[Markov model of decision making for basic therapy of rheumatoid arthritis: oder of monotherapy and expenses for drug therapy].

Abstract:

AIM:To design Markov's model of decision making to study the role of order in the use of most usable basic antirheumatic drugs (methotrexate-MT, parenteral gold--PG and sulfasalasine--SS) in terms of the course duration and cost. MATERIAL AND METHODS:The model was based on metaanalysis made in 2000. The program TreeAge 3.0 was used. The prices for the drugs were taken as mean about Moscow for 2002 and prices presented by ACR for 2002. RESULTS:The sequence MT-PG-SS had the advantage over the other sequences in that less number of patients stopped treatment after 5 and 10 years of therapy. Mean cost of the drugs per patient is the lowest (for five years) if MT is prescribed first. In longer treatment SS-MT-PG is more cost-effective. CONCLUSION:It is feasible to design Markov's models for making decision on optimal therapy of rheumatoid arthritis both in terms of cost and clinical response.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Goriachev DV,Erdes ShF

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

35-9

issue

5

eissn

0040-3660

issn

2309-5342

journal_volume

76

pub_type

杂志文章
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    abstract:AIM:To describe some clinical variants of hypochondriac syndrome in patients with duodenal ulcer (DU). MATERIAL AND METHODS:A hypochondriac trend was studied clinically and was confirmed by changes in the first scale of AMPI in 150 DU patients. If the first scale contained a rise over 70 points, the examinee was state...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Firsova LD

    更新日期:2005-01-01 00:00:00

  • [Lipid and non-lipid effects of enduracin in patients with arterial hypertension].

    abstract:AIM:To analyze lipid and non-lipid effects of 6-month administration of enduracine in patients with marked dislipoproteinemia suffering from arterial hypertension with ischemic heart disease or without it. MATERIALS AND METHODS:40 hypertensive patients (27 males and 13 females, mean age 52.43 +/- 1.68 years) entered t...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Smolenskaia OG,Kazakov IaE,Barats SS

    更新日期:1999-01-01 00:00:00

  • [Paramagnetic centers of some biological media in cholecystitis patients].

    abstract:AIM:To study paramagnetic centers (PMC) of some biological media in cholecystitis patients. MATERIALS AND METHODS:PMC of 81 patients with chronic acalculous cholecystitis and 29 patients with acute calculous cholecystitis were examined using 3-cm radiospectrometer "Rubin" employing low-temperature fixation of biologic...

    journal_title:Terapevticheskii arkhiv

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    doi:

    authors: Saĭfutdinov RG,Shcherbakova AV

    更新日期:2000-01-01 00:00:00

  • [Superhigh-dosage chemotherapy with the transplantation of autologous hemopoietic precursor cells in patients with a prognostically unfavorable relapse and resistant course of lymphogranulomatosis].

    abstract::Eighteen patients with relapsed or refractory Hodgkin's disease (HD) have been treated with high-dose chemotherapy (BEAM regimen) followed by autologous peripheral stem cells and/or bone marrow rescue. There were no treatment-related deaths. Overall response rate was 82%. With a median follow-up of 10 months (3-24 mon...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Ptuskin VV,Uss AL,Demina EA,Chervonobab IuV,Milanovich NF,Tupitsyn NN,Larionova VB,Batan ZE,Kondrat'eva NE,Zmachinskiĭ VA,Andreeva LA,Snegir' VM,Mkheidze DM,Chimishkian KL

    更新日期:1997-01-01 00:00:00

  • [Chronic pancreatitis with IBS-like syndrome: approach to therapy].

    abstract:AIM:To determine approaches of the exacerbations treatment of chronic pancreatitis (CP) with IBS (irritable bowel syndrome)-like syndrome. MATERIALS AND METHODS:312 patients with exacerbation of CP were observed and received standard therapy: antispasmodics, enzymes, proton pump inhibitors. 85 (27.2%) patients had no ...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:10.26442/00403660.2020.02.000518

    authors: Kozlova IV,Bykova AP,Osadchuk MA

    更新日期:2020-04-27 00:00:00

  • [Whipple's disease: A clinical case report].

    abstract::The paper describes a 56-year-old female patient who in December 2015 lost her appetite and 20 kg of weight, had diarrhea, rapidly increasing weakness, dizziness, joint pains, fever, swelling of the feet, and convulsions. Blood tests revealed anemia, elevated erythrocyte sedimentation rate, and hypoproteinemia. Comput...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:10.17116/terarkh2017892103-104

    authors: Krums LM,Bodunova NA,Sabel'nikova EA,Khomeriki SG,Mirzoev KM,Sokolova MS,Parfenov AI

    更新日期:2017-01-01 00:00:00

  • [Eosinophilic exudative pleurisy as a manifestation of drug allergy].

    abstract::The paper is concerned with a study in which eosinophilic exudative pleuritis was the first sign of drug allergy (penicillin, streptomycin, claphoran), also manifesting itself in fever, hemorrhagic eruption, eosinophilia in the blood. Fast recovery was achieved after discontinuation of antibacterial therapy and prescr...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Anshelevich IuV,Svistunova AA

    更新日期:1986-01-01 00:00:00

  • [The typical features and clinical characteristics of Reiter's syndrome with a nonvenereal origin].

    abstract::Analysis of the clinical picture in 37 patients with Reiter's syndrome unrelated to venereal urethritis showed that in the majority of cases, it was preceded by acute intestinal infection which occasionally ran an unmarked course. The difficulties in diagnosing Reiter's syndrome were caused in some patients by the fac...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Ivashkin VT,Sultanov VK,Polozhentsev SD

    更新日期:1990-01-01 00:00:00

  • [Possibilities of the ultrasonic method of examination in identifying large lesions of the abdominal cavity and small pelvis organs].

    abstract::Analysis was made of 13201 ultrasonic studies (USS) of abdominal and small pelvic organs in 5500 patients admitted to the therapeutic department of the multiple-discipline hospital to identify sizable injuries. As many as 176 sizable injuries to the liver, kidneys, gallbladder, pancreas, retroperitoneal space and othe...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Kotliarov PM,Anan'eva AA

    更新日期:1989-01-01 00:00:00

  • [Clinical significance of reciprocal changes in the ECG in acute myocardial infarction].

    abstract::A total of 206 patients with acute myocardial infarction marked by infarction localization in the anterior and inferior walls were examined. It is revealed that reciprocal changes, namely the depression of the ST segment are of prognostic significance in the assessment of the clinical course of the disease, with the S...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Charchoglian RA,Golikov AP,Zingerman LS,Levshunov SP

    更新日期:1989-01-01 00:00:00

  • [Changes in the course of atherosclerosis occurring over a 25-year period in the male population of 9 cities of the CIS and Baltic countries].

    abstract::The trends in atherosclerosis presentation were followed up pathomorphologically in a two-stage epidemiological survey performed in 9 cities of CIC and Baltic states at 25-year interval. The investigations were conducted in accordance with WHO program. Stage 1 (1963-1968) covered 6121 cases, stage 2 (1985-1989) includ...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Zhdanov VS,Vikhert AM,Galakhov IE,Drobkova IP,Alekseev VP,Berdnikova NV,Volkov VA,Lifshits AM,Protsenko ES,Tushemilov OV

    更新日期:1995-01-01 00:00:00

  • The use of Tofacitinib in the treatment of inflammatory bowel disease.

    abstract::Major advances in pharmacology of the 21st century include the development of a new class of drugs, which are low-molecular, chemically synthesized molecules (the so-called "small molecules"), the point of application of which is Janus kinase (Janus kinase, JAK) involved in intracellular cytokine signaling. The review...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章,评审

    doi:10.26442/00403660.2019.02.000155

    authors: Nasonov EL,Abdulganieva DI,Fairushina IF

    更新日期:2019-03-18 00:00:00

  • [The specific features of left cardiac cavity remodeling in patients with chronic obstructive pulmonary disease and chronic cor pulmonale].

    abstract:AIM:To study left ventricular structural and functional changes in patients with chronic obstructive pulmonary disease (COPD) and chronic cor pulmonale (CCP) at different stages of a cardiac remodeling process. SUBJECTS AND METHODS:Echocardiography was used to examine 98 patients with COPD complicated by the developme...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Strutynskiĭ AV,Bakaev RG,Glazunov AB,Banzeliuk EN,Moshkova NK,Reĭsner AA,Shavurdina SV,Vinogradova DV

    更新日期:2010-01-01 00:00:00

  • [Calcium antagonists and the regional contractility of the left ventricle in stenocardia patients].

    abstract::The overall and regional left ventricular ejection fraction (EF) was assessed by rest-exercise equilibrium radionuclide ventriculography in 33 patients (mean age 52.3 +/- 10.3 years) given a single dose of calcium-channel blockers (CCB). Of these, 18 patients were administered 20 mg of nifedipine and 15 patients recei...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Zeĭnalov FI,Malov AG,Mazur NA,Sergienko VB,Sumarokov AB,Rubanovich AI

    更新日期:1990-01-01 00:00:00

  • [Clinical diagnosis progress and continuing medical education].

    abstract::The paper discusses current approaches to diagnosing in an internal medicine clinic and to improving diagnostic tactics. It gives prospects for training physicians in current diagnostic approaches in the framework of the continuing medical education system. ...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Mukhin NA,Svistunov AA,Fomin VV

    更新日期:2014-01-01 00:00:00

  • [Effect of bortezomib on the efficiency of hematopoietic stem cell mobilization in patients with multiple myeloma].

    abstract:AIM:To study the results of mobilizing and collecting autologous hematopoietic stem cells (HSC) in patients with multiple myeloma (MM) receiving bortezomib as part of induction therapy regimens. MATERIALS AND METHODS:In June 2001 to April 2010, the Department of Bone Marrow Transplantation, Hematology Research Center,...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Pokrovskaia OS,Mendeleeva LP,Urnova ES,Gaponova TV,Gal'tseva IV,Kuz'mina LA,Akhundova FM,Kalinin NN,Gretsov EM,Parovichnikova EN,Savchenko VG

    更新日期:2012-01-01 00:00:00

  • [Efficacy and safety of different beta-blockers in patients with isolated systolic hypertension associated with diabetes mellitus and obstructive pulmonary diseases].

    abstract:AIM:To compare efficacy and safety of atenolol, methoprolol and bisoprolol, as the most usable beta-blockers, in patients with isolated systolic arterial hypertension (ISAH) and concomitant diabetes mellitus (DM) and/or chronic obstructive pulmonary disease (COPD). MATERIAL AND METHODS:Forty tow patients with ISAH and...

    journal_title:Terapevticheskii arkhiv

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Kukes VG,Ostroumova OD,Mamaev VI,Batutina AM,Abakumov IuE,Zykova AA

    更新日期:2003-01-01 00:00:00

  • [Antiplatelet drugs and gastrointestinal disorders: when and how effective are inhibitors of proton pump?].

    abstract::Antiplatelet drugs are essential in current treatment of coronary heart disease (CHD) but they have an adverse action--damage to gastrointestinal mucosa. Long-term administration of several medicines in CHD patients makes possible interaction of some drugs. Clinical trials show that proton pump inhibitors (PPI) reduce...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章,评审

    doi:

    authors:

    更新日期:2011-01-01 00:00:00

  • [Successful use of long-term follow-up in patients with chronic myeloid leukemia with a deep molecular response at reduced doses of 2nd generation tyrosine kinase inhibitors: clinical cases and literature review].

    abstract::Therapy with tyrosine kinase inhibitors (TKI) allows to achieve a deep molecular response in 6070% of patients with chronic myeloid leukemia (CML). According to the current guidelines CML patients receive a long-term treatment with TKI in standard dose. The frequently observed adverse effects (AE) of TKI therapy are m...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:10.26442/00403660.2020.07.000789

    authors: Gurianova MA,Chelysheva EY,Shukhov OA,Turkina AG

    更新日期:2020-09-01 00:00:00

  • [The effect of a single dose of nifedipine, intal, sodium thiosulfate and Essentiale on the blood level of calcium, hydroperoxides, thiol compounds and prostaglandins in bronchial asthma patients].

    abstract::A study was made of the impact of a single intake of nifedipine, intal, sodium thiosulfate and essentiale on respiratory function, the blood content of ionized calcium, total calcium, hydroperoxides, total and non-protein thiol groups, and prostaglandins in bronchial asthma patients. All the drugs exerted an antioxida...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Amatuni VG,Malaian KL,Zakaharian AK

    更新日期:1992-01-01 00:00:00

  • [Rehabilitation therapy of convalescents after hemorrhagic fever with renal syndrome in outpatient clinic].

    abstract:AIM:To assess clinical efficacy of mineral water and perindopril in convalescents after hemorrhagic fever with renal syndrome (HFRS) in outpatient setting. MATERIAL AND METHODS:The study covered 113 HFRS convalescents. HFRS was confirmed serologically. The patients were divided into three groups: group 1 (n = 50) rece...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Pimenov LT,Vasil'ev MIu

    更新日期:2004-01-01 00:00:00

  • [Diagnosis of coronary artery lesions during the exercise test according to electrocardiotopographic data in patients with ischemic heart disease].

    abstract::It has been shown that electrocardiotopography applied during the exercise test in patients with coronary heart disease makes the test more sensitive without changing its specificity as compared with the ECG in common 12 leads. The depression of the ST segment occurs on the electrocardiotopogram in the areas of the pr...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Ianovskiĭ GV,Terzov AI,Belonozhko AG

    更新日期:1984-01-01 00:00:00

  • [High life expectancy in multiple myeloma].

    abstract::The authors describe the main clinicolaboratory finding of 9 patients with multiple myeloma (MM) who survived 10 and more years. The number of the "long-lived" survivors among 256 patients with MM seen from 1966 to 1980 amounted to 3.5%. The main characteristics of the disease of the "long-lived" survivors were correl...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Antipova LG,Andreeva NE

    更新日期:1985-01-01 00:00:00

  • [Effect of original and generic clopidogrel on prognosis in relation to different gene polymorphisms].

    abstract:AIM:To analyze the influence of clinical and pharmacogenetic factors on the risk of resistance to original or generic clopidogrel and that of cardiovascular events (CVE) during 12 months of follow-up. SUBJECTS AND METHODS:Two hundred and fifty patients admitted to Moscow hospitals in October 2011 to September 2012 wer...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Mesitskaia DF,Nikitina IuM,Lomakin OV,Shchekochikhin DIu,Kopylov FIu

    更新日期:2014-01-01 00:00:00

  • [Low doses of recombinant erythropoietin in the treatment of renal anemia in patients on chronic hemodialysis and ambulatory peritoneal dialysis].

    abstract:AIM:A comparative study of efficiency and safety of low-dose erythropoietin (EP) in two groups of patients with chronic renal failure (CRF): patients on chronic hemodialysis (CHD) and patients on continuous ambulatory hemodialysis (CAHD). MATERIALS AND METHODS:51 CRF adult patients with renal anemia on hemodialysis en...

    journal_title:Terapevticheskii arkhiv

    pub_type: 临床试验,杂志文章

    doi:

    authors: Lashutin SV,Nikolaev AIu,Ermolenko VM,Shutov EV,Bezruk VG,Ivashchenko MA

    更新日期:1999-01-01 00:00:00

  • [Antibacterial therapy for acute cystitis in the age of growing pathogen resistance].

    abstract::Acute cystitis refers to uncomplicated lower urinary tract infections, with the recurrence rates after the first cystitis episode being 50%. The basic treatment for the above diseases is antibacterial therapy, whose efficiency depends entirely on the right choice of a drug during initial empiric therapy. The paper giv...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章,评审

    doi:

    authors: Siniakova LA

    更新日期:2014-01-01 00:00:00

  • [Antinuclear antibodies in Sjögren's disease and syndrome].

    abstract::A study was made of the presence of antinuclear antibodies to Ro, La, nDNA, RNP and Sm in 18 patients with Sjögren's disease (SD) and in 13 patients with Sjögren's syndrome (SS). Anti-Ro and/or anti-La were revealed in 12 SD patients (67%) and in 3 SS patients (23%, P less than 0.05) only. Anti-nDNA and anti-RNP were ...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Kirtava ZZ,Guseva NG,Vasil'ev VI,Poverennyĭ AM,Ivanova SM

    更新日期:1986-01-01 00:00:00

  • [Use of fendivia transdermal therapeutic system in Russian patients with malignant neoplasms during palliative care: pharmacoeconomic aspects].

    abstract:AIM:To make a comparative clinical and economic assessment of a transdermal therapeutic system (TTS) for fendivia and traditional opioid analgesics in patients with malignant neoplasms (MN) during palliative care. MATERIALS AND METHODS:Pharmacoeconomic analysis of opioid analgesics used in patients with MN during anal...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Ryazhenov VV,Abuzarova GR,Gorokhova SG,Emchenko IV,Matveev NV

    更新日期:2014-01-01 00:00:00

  • [Social stress as a risk factor for ischemic heart disease].

    abstract:AIM:To study dynamics of ischemic heart disease in exposure of the population of an industrial city to social-economic stress. MATERIAL AND METHODS:Official annual records of Saratov city Health Administration for 1989-1998. In public health evaluation, cardiovascular morbidity is the index rapidly reacting to social-...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:

    authors: Denisova TP,Shkoda AS,Malinova LI,Astaf'eva NG

    更新日期:2005-01-01 00:00:00

  • [Brucellosis in the Stavropol Territory: Results of 15-year follow-up of epidemiological and clinical features].

    abstract:AIM:To analyze the epidemiological situation of brucellosis in the Stavropol Territory and to determine the specific features of its acute form. MATERIALS AND METHODS:The epidemiological situation of brucellosis in the Stavropol Region was retrospectively analyzed using the 2000-2014 official statistics of the Russian...

    journal_title:Terapevticheskii arkhiv

    pub_type: 杂志文章

    doi:10.17116/terarkh2015871111-17

    authors: Sannikova IV,Makhinya OV,Maleev VV,Deineka DA,Golub OG,Kovalchuk IV,Lyamkin GI

    更新日期:2015-01-01 00:00:00