📇 Rhumatologue · GONESSE CEDEX · (95) · Salarié

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

Rhumatologue

📍 GONESSE CEDEX (95)SalariéRPPS 10000416114

📊 Reconnaissance scientifique : 23/100📝 97 articles publiés🇫🇷 Publications académiques françaises (8)

✨ Génération du profil synthétique IA en cours…

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Indicateurs publics agrégés sur 250 M+ d'œuvres scientifiques (OpenAlex, PubMed). Traduits ici en langage patient.

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Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.

Top publications · les plus citées

Improved survival after variceal bleeding in patients with cirrhosis over the past two decades

Hepatology (Baltimore, Md.) · 2004

📚 560 citations🎯 RCR 16.04Top 1% NIH🔓 Open Access📄 PDF gratuit ↗

Lire l'abstract Crossref ↓

Over the past two decades, new treatment modalities have been introduced for the management of variceal bleeding. The aim of this retrospective study in a single center was to assess whether these treatments have improved the prognosis for cirrhotic patients with variceal bleeding. We reviewed the clinical records of all patients with cirrhosis admitted to our Liver Intensive Care Unit due to variceal bleeding during the years 1980, 1985, 1990, 1995, and 2000. Whereas balloon tamponade was still the first-line treatment in 1980, patients treated in 2000 received a vasoactive agent, an endoscopic treatment, and an antibiotic prophylaxis in, respectively, 90%, 100%, and 94% of cases. The in-hospital mortality rate steadily decreased over the study period: 42.6%, 29.9%, 25%, 16.2%, and 14.5% in 1980, 1985, 1990, 1995, and 2000, respectively (P < .05). Mortality decreased from 9% in 1980 to 0% in 2000 in Child-Turcotte-Pugh class A patients, from 46% to 0% in class B patients, and from 70% to 32% in class C patients. This improved survival was associated with a decrease of rebleeding (from 47% in 1980 to 13% in 2000) and bacterial infection rates (from 38% to 14%). On multivariable analysis, endoscopic therapy and antibiotic prophylaxis were independent predictors of survival. In conclusion, in-hospital mortality of patients with cirrhosis and variceal bleeding decreased threefold over the past two decades, in concurrence with an early and combined use of pharmacological and endoscopic therapies and short-term antibiotic prophylaxis. (Hepatology 2004;40:652-659.)

Effects of Long-term Norfloxacin Therapy in Patients With Advanced Cirrhosis

Gastroenterology · 2018

📚 123 citations🎯 RCR 5.28Top 7% NIH🩺 Clinique🔓 Open Access📄 PDF gratuit ↗

Cirrhotic patients with portal hypertension-related bleeding and an indication for early-TIPS: a large multicentre audit with real-life results

Journal of hepatology · 2017

📚 96 citations🎯 RCR 4.21Top 10% NIH

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M ARNAUD PAUWELS

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Publications académiques en France

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Publications scientifiques (24) — classées par pathologie

Transversal16

Épidémiologie & registres2

Essai clinique2

Vraie vie / RWE2

Pharmacovigilance1

Qualité de vie / PROMs1

Vascularites des gros vaisseaux1

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