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001-es BibID:BIBFORM048272
035-os BibID:PMID:24131338
Első szerző:Farkas Klaudia
Cím:Predictors of relapse in patients with ulcerative colitis in remission after one-year of infliximab therapy / Klaudia Farkas, Péter László Lakatos, Ferenc Nagy, Zoltán Szepes, Pál Miheller, Mária Papp, Károly Palatka, Anita Bálint, Renáta Bor, Tibor Wittmann, Tamás Molnár
Dátum:2013
ISSN:0036-5521
Megjegyzések:Abstract Background. Some of the most important questions relating to the use of biological therapy in inflammatory bowel diseases concern the duration of maintenance therapy. The RASH study revealed that previous use of biological therapy and dose intensification are associated with restarting of biological therapy in Crohn's disease. The aim of the study was to assess the disease course and frequency of relapse of ulcerative colitis (UC) following discontinuation of infliximab in patients with remission and to determine predictive factors for relapse. Patients and methods. Fifty-one UC patients who had achieved clinical remission following 1 year of infliximab therapy and for whom infliximab was then discontinued participated in this prospective observational study. 15.7% of the patients received infliximab before the 1-year period of biological therapy analyzed in the study. Biological therapy was restarted in case of recurrent clinical activity. Data were collected from four Hungarian IBD centers. Results. Thirty-five percent of the patients needed to be retreated with infliximab within 1 year after treatment cessation. Logistic regression analysis revealed that previous biological therapy (p = 0.021) was associated with the need of restarting infliximab. None of the data relating to patients' demographic and clinical characteristics, concomitant therapy and CRP level showed association with the need for restarting biological therapy. Conclusions. Biological therapy was restarted at a median of 4 months after discontinuation in more than every third UC patients who had been in clinical remission following 1 year of infliximab therapy. Response to retreatment with infliximab was favorable in the majority of the patients who relapsed
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
infliximab therapy
discontinuation
ulcerative colitis
Megjelenés:Scandinavian Journal of Gastroenterology. - 48 : 12 (2013), p. 1394-1398. -
További szerzők:Lakatos Péter (Semmelweis Egyetem) Nagy Ferenc Szepes Zoltán Miheller Pál Papp Mária (1975-) (belgyógyász, gasztroenterológus) Palatka Károly (1961-) (belgyógyász, gasztroenterológus) Bálint Anita Bor Renáta Wittmann Tibor Molnár Tamás
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DOI
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001-es BibID:BIBFORM019830
Első szerző:Lakatos Péter (Semmelweis Egyetem)
Cím:Association of adherence to therapy and complementary and alternative medicine use with demographic factors and disease phenotype in patients with inflammatory bowel disease / Peter Laszlo Lakatos, Zsofia Czegledi, Gyula David, Zsofia Kispal. Lajos S. Kiss, Karoly Palatka, Tunde Kristof, Ferenc Nagy, Agnes Salamon, Pal Demeter, Pal Miheller, Tamas Szamosi, Janos Banai, Maria Papp, Laszlo Bene, Agota Kovacs, Istvan Racz, Laszlo Lakatos
Dátum:2010
Megjegyzések:Previous studies have suggested an increasing use of complementary and alternative medicine (CAM) in patients with inflammatory bowel disease (IBD). Furthermore, a significant number of IBD patients fail to comply with treatment. The aim of our study was to evaluate the prevalence of non-adherence and the use of CAM in Hungarian patients with IBD. METHODS: A total of 655 consecutive IBD patients (CD: 344, age: 38.2 [SD 12.9]years; UC: 311, age: 44.9 [15.3]years) were interviewed during the specialist visit by self-administered questionnaire including demographic and disease-related data as well as items analyzing the extent of non-adherence and CAM use. Patients taking more than 80% of each prescribed medication were classified as adherent. RESULTS: The overall rate of self-reported non-adherence (CD: 20.9%, UC: 20.6%) and CAM (CD: 31.7%, UC: 30.9%) use did not differ between Crohn's disease (CD) and ulcerative colitis (UC). The most common causes of non-adherence were: forgetfulness (47.8%), too many/unnecessary pills (39.7%), being afraid of side effects (27.9%) and too frequent dosing. Most common forms of CAM were herbal tea (47.3%), homeopathy (14.6%), special diet (12.2%), and acupuncture (5.8%). In CD, disease duration, date of last follow-up visit, educational level and previous surgeries were predicting factors for non-adherence. Alternative medicine use was associated in both diseases with younger age, higher educational level, and immunosuppressant use. In addition, CAM use in UC was more common in females and in patients with supportive psychiatric/psychological therapy. CONCLUSIONS: Non-adherence and CAM use is common in patients with IBD. Special attention should be paid to explore the identified predictive factors during follow-up visits to improve adherence to therapy and improving patient-doctor relationship.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
IBD
CD
UC
Adherence
complementary medicine
egyetemen (Magyarországon) készült közlemény
Megjelenés:Journal of Crohn's and Colitis. - 4 : 3 (2010), p. 283-290. -
További szerzők:Czeglédi Zsófia Dávid Gyula Kispál Zsófia Kiss Lajos Sándor Palatka Károly (1961-) (belgyógyász, gasztroenterológus) Kristóf Tünde Nagy Ferenc Salamon Ágnes (orvos Szekszárd) Demeter Pál Miheller Pál Szamosi Tamás Banai János Papp Mária (1975-) (belgyógyász, gasztroenterológus) Bene László (Budapest) Kovács Ágota Rácz István (orvos Győr) Lakatos László (Veszprém)
Internet cím:DOI
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