇 Rhumatologue · ATHIS MONS · (91) · Salarié

MME Catherine FELDMAN

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Auteur de référence en rhumatologie
30 articles scientifiques publiés — un praticien à la pointe de la recherche
Délais de RDV courts dans la région
73.2 rhumatos / 100 000 hab. — département bien doté

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📍 ATHIS MONS (91)SalariéRPPS 10001034692

✨ Génération du profil synthétique IA en cours…

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CSAPA GENERALISTE ATHIS-MONS
6 AV JULES VALLES, 91200 ATHIS MONS
☎ 0169383721Activité de soin et de pharmacie

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Top publications · les plus citées

Disparities in Lupus and the Role of Social Determinants of Health: Current State of Knowledge and Directions for Future Research

ACR open rheumatology · 2023

📚 49 citations🎯 RCR 9.42Top 3% NIH🔓 Open Access📄 PDF gratuit ↗

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Systemic lupus erythematosus (SLE) is a chronic autoimmune disease. The complex relationships between race and ethnicity and social determinants of health (SDOH) in influencing SLE and its course are increasingly appreciated. Multiple SDOH have been strongly associated with lupus incidence and outcomes and contribute to health disparities in lupus. Measures of socioeconomic status, including economic instability, poverty, unemployment, and food insecurity, as well as features of the neighborhood and built environment, including lack of safe and affordable housing, crime, stress, racial segregation, and discrimination, are associated with race and ethnicity in the US and are risk factors for poor outcomes in lupus. In this scientific statement, we aimed to summarize current evidence on the role of SDOH in relation to racial and ethnic disparities in SLE and SLE outcomes, primarily as experienced in the U.S. Lupus Foundation of America's Health Disparities Advisory Panel, comprising 10 health disparity experts, including academic researchers and patients, who met 12 times over the course of 18 months in assembling and reviewing the data for this study. Sources included articles published from 2011 to 2023 in PubMed, Centers for Disease Control and Prevention data, and bibliographies and recommendations. Search terms included lupus, race, ethnicity, and SDOH domains. Data were extracted and synthesized into this scientific statement. Poorer neighborhoods correlate with increased damage, reduced care, and stress‐induced lupus flares. Large disparities in health care affordability, accessibility, and acceptability exist in the US, varying by region, insurance status, and racial and minority groups. Preliminary interventions targeted social support, depression, and shared‐decision‐making, but more research and intervention implementation and evaluation are needed. Disparities in lupus across racial and ethnic groups in the US are driven by SDOH, some of which are more easily remediable than others. A multidimensional and multidisciplinary approach involving various stakeholder groups is needed to address these complex challenges, address these diminish disparities, and improve outcomes.

Posttraumatic Stress Disorder and Risk of Systemic Lupus Erythematosus Among Medicaid Recipients

Arthritis care & research · 2023

📚 20 citations🎯 RCR 3.09Top 16% NIH🔓 Open Access

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ObjectiveWe studied posttraumatic stress disorder (PTSD), a severe trauma‐related mental disorder, and systemic lupus erythematosus (SLE) risk in a large, diverse population enrolled in Medicaid, a US government‐sponsored health insurance program for low‐income individuals.MethodsWe identified SLE cases and controls among patients ages 18–65 years enrolled in Medicaid for ≥12 months in the 29 most populated US states from 2007 to 2010. SLE and PTSD case statuses were defined based on validated patterns of International Classification of Diseases, Ninth Revision codes. Index date was the date of the first SLE code. Controls had no SLE codes but had another inpatient or outpatient code on the index date and were matched 1:10 to cases by age, sex, and race. Conditional logistic regressions calculated odds ratios (ORs) and 95% confidence intervals (95% CIs) for the association of PTSD with incident SLE, adjusting for smoking, obesity, oral contraceptive use, and other covariates.ResultsA total of 10,942 incident SLE cases were matched to 109,420 controls. The prevalence of PTSD was higher in SLE cases, at 10.74 cases of PTSD per 1,000 person‐years (95% CI 9.37–12.31) versus 7.83 cases (95% CI 7.42–8.27) in controls. The multivariable‐adjusted OR for SLE among those with PTSD was 2.00 (95% CI 1.64–2.46).ConclusionIn this large, racially and sociodemographically diverse US population, we found patients with a prior PTSD diagnosis had twice the odds of a subsequent diagnosis of SLE. Studies are necessary to clarify the mechanisms driving the observed association and to inform possible interventions.

The link between post-traumatic stress disorder and systemic lupus erythematosus

Brain, behavior, and immunity · 2023

📚 18 citations🎯 RCR 2.57Top 20% NIH🔓 Open Access📄 PDF gratuit ↗

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MME Catherine FELDMAN

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Top publications · les plus citées

Publications scientifiques (30) — classées par pathologie

Lupus14

Transversal9

Économie santé2

csDMARDs1

Épidémiologie & registres1

Essai clinique1

Goutte1

IA en rhumatologie1

Recommandations1

Risque cardio-vasculaire1

Vraie vie / RWE1

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