📇 Rhumatologue · ANTONY · (92) · Libéral

MME MY-DUNG TRAN

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34 articles scientifiques publiés — un praticien à la pointe de la recherche
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📍 ANTONY (92)LibéralRPPS 10001481950

✨ Génération du profil synthétique IA en cours…

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Top publications · les plus citées

Pivot shift as an outcome measure for ACL reconstruction: a systematic review

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2012

📚 188 citations🎯 RCR 9.95Top 3% NIH

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AbstractPurposeTo identify and evaluate the evidence for the pivot shift test as an outcome measure following ACL reconstruction. Achieving rotatory control of the knee post anterior cruciate ligament (ACL) reconstruction has been shown to increase patient satisfaction, decrease functional instability and potentially delay the development of osteoarthritis. The pivot shift is able to assess this rotatory component of knee laxity and appears to have the potential to become a benchmark in gauging the success of ACL surgery. Multiple confounding factors and discrepancies in performing the maneuver itself however put its usefulness in question. Thus, the literature was reviewed to assess whether the pivot shift was able to correlate with final functional outcomes.MethodsTwo reviewers searched two databases (MEDLINE and EMBASE) for randomized control trials that involved anterior cruciate ligament reconstruction in the last 5 years. All non‐clinical studies were excluded. A quality assessment of the included studies was performed using the Jadad scale by a reviewer. The number of studies using the Pivot Shift Test as well as the test’s relationship with functional outcome was evaluated.ResultsThe literature search yielded 274 studies, of which 65 papers were included. The average Jadad quality score for papers reporting pivot shift as an outcome measure was 2.4, with the most frequent score being 3. Forty seven of 65 studies described the Pivot Shift Test as an outcome measure following ACL reconstruction. Of the 47 studies that included pivot shift as an outcome measure, 40 (85%) correlated with the final functional outcomes.ConclusionThe pivot shift test is an important test following ACL reconstruction, and it correlates with functional outcomes.

Clinical Characteristics, Disease Activity, and Patient-Reported Outcomes in Psoriatic Arthritis Patients With Dactylitis or Enthesitis: Results From the Corrona Psoriatic Arthritis/Spondyloarthritis Registry

Arthritis care & research · 2017

📚 93 citations🎯 RCR 5.02Top 8% NIH🩺 Clinique

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ObjectiveTo characterize psoriatic arthritis (PsA) patients with dactylitis or enthesitis and evaluate the associations of these manifestations with disease activity and patient‐reported outcomes.MethodsUsing the Corrona PsA/Spondyloarthritis Registry, patient characteristics, disease activity, and patient‐reported outcomes at registry enrollment were assessed for PsA patients ages ≥18 years with or without dactylitis or enthesitis. Regression models were used to evaluate associations of dactylitis and enthesitis with outcomes, including minimal disease activity, Health Assessment Questionnaire scores, patient‐reported pain and fatigue, and work productivity (Work Productivity and Activity Impairment questionnaire). Adjustments were made for age, sex, race, body mass index, disease duration, and history of biologic agent, disease‐modifying antirheumatic drug, and prednisone use.ResultsThis analysis included 1,567 PsA patients (420 with enthesitis; 228 with dactylitis). Patients with versus without dactylitis or enthesitis had greater disease activity and were less likely to be in minimal disease activity (P < 0.05). Patients with versus without enthesitis had poorer functional status as assessed by the Health Assessment Questionnaire (adjusted P = 4.15 x 10−5), greater patient‐reported pain and fatigue (adjusted P < 0.0001), and greater likelihood of any impairment while working (adjusted odds ratio [OR] 1.57, P = 0.027), overall work impairment (OR 1.85, P = 0.006), and activity impairment (OR 1.77, P = 0.008). Dactylitis was associated with similar numerical trends, but differences versus patients without dactylitis did not reach statistical significance.ConclusionEnthesitis and dactylitis are associated with greater overall disease burden of PsA, underscoring the importance of identifying, assessing, and effectively managing these periarticular manifestations.

Sleep problems in patients with rheumatoid arthritis

The Journal of rheumatology · 2014

📚 80 citations🎯 RCR 3.68Top 12% NIH🩺 Clinique🔓 Open Access📄 PDF gratuit ↗

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Objective. To investigate sleep problems, and the relationship between sleep and disease activity, in Belgian patients with established rheumatoid arthritis (RA). Methods. This cross-sectional, observational, multicenter study assessed sleep quality using the Athens Insomnia Scale (AIS) and Pittsburgh Sleep Quality Index (PSQI), and daytime sleepiness using the Epworth Sleepiness Scale (ESS). Additional patient-reported outcomes included visual analog scales (VAS) for fatigue and pain, the Medical Outcomes Study Short Form-36 Health Survey, the Health Assessment Questionnaire-Disability Index (HAQ-DI), and the Positive and Negative Affect Schedule. Multivariate regression and structural equation modeling identified factors associated with sleep quality, with the 28-joint Disease Activity Score [DAS28-C-reactive protein (CRP)] as a continuous or categorical variable. Analyses were performed on the total population and on patients stratified by disease activity status: remission/low (DAS28-CRP ≤ 3.2) or moderate to high (DAS28-CRP > 3.2). Results. Among 305 patients, mean (SD) age was 57.00 (12.38) years and mean (SD) disease duration was 11.77 (9.94) years. Mean (SD) AIS, PSQI, and ESS scores were 6.8 (4.79), 7.8 (4.30), and 7.3 (4.67), respectively. Mean (SD) VAS fatigue, VAS pain, and HAQ-DI were 45.22 (26.29), 39.04 (26.21), and 1.08 (0.75), respectively. There were significant positive relationships between DAS28-CRP and AIS/PSQI, but a significant negative relationship between DAS28-CRP and ESS. Several potentially confounding factors were identified. Conclusions. Poor control of RA is associated with a reduction in sleep quality and decreased daytime sleepiness, which is likely explained by pain-related alertness. Future prospective studies are needed to confirm potential relationships between sleep quality, sleepiness, and RA treatment.

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MME MY-DUNG TRAN

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Top publications · les plus citées

Publications scientifiques (34) — classées par pathologie

Transversal16

Revue générale5

Économie santé3

Anti-TNF2

Case report / série2

Pharmacovigilance2

Revue / méta-analyse2

Santé mentale / fatigue2

AINS1

Anti-IL-231

Arthrite juvénile1

Essai clinique1

Ostéoporose1

Pédiatrie1

Rhumatisme psoriasique1

Spondyloarthrite1

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