Abstract：
:The objective of this study was to compare total ankle arthroplasty (TAA) utilization and outcomes by patient residence. We used the Nationwide Inpatient Sample (NIS) from 2003 to 2011 to compare utilization and outcomes (post-arthroplasty discharge disposition, length of hospitalization, and mortality) by rural vs. urban residence. Ten thousand eight hundred thirty-three patients in urban and 3,324 patients in rural area underwent TAA. Compared to rural residents, urban residents had: lower mean age, 62.4 vs. 61.8 years (p < 0.0001); higher percent of women, 49 vs. 56 % (p = 0.0008); and lower proportion of Whites, 93 vs. 86 % (p = 0.0005). There were rural-urban disparities in TAA utilization in 2003 (0.32 vs. 0.39/100,000; p = 0.021), but not in 2011 (1.19 vs. 1.17/100,00; p = 0.80). TAA outcomes did not differ by rural vs. urban residence: (1) 11.3 % rural vs. 14.2 % urban residents were discharged to an inpatient facility (p = 0.098); (2) length of hospital stay above the median stay, was 44.8 vs. 42.2 % (p = 0.30); and (3) mortality was 0.2 vs. 0.1 %, respectively (p = 0.81). Multivariable-adjusted logistic regression models did not show any significant differences in discharge to home, length of stay, or mortality, by residence. Our study demonstrated an absence of any evidence of rural-urban differences in TAA outcomes. The rural-urban differences in TAA utilization noted in 2003 were no longer significant in 2011.
journal_name
Clin Rheumatoljournal_title
Clinical rheumatologyauthors
Singh JA,Ramachandaran Rdoi
10.1007/s10067-015-2908-zsubject
Has Abstractpub_date
2016-02-01 00:00:00pages
381-6issue
2eissn
0770-3198issn
1434-9949pii
10.1007/s10067-015-2908-zjournal_volume
35pub_type
杂志文章abstract：OBJECTIVES:To assess the efficacy and safety of the commonly used urate-lowering therapies (ULTs): febuxostat, allopurinol, and lesinurad in hyperuricemic patients with gout. METHODS:We included all randomized controlled trials (RCTs) that compared ULTs with placebo or head to head. The primary efficacy endpoint was t...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-020-05272-4
更新日期：2021-02-01 00:00:00
abstract：OBJECTIVES:To test the psychometric properties of the United Kingdom's Commissioning for Quality in Rheumatoid Arthritis Patient-Reported Experience Measure (CQRA-PREM) in patients with spondyloarthritis (SpA) and rheumatoid arthritis (RA) and to implement this questionnaire in daily practice in the Netherlands. METHO...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-020-05076-6
更新日期：2020-10-01 00:00:00
abstract：:Vitamin D is vital for musculoskeletal health and may be associated with subacute and chronic low back pain. The objective of this study was to estimate the prevalence of vitamin D deficiency among chronic low back pain (CLBP) and subacute low back pain (SLBP), and compare the same with healthy controls. This study wa...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-017-3798-z
更新日期：2018-05-01 00:00:00
abstract：:Reactive arthritis (ReA) due to Gram-negative intestinal bacteria or Chlamydia, is associated by an unknown mechanism with HLA-B27. Like other MHC class I molecules, HLA-B27 presents antigenic peptides derived from intracellular proteins to CD8+ cytotoxic T cells (CTL). In humans however, CTL specific for ReA associat...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/BF03342653
更新日期：1996-01-01 00:00:00
abstract：:Expectancies play a major role for the treatment outcome of a broad variety of immune-mediated conditions and may strengthen or mimic the effects of regular long-term therapies. This study adds to a recently published study of Kox et al. (PNAS 111:7379-7384, 2014) on the ability to voluntarily influence the physiologi...
journal_title：Clinical rheumatology
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10067-015-3009-8
更新日期：2016-04-01 00:00:00
abstract：OBJECTIVE:Antineutrophil cytoplasmic antibodies (ANCAs) are considered a risk factor for granulomatosis with polyangiitis (GPA) exacerbation, especially when staphylococcal superantigens (SAgs) are present in nasal swabs. Their role in monitoring disease activity remains controversial. This study determined the relatio...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-019-04693-0
更新日期：2019-11-01 00:00:00
abstract：:Although the Health Assessment Questionnaire (HAQ) and the Modified Health Assessment Questionnaire are useful tools for assessing and monitoring patients with rheumatic diseases, they have a "floor effect" and do not fully reflect the psychological status of patients. Recently, the Multidimensional Health Assessment ...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-005-0049-5
更新日期：2006-05-01 00:00:00
abstract：:Behçet's disease (BD) has well-defined pulmonary complications, but cardiopulmonary exercise testing and the strength of the respiratory muscles have not been studied in detail. We aimed to investigate the pulmonary functions tests, inspiratory and expiratory muscle strength and endurance, cardiopulmonary exercise tes...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-006-0508-7
更新日期：2007-09-01 00:00:00
abstract：:We and others have previously shown that IL-17 is elevated in the synovial fluid of patients with reactive arthritis (ReA)/undifferentiated spondyloarthropathy (uSpA) having acute synovitis. Major source for IL-17 is Th17 cells, which differentiate from Th0 cells under the influence of TGF-β and IL-6, IL1-β and are ma...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-010-1646-5
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:To assess whether systemic sclerosis (SSc) is associated with total knee arthroplasty (TKA) outcomes. METHODS:We used the 1998-2014 US National Inpatient Sample. We conducted multivariable-adjusted logistic regression analyses to examine the association of a diagnosis of SSc with post-TKA in-hospital complic...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-019-04754-4
更新日期：2020-01-01 00:00:00
abstract：:Hundreds of randomized controlled trials (RCTs) on tripterygium glycosides tablet (TGT) in the treatment of ankylosing spondylitis (AS) have been published, but the therapeutic effects have never been systematically reviewed yet. The aim of this meta-analysis was to evaluate the efficacy of TGT on AS based on RCTs. Pu...
journal_title：Clinical rheumatology
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s10067-015-3043-6
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVES:To evaluate sexual function in Tunisian women with rheumatoid arthritis (RA) and to compare it with that in voluntary healthy controls. METHODS:We conducted a cross-sectional study including 71 women with a confirmed diagnosis of RA according to the American College of Rheumatology/European League Against R...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-019-04726-8
更新日期：2019-12-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章,评审
doi：10.1007/s10067-019-04500-w
更新日期：2019-06-01 00:00:00
abstract：:Our objective was to assess the progression of osteoarthritis (OA) using scoring systems based on the anatomical changes recorded in the finger joints on standard radiographs and to test how far these scoring systems could be used to evaluate the effects of candidate "disease modifying osteoarthritis drugs" (DMOAD). T...
journal_title：Clinical rheumatology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s10067-002-8290-7
更新日期：2002-06-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/BF02030238
更新日期：1990-03-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-020-05025-3
更新日期：2020-09-01 00:00:00
abstract：:Visceral leishmaniasis (VL) is a severe disease that can develop in immunocompromised patients. Antitumor necrosis factor-alpha (TNF-alpha) treatment of rheumatoid arthritis can result in clinical benefits, but with an increased risk of opportunistic infections. Leishmania infection in patients treated with TNF-alpha ...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-006-0356-5
更新日期：2007-08-01 00:00:00
abstract：:The goals of this study were to determine if secretory sphingomyelinase (S-SMase) activity is elevated in patients with rheumatoid arthritis (RA) compared to control subjects and to examine the relationships of S-SMase activity with functional status, quality of life, and RA disease activity measurements. We collected...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-017-3824-1
更新日期：2018-05-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 已发布勘误
doi：10.1007/s10067-020-04943-6
更新日期：2020-03-01 00:00:00
abstract：:A 62-year-old man who suffered from severe deforming arthritis, secondary to chronic tophaceous gout with multilobular, solid, tender, enlarged subcutaneous nodules, and draining tophi in right second finger, was treated by free flap and finally got the more functional and aesthetic result. ...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-009-1321-x
更新日期：2010-03-01 00:00:00
abstract：:To characterize the distinctive chest high-resolution computerized tomography (HRCT) features and clinical manifestations of primary Sjögren syndrome (pSS)-related interstitial lung disease (ILD). The demographic data, clinical manifestations, and laboratory and radiological findings of 527 pSS patients were retrospec...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-018-4289-6
更新日期：2018-11-01 00:00:00
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journal_title：Clinical rheumatology
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10067-013-2425-x
更新日期：2015-02-01 00:00:00
abstract：:Familial Mediterranean fever (FMF) is an autoinflammatory disorder. It is caused by mutations in the MEFV gene encoding the pyrin protein, which regulates the innate inflammatory response. The aim of the current study was to investigate the relationship between serum Interleukin-4 (IL-4) and its gene polymorphism, nam...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-018-4214-z
更新日期：2018-12-01 00:00:00
abstract：:A prospective, randomised, double-blind study was carried out to compare the respective efficacies of transforaminal and interspinous epidural corticosteroid injections in discal radiculalgia. Thirty-one patients (18 females, 13 males) with discal radicular pain of less than 3 months' duration were consecutively rando...
journal_title：Clinical rheumatology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s10067-003-0736-z
更新日期：2003-10-01 00:00:00
abstract：:Small synovial cysts are a common manifestation of juvenile idiopathic arthritis; large brachial cysts, however, are a rare sign of the disease and they must be differentiated from other soft tissue swelling which are not related to articular involvement. We describe the case of three children with juvenile idiopathic...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-008-0860-x
更新日期：2008-12-01 00:00:00
abstract：:It has recently been claimed that some of the symptoms in patients with Behçet's disease (BD) can be activated after the patient has stopped smoking. In this study we investigated the effect of smoking on the symptoms of Behçet's disease. Fifty asymptomatic current smokers (CS) who promised to stop smoking (group 1) a...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s100670070020
更新日期：2000-01-01 00:00:00
abstract：:Anti-tumour necrosis factor alpha therapy has led to significant advancement in the treatment of rheumatological disease. Rarely, anti-TNFalpha antagonists have been associated with vasculitis, predominantly cutaneous leukocytoclastic vasculitis. We present the first case of angiographically-confirmed digital vasculit...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-008-1015-9
更新日期：2008-12-01 00:00:00
abstract：:An insufficiency fracture (IF) involving the acetabulum is presented. This fracture occurred in a 67-year-old woman who had been hysterectomized and oophorectomized 27 years earlier for a carcinoma of the uterine cervix, and who had received external pelvic irradiation. This IF location has been rarely described earli...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/BF02207215
更新日期：1992-09-01 00:00:00
abstract：:Dego's disease is an uncommon thrombo-occlusive vasculopathy that presented with skin rash and thrombotic complications affecting internal organs that may simulate rheumatic diseases and may be brought to the attention of rheumatologists. We present here a case of a middle-aged woman who presented with acute bowel inf...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-009-1164-5
更新日期：2009-07-01 00:00:00
abstract：:2'5'-Oligoadenylate synthetase (OAS) was shown to be related to systemic lupus erythematosus (SLE) 20 years ago, and was rediscovered to be involved in type I interferon pathway in SLE by several microarray gene expression studies recently. The goal of this study was to investigate OAS isoform expressions in lupus pat...
journal_title：Clinical rheumatology
pub_type： 杂志文章
doi：10.1007/s10067-006-0260-z
更新日期：2007-02-01 00:00:00
