Abstract:
:Either total hip arthroplasty (THA), total knee arthroplasty (TKA) or both were performed in 105 patients from 1981 to 1994. These patients were experiencing severe joint destruction in the lower extremities due to rheumatoid arthritis (RA). These patients were followed for more than 2 years after their last operation. Eighty-six patients were alive and 19 patients had died at the time of follow-up. The 86 living patients were divided into four groups based on the number of replaced joints. Their pre- and postoperative conditions, including such factors as pain, mobility and disability for the quality of life (QOL), were compared. All of the four groups showed some reduction in pain and disability, and an improvement in ambulation after the operations. The 19 deceased patients were classified into two groups, one including those with multiple (three or four) arthroplasties and the other, those with only a small number (one or two). The mean age at death was lower (55.7+/-6.2 years) in patients with multiple arthroplasties than that (69.1+/-7.5 years) in patients with only a small number of arthroplasties. Secondary diseases from RA, such as amyloidosis, spinal injury and pulmonary fibrosis, were found to be the primary cause of death in patients with multiple arthroplasties. The most important finding in this study is that although RA patients with multiple arthroplasties in the lower extremities improved their QOL, they were still afflicted with secondary diseases derived from RA and experienced complications that could shorten their lifespan.
journal_name
Clin Rheumatoljournal_title
Clinical rheumatologyauthors
Kageyama Y,Miyamoto S,Ozeki T,Hiyoshi M,Kushida K,Inoue Tdoi
10.1007/BF01452259subject
Has Abstractpub_date
1998-01-01 00:00:00pages
130-4issue
2eissn
0770-3198issn
1434-9949journal_volume
17pub_type
杂志文章abstract::The objectives of this study are to investigate the prevalence of PAD4 and anti-PAD4 antibodies (Abs) in autoimmune diseases and to clarify their association with anticitrullinated protein antibodies (ACPAs) and shared epitope (SE) in patients with rheumatoid arthritis (RA). Levels of human PAD4 and anti-PAD4 Abs in s...
journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s10067-015-3082-z
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journal_title:Clinical rheumatology
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abstract::Current Canadian osteoporosis guidelines recommend routine bone density screening of men at age 65. The purpose of this study is to determine the prevalence of osteoporosis in men aged 65-75 in after application of screening guidelines. All males aged 65-75 years who attended a large primary care clinic were advised o...
journal_title:Clinical rheumatology
pub_type: 杂志文章,多中心研究
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更新日期:2015-03-01 00:00:00
abstract::The burden of non-communicable diseases such as musculoskeletal diseases in the developing world is often overshadowed by the more prevalent infectious diseases. Generally, there is gross underestimation of the burden of rheumatologic disease in the backdrop of scanty or indeed non-existent rheumatology services in th...
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
doi:10.1007/s10067-005-0031-2
更新日期:2006-07-01 00:00:00
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pub_type: 信件
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更新日期:2005-02-01 00:00:00
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更新日期:2020-04-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s100670050152
更新日期:2000-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10067-019-04747-3
更新日期:2019-12-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/BF02207928
更新日期:1995-11-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 信件
doi:10.1007/s10067-004-0922-7
更新日期:2004-12-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s10067-006-0355-6
更新日期:2007-07-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s10067-010-1581-5
更新日期:2011-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10067-005-0083-3
更新日期:2006-07-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章,评审
doi:10.1007/BF02032315
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pub_type: 杂志文章,评审
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更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10067-015-3119-3
更新日期:2016-01-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s10067-008-1081-z
更新日期:2009-05-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/BF02032296
更新日期:1985-06-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/BF02208090
更新日期:1995-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10067-016-3431-6
更新日期:2016-12-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s100670200007
更新日期:2002-02-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章,已发布勘误
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更新日期:2020-10-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s10067-019-04671-6
更新日期:2019-11-01 00:00:00