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Costa J, El Ali A, Semaan N, Barbe C, Nazeyrollas P, Morland D, Dejust S, Papathanassiou D, Metz D. Cardiac AMyloïdosis Prevalence and Outcome in aortic Stenosis patients undergoing Transcatheter Aortic Valve Implantation: First insight of the CAMPOS-TAVI study. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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2
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Seret R, Launois C, Barbe C, Larre S, Léon P. [Evolution of the USP and IPSS score after continuous positive airway pressure sleep apnea therapy at night]. Prog Urol 2021; 32:130-138. [PMID: 34158219 DOI: 10.1016/j.purol.2020.12.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 11/29/2020] [Accepted: 12/20/2020] [Indexed: 11/18/2022]
Abstract
INTRODUCTION To assess the impact of nocturnal continuous positive airway pressure (CPAP) treatment of obstructive sleep apnea (OSA) on lower urinary tract (LUTS) symptoms. MATERIALS AND METHODS A prospective, monocentric study was conducted between June 2018 and August 2019. Patients with moderate to severe OSA with an indication for treatment with nocturnal CPAP in combination with SBAU were included. SBAUs and their impact were evaluated by completing two self-administered questionnaires (Urinary Symptom Profile (USP) and International Prostate Score Symptom (IPSS)) filled out during the night-time ventilatory polygraph or diagnostic polysomnography for OSA and after 4 months of CPAP treatment. RESULTS In 79 patients, after four months of CPAP treatment, USP scores for stress urinary incontinence and overactive bladder were significantly improved, respectively 0.65±1.38 vs 1.13±2.10 ; p<0.0001 and 3.24±2.58 vs 5.43±3.66 ; p<0.0001, IPSS and IPSS-Qdv were significantly improved, respectively 5.20±3.78 vs. 7.44±5.05 ; p<0.0001 and 1.93±1.26 vs. 2.27±1.56 ; p=0.002 as well as IPSS score items on pollakiuria, urgency and nocturia. CONCLUSION Treatment with CPAP significantly improved SBAU in four months. Testing urology patients for symptoms of OSA in urology patients seeking SBAU would allow referral of patients suspected of OSA to a specialist for diagnosis and management if necessary.
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Affiliation(s)
- R Seret
- Service d'urologie, centre hospitalier universitaire Reims, rue du Général-Koenig, 51100 Reims, France.
| | - C Launois
- Service des maladies respiratoires, unité de sommeil et ventilation, centre hospitalier universitaire Reims, 51100 Reims, France
| | - C Barbe
- Service de santé publique et d'aide méthologique, centre hospitalier universitaire Reims, 51100 Reims, France
| | - S Larre
- Service d'urologie, centre hospitalier universitaire Reims, rue du Général-Koenig, 51100 Reims, France
| | - P Léon
- Service d'urologie, clinique Pasteur, 17200 Royan, France
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3
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Têtu C, Gaubil-Kaladjian I, Barbe C, Diaz Cives A, Barrois M, Bertin E, Delemer B, Fèvre A. [Contraception after bariatric surgery: Importance of a specific gynecologic course]. ACTA ACUST UNITED AC 2021; 49:709-715. [PMID: 33766790 DOI: 10.1016/j.gofs.2021.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Indexed: 11/27/2022]
Affiliation(s)
- C Têtu
- Service d'endocrinologie diabète nutrition, CHU de Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France.
| | - I Gaubil-Kaladjian
- Service d'endocrinologie diabète nutrition, CHU de Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France; Centre spécialisé de l'obésité de Champagne Ardenne (CSO CA), CHU Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - C Barbe
- CHU de Reims, Unité d'aide méthodologique, Pôle recherche et santé publique, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - A Diaz Cives
- Centre spécialisé de l'obésité de Champagne Ardenne (CSO CA), CHU Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France; Service de chirurgie générale digestive et endocrinienne, CHU de Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - M Barrois
- Service d'endocrinologie diabète nutrition, CHU de Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France; Centre spécialisé de l'obésité de Champagne Ardenne (CSO CA), CHU Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - E Bertin
- Service d'endocrinologie diabète nutrition, CHU de Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France; Centre spécialisé de l'obésité de Champagne Ardenne (CSO CA), CHU Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - B Delemer
- Service d'endocrinologie diabète nutrition, CHU de Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - A Fèvre
- Service d'endocrinologie diabète nutrition, CHU de Reims, Hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
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Hourbeigt K, Ehret M, Visseaux L, Durlach A, Petit A, Sanchez J, Grange A, Barbe C, Servagi-Vernat S, Grange F. Efficacité et sécurité du panitumumab seul ou en association avec la radiothérapie dans les carcinomes épidermoïdes cutanés inopérables. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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5
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Didier K, Sobanski V, Barbe C, Robbins A, Truchetet M, Barnetche T, Hot A, Fort R, Guilpain P, Maria A, Agard C, Pennaforte J, Viguier M, Martin T, Pham B, Launay D, Servettaz A. Auto-anticorps dans la sclérodermie systémique : méta-analyse de la prévalence de 9 auto-anticorps spécifiques dans différentes régions du monde. Rev Med Interne 2020. [DOI: 10.1016/j.revmed.2020.10.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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6
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Hourbeigt K, Ehret M, Visseaux L, Durlach A, Petit A, Sanchez J, Grange‐Prunier A, Barbe C, Servagi‐Vernat S, Grange F. Efficacy and safety of panitumumab alone or in association with radiotherapy in unresectable cutaneous squamous cell carcinoma. J Eur Acad Dermatol Venereol 2020; 34:2789-2794. [DOI: 10.1111/jdv.16465] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Accepted: 03/27/2020] [Indexed: 12/27/2022]
Affiliation(s)
- K. Hourbeigt
- Department of Oncodermatology Reims University Hospital Reims France
| | - M. Ehret
- Department of Oncodermatology Reims University Hospital Reims France
| | - L. Visseaux
- Department of Oncodermatology Reims University Hospital Reims France
| | - A. Durlach
- Department of Biopathology Reims University Hospital Reims France
| | - A. Petit
- Department of Oncodermatology Reims University Hospital Reims France
| | - J. Sanchez
- Department of Oncodermatology Reims University Hospital Reims France
| | - A. Grange‐Prunier
- Department of Oncodermatology Reims University Hospital Reims France
| | - C. Barbe
- Methodological Support Unit Reims University Hospital Reims France
| | | | - F. Grange
- Department of Oncodermatology Reims University Hospital Reims France
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Laurent-Badr Q, Barbe C, Brugel M, Hautefeuille V, Volet J, Grelet S, Desot E, Botsen D, Deguelte S, Pitta A, Abdelli N, Brasseur M, De Mestier L, Neuzillet C, Bouché O. Time intervals to diagnosis and chemotherapy do not influence survival outcome in patients with advanced pancreatic adenocarcinoma. Dig Liver Dis 2020; 52:658-667. [PMID: 32362489 DOI: 10.1016/j.dld.2020.03.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Revised: 02/23/2020] [Accepted: 03/16/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND The effect of treatment delay on survival in pancreatic ductal adenocarcinoma (PDAC) remains unclear. AIMS This study aimed to assess the prognostic impact of time to diagnosis and chemotherapy in advanced PDAC and factors influencing the time intervals. METHODS advanced PDAC patients receiving chemotherapy in five centers in the decade 2007-2016 were included. Key time points during care pathway from clinical presentation to beginning of chemotherapy were retrospectively collected. Multivariate Cox proportional hazard model was performed. RESULTS A total of 409 patients were included (mean age 66.1 ± 10.3 years; 250 metastatic (61%); 139 received FOLFIRINOX chemotherapy (34%). The median overall survival (OS) was 7.2 months. The median times from first symptoms and from first specialist visit to the beginning of chemotherapy were respectively 100 days and 47 days. None of time intervals was significantly associated with OS. Significant prognostic factors were FOLFIRINOX chemotherapy (HR 0.6 [0.5-0.8]; P < 0.001), metastasis (HR 1.6 [1.3-2.0]; P = 0.001), WHO PS ≥ 2 (HR 1.6 [1.2-2.1]; P < 0.001) and acute pancreatitis as first symptom (HR 2.9 [1.7-4.9]; P < 0.001). Jaundice shortened time to diagnosis (P < 0.001). Acute pancreatitis (P < 0.001) and diabetes (P = 0.01) increased time to treatment. CONCLUSION Wait times from clinical presentation to beginning of chemotherapy do not influence survival in advanced PDAC.
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Affiliation(s)
- Q Laurent-Badr
- Digestive Oncology, Reims University Hospital, Reims, France.
| | - C Barbe
- Research and Public Health, Reims University Hospital, Reims, France
| | - M Brugel
- Digestive Oncology, Reims University Hospital, Reims, France
| | - V Hautefeuille
- Gastroenterology, Amiens-Picardie University Hospital, France
| | - J Volet
- Gastroenterology, Courlancy-Bezannes Clinic, Bezannes, France
| | - S Grelet
- Hollings Cancer Center, Medical University of South Carolina, Charleston, USA
| | - E Desot
- Medical Oncology, Institut de Cancérologie Godinot, Reims, France
| | - D Botsen
- Digestive Oncology, Reims University Hospital, Reims, France; Medical Oncology, Institut de Cancérologie Godinot, Reims, France
| | - S Deguelte
- General, Digestive and Endocrine Surgery, Reims University Hospital, Reims, France
| | - A Pitta
- Digestive Oncology, Reims University Hospital, Reims, France
| | - N Abdelli
- Gastroenterology, Châlons-en-Champagne Hospital, Châlons-en-Champagne, France
| | - M Brasseur
- Digestive Oncology, Reims University Hospital, Reims, France
| | - L De Mestier
- Gastroenterology and Pancreatology, Beaujon University Hospital, APHP, Clichy, France
| | - C Neuzillet
- Medical Oncology, Curie Institute, Versailles Saint Quentin University, Saint-Cloud, France
| | - O Bouché
- Digestive Oncology, Reims University Hospital, Reims, France
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8
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Husson B, Barbe C, Hegazy S, Seneschal J, Aubin F, Mahé E, Jullien D, Sbidian E, D'Incan M, Conrad C, Brenaut E, Girard C, Richard M, Bachelez H, Viguier M. Efficacy and safety of
TNF
blockers and of ustekinumab in palmoplantar pustulosis and in acrodermatitis continua of Hallopeau. J Eur Acad Dermatol Venereol 2020; 34:2330-2338. [DOI: 10.1111/jdv.16265] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Accepted: 01/21/2020] [Indexed: 12/12/2022]
Affiliation(s)
- B. Husson
- Dermatology Department Hôpital Robert‐Debré Reims France
| | - C. Barbe
- Clinical Research Unit Hôpital Robert‐Debré Reims France
| | - S. Hegazy
- Dermatology Department Hôpital Larrey Toulouse France
| | - J. Seneschal
- Dermatology Department National Reference Center for Rare Skin Diseases Hôpital Saint‐André Bordeaux France
| | - F. Aubin
- Dermatology Department Centre Hospitalo‐Universitaire (CHU) Besançon France
| | - E. Mahé
- Dermatology Department Centre Hospitalier (CH) Argenteuil France
| | - D. Jullien
- Clinical Immunology Department CH Lyon‐Sud Lyon France
| | - E. Sbidian
- Dermatology Department Hôpital Henri‐Mondor Créteil France
| | - M. D'Incan
- Dermatology Department CHU Estaing Clermont‐Ferrand France
| | - C. Conrad
- Dermatology Department Lausanne University Hospital CHUV Lausanne Switzerland
| | | | - C. Girard
- Dermatology Department CHU Lapeyronie Montpellier France
| | - M.A. Richard
- Dermatology Department CEReSS‐EA 3279 Research Center in Health Services and Quality of Life Aix Marseille University Universitary Hospital Timone Assistance Publique Hôpitaux de Marseille Marseille France
| | - H. Bachelez
- Université de Paris Paris France
- Dermatology Department Assistance Publique‐Hôpitaux de Paris Hôpital Saint‐Louis Paris France
- Laboratory of Genetics of Skin Diseases INSERM UMR1163 Institut Imagine Necker Hospital Paris France
| | - M. Viguier
- Dermatology Department Hôpital Robert‐Debré Reims France
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9
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Gawlitza M, Soize S, Barbe C, le Clainche A, White P, Spelle L, Pierot L. Aneurysm Characteristics, Study Population, and Endovascular Techniques for the Treatment of Intracranial Aneurysms in a Large, Prospective, Multicenter Cohort: Results of the Analysis of Recanalization after Endovascular Treatment of Intracranial Aneurysm Study. AJNR Am J Neuroradiol 2019; 40:517-523. [PMID: 30819769 DOI: 10.3174/ajnr.a5991] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 12/25/2018] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE The Analysis of Recanalization after Endovascular Treatment of Intracranial Aneurysm (ARETA) prospective study aims to determine factors predicting recurrence after endovascular treatment for intracranial aneurysms. In this publication, we review endovascular techniques and present the study population. Characteristics of treated and untreated unruptured aneurysms were analyzed. MATERIALS AND METHODS Sixteen neurointerventional departments prospectively enrolled patients treated for ruptured and unruptured intracranial aneurysms between December 2013 and May 2015. Patient demographics, aneurysm characteristics, and endovascular techniques were recorded. RESULTS A total of 1289 patients with 1761 intracranial aneurysms, 835 (47.4%) ruptured, were enrolled. Of these, 1359 intracranial aneurysms were treated by endovascular means. Ruptured intracranial aneurysms were treated by coiling and balloon-assisted coiling in 97.8% of cases. In unruptured intracranial aneurysms, the rates of flow diversion, flow disruption, and stent-assisted coiling were 11.6%, 6.9%, and 7.8%, respectively. Rupture status and aneurysm location, neck diameter, and sac size significantly influenced the chosen technique. Treated unruptured intracranial aneurysms, compared with untreated counterparts, had larger aneurysm sacs (7.6 ± 4.0 versus 3.4 ± 2.0 mm; P < 0.001) and neck dimensions (4.1 ± 2.2 versus 2.4 ± 1.3 mm; P < 0.001) and more frequently an irregular form (84.6% versus 44.4%; P < 0.001). Also, its location influenced whether an unruptured intracranial aneurysm was treated. CONCLUSIONS Our study provides an overview of current neurointerventional practice in the ARETA cohort. The technique choice was influenced by aneurysm morphology, location, and rupture status. Flow diversion, flow disruption, and stent-assisted coiling were commonly used in unruptured intracranial aneurysms, while most ruptured intracranial aneurysms were treated with coiling and balloon-assisted coiling.
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Affiliation(s)
- M Gawlitza
- From the Department of Neuroradiology (M.G., S.S., L.P.), Hôpital Maison-Blanche, Centre Hospitalier Universitaire Reims, Reims, France
| | - S Soize
- From the Department of Neuroradiology (M.G., S.S., L.P.), Hôpital Maison-Blanche, Centre Hospitalier Universitaire Reims, Reims, France
| | - C Barbe
- Department of Research and Public Health (C.B., A.l.C.), Hôpital Robert Debré, Centre Hospitalier Universitaire Reims, Reims, France
| | - A le Clainche
- Department of Research and Public Health (C.B., A.l.C.), Hôpital Robert Debré, Centre Hospitalier Universitaire Reims, Reims, France
| | - P White
- Department of Neuroradiology (P.W.), Royal Victoria Infirmary, Newcastle upon Tyne, UK
| | - L Spelle
- Interventional Neuroradiology (L.S.), NEURI Center, Hopital Bicêtre, Le Kremlin-Bicêtre, France
| | - L Pierot
- From the Department of Neuroradiology (M.G., S.S., L.P.), Hôpital Maison-Blanche, Centre Hospitalier Universitaire Reims, Reims, France
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10
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Husson B, Barbe C, Hegazy S, Seneschal J, Aubin F, Mahé E, Jullien D, Sbidian E, d’Incan M, Conrad C, Brénault E, Girard C, Avenel-Audran M, Le Maître M, Modiano P, Quiles N, Zaraa I, Richard MA, Goujon C, Beneton N, Destoop J, Bachelez H, Viguier M. Efficacité et tolérance des traitements systémiques conventionnels dans le traitement du psoriasis pustuleux acral : étude française rétrospective sur 205 patients. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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11
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Riffaud L, Barbe C, Beaudoux O, Le Clainche A, Soufir N, Grange F. Facteurs pronostiques et incidence des mélanomes muqueux primitifs : une étude française basée sur la population. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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12
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Tuton D, Barbe C, Salmon JH, Dramé M, Nérot C, Ohl X. Transcultural validation of the Oxford Shoulder Score for the French-speaking population. Orthop Traumatol Surg Res 2016; 102:555-8. [PMID: 27460650 DOI: 10.1016/j.otsr.2016.05.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2015] [Revised: 04/09/2016] [Accepted: 05/30/2016] [Indexed: 02/02/2023]
Abstract
PURPOSE Patient-reported outcome measures (PROMs) have been gaining in popularity over the last decade. The Oxford Shoulder Score (OSS) is a well-established self-administered questionnaire for shoulder evaluation adapted for the English-speaking population. The aim of the present study was to develop a translation and a transcultural adaptation of the OSS and to assess its validity in native French-speaker patients with shoulder pain. METHODS The translation process was carried out following a translation/back-translation methodology by two translators. All patients completed the French OSS, the Subjective Shoulder Value (SSV), and the Constant score. Internal consistency was tested using Cronbach's α coefficient. Validity was assessed by calculating the Pearson correlation coefficient between the OSS and the Constant score and the SSV. RESULTS One hundred forty-four patients suffering from degenerative or inflammatory diseases of the shoulder were included in this study. The average time required to complete the French OSS was 2min and 45s. Seventy patients were asked to complete the questionnaire twice (test/retest reliability). Internal consistency was high with Cronbach's α coefficient=0.93. The intraclass correlation coefficient was 0.91 (95% CI: 0.88-0.94) for test/retest reliability. The French OSS score was significantly correlated with the Constant-Murley score (r=0.73 and P<0.0001) and with the SSV (r=0.68 and P<0.0001). CONCLUSIONS The present study shows that the French version of the OSS is reliable, valid, and reproducible. The sensitivity to change now needs to be evaluated. This score was adapted to the French-speaking population for the self-assessment of patients with degenerative or inflammatory disorders of the shoulder. LEVEL OF EVIDENCE Level 1, Test of previously developed criteria, diagnostic test study.
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Affiliation(s)
- D Tuton
- Département de chirurgie orthopédique et traumatologique, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims, France
| | - C Barbe
- Unité d'aide méthodologique, hôpital Robert-Debré, CHU de Reims, avenue du Général-Koenig, 51100 Reims, France
| | - J-H Salmon
- Département de rhumatologie, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims, France
| | - M Dramé
- Unité d'aide méthodologique, hôpital Robert-Debré, CHU de Reims, avenue du Général-Koenig, 51100 Reims, France
| | - C Nérot
- Département de chirurgie orthopédique et traumatologique, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims, France
| | - X Ohl
- Département de chirurgie orthopédique et traumatologique, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims, France.
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13
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Chevalier V, Barbe C, Reguiai Z, Plée J, Grange F, Bernard P. [Impact of neurological diseases on the prognosis of bullous pemphigoid: A retrospective study of 178 patients]. Ann Dermatol Venereol 2016; 143:179-86. [PMID: 26831943 DOI: 10.1016/j.annder.2015.12.016] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2015] [Revised: 10/23/2015] [Accepted: 12/17/2015] [Indexed: 11/25/2022]
Abstract
BACKGROUND Bullous pemphigoid (BP) mainly affects elderly patients. It is often associated with neurological disorders, which constitute a major risk factor of the disease. The aim of our study was to determine whether neurological disorders, particularly dementia, influence outcome and mortality in BP patients. PATIENTS AND METHODS We conducted a retrospective study of all patients with BP seen in our dermatology department consecutively between 1997 and 2011. Clinical, immunological and therapeutic data, number of relapses and survival status were compared according to the presence at diagnosis of neurological disorders, particularly dementia. RESULTS Among the 178 patients included, an associated neurological disease was present in 84 (47.2%) and dementia in 43 (24.2%) at the time of diagnosis of BP. Patients with associated dementia were older and had a lower Karnofsky index. Sixty-four patients (37.8%) had had at least one clinical relapse of BP, chiefly within the first 18 months after starting therapy. Coexistent neurological disease was not associated with BP relapse (P=0.55) contrary to an extensive BP phenotype at diagnosis (P=0.008). Coexistent neurological disease and/or dementia were associated with higher mortality (P=0.03 and P<0.001, respectively), but did not modify the type or the total duration of BP treatment. CONCLUSION A coexistent neurological disease or dementia at the time of diagnosis of BP significantly increase the risk of mortality and shortens the duration of clinical follow-up of patients with BP, thus limiting the analysis of their influence on the outcome of BP itself.
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Affiliation(s)
- V Chevalier
- Service de dermatologie, hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - C Barbe
- Département de recherche clinique, hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - Z Reguiai
- Service de dermatologie, hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - J Plée
- Service de dermatologie, hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - F Grange
- Service de dermatologie, hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France
| | - P Bernard
- Service de dermatologie, hôpital Robert-Debré, avenue du Général-Koenig, 51092 Reims cedex, France.
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14
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Deslee G, Mal H, Dutau H, Bourdin A, Vergnon J, Pison C, Kessler R, Jounieaux V, Thiberville L, Leroy S, Marceau A, Laroumagne S, Mallet J, Dukic S, Barbe C, Bulsei J, Jolly D, Durand-Zaleski I, Marquette C. Étude randomisée multicentrique évaluant la réduction volumique par spirales dans l’emphysème (STIC REVOLENS). Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Loget J, Plée J, Barbe C, Duvert-Lehembre S, Couraud A, Bedane C, Maizières M, Joly P, Bernard P. Évaluation de l’incidence et de la répartition des différentes dermatoses bulleuses auto-immunes dans 3 régions françaises par le registre REGIBUL (2010–2014). Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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16
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Fauconnier M, Diriez G, Barbe C, Salmon J, Reguiai Z. Association maladie de VErneuil–SPondyloArthrite : l’étude VESPA. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Nicol P, Perceau G, Barbe C, Bernard P. Dermatose érosive et pustuleuse des jambes : étude observationnelle prospective et multicentrique : à propos de 36 cas. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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18
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Bordet J, Caliot J, Vardi K, Barbe C, Ducasse A, Angioi K, Arndt C. Agreement between ophthalmoloscopy and ultrawide field image analysis in an outpatient clinic setting. Acta Ophthalmol 2015. [DOI: 10.1111/j.1755-3768.2015.0390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
| | | | - K. Vardi
- CHU ROBERT DEBRE; 51 Reims France
| | - C. Barbe
- CHU ROBERT DEBRE; 51 Reims France
| | | | | | - C. Arndt
- CHU ROBERT DEBRE; 51 Reims France
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Durbant E, Vardi K, Bordet J, Barbe C, Garcia T, Angioi K, Arndt C. Concordance between ophtalmologists and paramedical professionals in screening for retinal abnormalities with ultrawide field imaging. Acta Ophthalmol 2015. [DOI: 10.1111/j.1755-3768.2015.0363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- E. Durbant
- Ophtalmologie; Hopital Robert Debré; Reims France
| | - K. Vardi
- Ophtalmologie; Hopital Robert Debré; Reims France
| | - J. Bordet
- Ophtalmologie; Hopital Robert Debré; Reims France
| | - C. Barbe
- Unité d'aide méthodologique; Hopital Robert Debré; Reims France
| | - T. Garcia
- Ophtalmologie; Hopital Robert Debré; Reims France
| | - K. Angioi
- Ophtalmologie; Hôpital de Brabois; Nancy France
| | - C. Arndt
- Ophtalmologie; Hopital Robert Debré; Reims France
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Dany A, Barbe C, Wolak-Thierry A, Morrone I, Dramé M, Novella J, Jolly D, Boyer F. Validation and calibration of a health-related quality of life questionnaire for patients suffering from slowly progressive neuromuscular disease. Ann Phys Rehabil Med 2015. [DOI: 10.1016/j.rehab.2015.07.302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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21
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Perotin JM, Barbe C, Nguyen KL, Fontaine JF, Gabignon Y, Nardi J, Launois C, Lebargy F, Lavaud F, Deslee G. Work-related respiratory symptoms in Champagne vineyard workers. Eur Ann Allergy Clin Immunol 2015; 47:140-144. [PMID: 26356997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
BACKGROUND Vineyard workers (VW) are exposed to various respiratory allergens. The aims of the study were to determine the prevalence of work related respiratory symptoms (WRS) in Champagne VW in France and to analyze the relationships between symptoms, occupational exposure and sensitization profile. METHODS VW of Reims area were prospectively recruited between 2007 and 2010. Demographic and occupational characteristics were recorded. Respiratory symptoms were scored for each month of the past year. Results of respiratory functional tests and skin prick tests for common respiratory allergens, grape moulds and vine pollen were recorded. RESULTS 307 subjects were included. The prevalence of WRS was 11%. Compared to subjects with symptoms unrelated to work, subjects with WRS were more frequently sensitized to gramineae (34% vs 18%, p = 0.05), described ocular itching (74% vs 37%, p < 0.001) and seasonal symptoms (88% vs 69%, p = 0.03) mainly during lifting and trellising (57% vs 17%, p < 0.001). CONCLUSION WRS are frequent in Champagne WV and are associated with a sensitization to gramineae and with activities performed close to vine in late spring.
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Affiliation(s)
- J-M Perotin
- Department of Respiratory Medicine, University Hospital, 51100 Reims, France. INSERM UMRS 903, University Hospital, 51100, 45 Rue Cognacq Jay, 51100 Reims, France. Phone: +33 32 67 87 614 Fax: +33 32 678 40 30 E-mail:
| | - C Barbe
- Clinical Research Unit, University Hospital, 51100 Reims, France
| | - K L Nguyen
- Department of Respiratory Medicine, University Hospital, 51100 Reims, France
| | - J-F Fontaine
- Department of Respiratory Medicine, University Hospital, 51100 Reims, France
| | - Y Gabignon
- Department of Occupational Medicine, Mutualité Sociale Agricole, 51100 Reims, France
| | - J Nardi
- Department of Respiratory Medicine, University Hospital, 51100 Reims, France
| | - C Launois
- Department of Respiratory Medicine, University Hospital, 51100 Reims, France
| | - F Lebargy
- Department of Respiratory Medicine, University Hospital, 51100 Reims, France
| | - F Lavaud
- Department of Respiratory Medicine, University Hospital, 51100 Reims, France
| | - G Deslee
- Department of Respiratory Medicine, University Hospital, 51100 Reims, France. INSERM UMRS 903, University Hospital, 51100 Reims, France
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Plee J, Le Jan S, Giustiniani J, Barbe C, Joly P, Bedane C, Vabres P, Truchetet F, Aubin F, Antonicelli F, Bernard P. Étude prospective multicentrique du suivi des concentrations sériques d’IL-17 et d’IL-23 chez les malades atteints de pemphigoïde bulleuse. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.04.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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23
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Fauconier M, Reguiai Z, Colosio A, Barbe C, Eschard J, Salmon J, Direz G. AB0778 Vespa Study: Association Between Spondyloarthritis and Hidradenitis Suppurativa. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.6148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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24
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Dabouz F, Barbe C, Lesage C, Le Clainche A, Arnoult G, Hibon E, Bernard P, Grange F. Clinical and histological features of head and neck melanoma: a population-based study in France. Br J Dermatol 2015; 172:707-15. [DOI: 10.1111/bjd.13489] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/14/2014] [Indexed: 11/29/2022]
Affiliation(s)
- F. Dabouz
- Service de Dermatologie; Hôpital Robert Debré; CHU de Reims Reims France
| | - C. Barbe
- Unité d'Aide Méthodologique; CHU de Reims; Reims France
| | - C. Lesage
- Service de Dermatologie; Hôpital Robert Debré; CHU de Reims Reims France
| | | | - G. Arnoult
- Centre de Recherche et d'Investigation Clinique; Hôpital Maison Blanche; CHU de Reims; Reims France
| | - E. Hibon
- Laboratoire de Pathologie; Centre de Regroupement Informatique des Statistiques Anatomo-pathologiques de Champagne; Reims France
| | - P. Bernard
- Service de Dermatologie; Hôpital Robert Debré; CHU de Reims Reims France
| | - F. Grange
- Service de Dermatologie; Hôpital Robert Debré; CHU de Reims Reims France
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25
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Grange F, Woronoff AS, Bera R, Colomb M, Lavole B, Fournier E, Arnold F, Barbe C. Efficacy of a general practitioner training campaign for early detection of melanoma in France. Br J Dermatol 2015; 170:123-9. [PMID: 23937244 DOI: 10.1111/bjd.12585] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2013] [Indexed: 11/26/2022]
Abstract
BACKGROUND To date, no strategy for improving early diagnosis of melanoma has been evaluated on a population basis in France. OBJECTIVE To evaluate the efficacy of a general practitioner (GP) awareness and training campaign in a pilot French geographical region (Champagne-Ardenne), including 1.34 million inhabitants, 1241 GPs, 56 dermatologists and a population-based melanoma registry. METHODS All GPs received repeated awareness postal mailings in 2008 and 398 (32.1%) attended training sessions organized by 27 dermatologists. The pre- (2005-7) and post-campaign (2009-11) periods were compared for the following: primary endpoint - the world-standardized incidence of very thick melanomas (VTM) (Breslow thickness ≥ 3 mm); secondary endpoints--the mean Breslow thickness; the proportions of VTM and of thin (< 1 mm) melanomas among invasive cases; and the ratio of in situ/all melanoma cases. Similar measures were performed in the control area of Doubs/Belfort territory (655,000 ha), where no similar campaign was carried out. RESULTS The incidence of VTM decreased from 1.07 to 0.71 per 100 000 habitants per year (P = 0.01), the mean Breslow thickness from 1.95 to 1.68 mm (P = 0.06) and the proportion of VTM from 19.2% to 12.8% (P = 0.01). The proportion of thin and in situ melanomas increased from 50.9% to 57.4% (P = 0.05) and from 20.1% to 28.2% (P = 0.001), respectively. No significant variation was observed in Doubs/Belfort territory. CONCLUSION These results strongly support the efficacy of such a campaign targeting GPs and provide a rationale for a larger public health campaign in France, including training of GPs by dermatologists and encouraging patients to ask their GP for a systematic skin examination.
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Affiliation(s)
- F Grange
- Service de Dermatologie, Hôpital Robert Debré, Reims, France
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26
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Pham-Ledard A, Beylot-Barry M, Barbe C, Leduc M, Petrella T, Vergier B, Martinez F, Cappellen D, Merlio JP, Grange F. La mutation MYD88 L265P est fréquente et a une valeur pronostique péjorative dans les lymphomes cutanés B diffus à grandes cellules de type jambe. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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27
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Dahany MM, Dramé M, Mahmoudi R, Novella JL, Ciocan D, Kanagaratnam L, Morrone I, Blanchard F, Nazeyrollas P, Barbe C, Jolly D. Factors associated with successful aging in persons aged 65 to 75 years. Eur Geriatr Med 2014. [DOI: 10.1016/j.eurger.2014.09.005] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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28
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Chevalier V, Barbe C, Le Clainche A, Arnoult G, Bernard P, Hibon E, Grange F. Comparaison du siège du mélanome cutané chez l’homme et chez la femme : une étude française basée sur la population. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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29
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Chevalier V, Barbe C, Le Clainche A, Arnoult G, Bernard P, Hibon E, Grange F. Comparison of anatomical locations of cutaneous melanoma in men and women: a population‐based study in
F
rance. Br J Dermatol 2014; 171:595-601. [DOI: 10.1111/bjd.13052] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/08/2014] [Indexed: 01/19/2023]
Affiliation(s)
- V. Chevalier
- Service de Dermatologie Hôpital Robert Debré CHU de Reims Avenue du Général Koenig 51092 Reims Cedex France
| | - C. Barbe
- Unité d'Aide Méthodologique Hôpital Robert Debré CHU de Reims Avenue du Général Koenig 51092 Reims Cedex France
| | - A. Le Clainche
- Unité d'Aide Méthodologique Hôpital Robert Debré CHU de Reims Avenue du Général Koenig 51092 Reims Cedex France
| | - G. Arnoult
- Centre de Recherche et d'Investigation Clinique Hôpital Maison Blanche CHU de Reims France
| | - P. Bernard
- Service de Dermatologie Hôpital Robert Debré CHU de Reims Avenue du Général Koenig 51092 Reims Cedex France
- Laboratory of Dermatology Faculty of Medicine of Reims, EA‐7319, University of Reims‐Champagne‐Ardenne Reims France
| | - E. Hibon
- Laboratoire de Pathologie Centre de Regroupement Informatique des Statistiques Anatomo‐pathologiques de Champagne Reims France
| | - F. Grange
- Service de Dermatologie Hôpital Robert Debré CHU de Reims Avenue du Général Koenig 51092 Reims Cedex France
- Laboratory of Dermatology Faculty of Medicine of Reims, EA‐7319, University of Reims‐Champagne‐Ardenne Reims France
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Mora C, Marcus C, Barbe C, Ecarnot F, Long A. Measurement of Maximum Diameter of Native Abdominal Aortic Aneurysm by Angio-CT: Reproducibility is Better with the Semi-automated Method. J Vasc Surg 2014. [DOI: 10.1016/j.jvs.2013.12.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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31
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Fedun S, Flucher A, Boyer FC, Lebargy F, Barbe C, Dury S, Schmitt P, Zouak A, Vella-Boucaud J, Deslee G, Nardi J. Évaluations respiratoire et neuro-psychologique dans la dystrophie myotonique de type 1 (DM1). Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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32
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Bernard P, Fichel F, Barbe C, Joly P, Bedane C, Vabres P, Truchetet F, Aubin F, Michel C, Jegou J, Grange F, Antonicelli F. Facteurs cliniques et immunologiques associés aux rechutes de pemphigoïde bulleuse dans la première année de traitement : étude multicentrique et prospective. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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33
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Grange F, Woronoff A, Bera R, Colomb M, Lavole B, Fournier E, Arnold F, Barbe C. Efficacité d’une campagne de formation des médecins généralistes au diagnostic précoce du mélanome : étude pilote en Champagne-Ardenne. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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34
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Dabouz F, Maccari F, Chaby G, Benetton N, Khemis A, Lahfa M, Esteve E, Boyé T, Mahé E, Bégon E, Pauwels C, Barbe C, Bernard P, Reguiai Z. Facteurs associés à une efficacité du remplacement de l’etanercept par une deuxième biothérapie pour le traitement du psoriasis. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Arndt C, Zambrowski O, Barbe C, Ducasse A. [Tonometric response to acetazolamide in patients with retinal detachment]. J Fr Ophtalmol 2013; 37:143-8. [PMID: 24262109 DOI: 10.1016/j.jfo.2013.05.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2013] [Accepted: 05/31/2013] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Acetazolamide reduces intraocular pressure and stimulates absorption of subretinal fluid by the retinal pigment epithelium. Recording the intraocular pressure response to systemic acetazolamide might enable an indirect evaluation of retinal pigment epithelial carbonic anhydrase. METHODS The intraocular pressure response to a standardized dose of intravenous acetazolamide (5mg/kg) was evaluated in a "case" group of 15 patients undergoing retinal detachment (RD) surgery and in a control group of 15 patients undergoing epiretinal membrane peeling. Intraocular pressure was measured with a handheld Perkins tonometer in a supine position before (t-2 min) and after the intravenous administration of acetazolamide (t+2 min, t+6 min, t+10 min and t+30 min). The mean variation of the intraocular pressure was compared between the two groups in the non-operated eye at each time point. RESULTS A significant reduction of the intraocular pressure was observed in both groups at 2, 6 and 10 minutes (P<0.01) after the injection of acetazolamide (5mg/kg). The reduction was significantly lower in the group of patients who underwent retinal detachment surgery when compared with the group of patients in whom epiretinal membrane peeling had been performed. This difference remained significant up to 10 minutes (P<0.01 at t=2, 6 and 10 min). At t=30 min, the intraocular pressure reduction was comparable in both groups. DISCUSSION The vitreous plays a fundamental role in the pathogenesis of retinal detachment via peripheral traction. However, since not all tears lead inevitably to retinal detachment, there must also be adherence factors which can prevent the latter. The response to acetazolamide differs significantly in patients undergoing retinal detachment surgery compared with patients treated with epiretinal membrane peeling. In the occurrence of retinal detachment, deficient photoreceptor adherence to the retinal pigment epithelium has been hypothesized. Further research should aim to correlate the tonometric response to acetazolamide with photoreceptor adherence.
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Affiliation(s)
- C Arndt
- Service d'ophtalmologie, hôpital Robert-Debré, CHU de Reims, avenue du Général-Koenig, 51092 Reims cedex, France.
| | - O Zambrowski
- Service d'ophtalmologie, hôpital Robert-Debré, CHU de Reims, avenue du Général-Koenig, 51092 Reims cedex, France
| | - C Barbe
- Service d'ophtalmologie, hôpital Robert-Debré, CHU de Reims, avenue du Général-Koenig, 51092 Reims cedex, France
| | - A Ducasse
- Service d'ophtalmologie, hôpital Robert-Debré, CHU de Reims, avenue du Général-Koenig, 51092 Reims cedex, France
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Launois C, Nardi J, Bertin E, Barbe C, Perotin J, Dury S, Lebargy F, Deslee G. The modified Medical Research Council scale for the assessment of dyspnea in daily living in obesity: A pilot study. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Guyot-Colosio C, Vuiblet V, Barbe C, Toupance O, Lavaud S, Touré F, Birembaut P, Rieu P. Influence de l’expression du VEGF glomérulaire en transplantation rénale. Nephrol Ther 2013. [DOI: 10.1016/j.nephro.2013.07.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Kazes I, Barbe C, Maheut H, Gaha K, Goury A, Rieu P. Comparaison du transfert de masse ionique en hémodialyse standard et en hémodialyse monitorée par le système Hemocontrol. Nephrol Ther 2013. [DOI: 10.1016/j.nephro.2013.07.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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39
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Vanhaecke Collard C, Barbe C, Novella JL, Bertholon LA, Lacoste M, Blanchard F, Mahmoudi R. Impact of anemia on fatigue and quality of life of patients over 75 years. Eur Geriatr Med 2013. [DOI: 10.1016/j.eurger.2013.07.238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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40
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Long A, Rouet L, Debreuve A, Ardon R, Barbe C, Becquemin JP, Allaire E. Abdominal aortic aneurysm imaging with 3-D ultrasound: 3-D-based maximum diameter measurement and volume quantification. Ultrasound Med Biol 2013; 39:1325-1336. [PMID: 23743100 DOI: 10.1016/j.ultrasmedbio.2013.03.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2012] [Revised: 01/16/2013] [Accepted: 03/07/2013] [Indexed: 06/02/2023]
Abstract
The clinical reliability of 3-D ultrasound imaging (3-DUS) in quantification of abdominal aortic aneurysm (AAA) was evaluated. B-mode and 3-DUS images of AAAs were acquired for 42 patients. AAAs were segmented. A 3-D-based maximum diameter (Max3-D) and partial volume (Vol30) were defined and quantified. Comparisons between 2-D (Max2-D) and 3-D diameters and between orthogonal acquisitions were performed. Intra- and inter-observer reproducibility was evaluated. Intra- and inter-observer coefficients of repeatability (CRs) were less than 5.18 mm for Max3-D. Intra-observer and inter-observer CRs were respectively less than 6.16 and 8.71 mL for Vol30. The mean of normalized errors of Vol30 was around 7%. Correlation between Max2-D and Max3-D was 0.988 (p < 0.0001). Max3-D and Vol30 were not influenced by a probe rotation of 90°. Use of 3-DUS to quantify AAA is a new approach in clinical practice. The present study proposed and evaluated dedicated parameters. Their reproducibility makes the technique clinically reliable.
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Affiliation(s)
- A Long
- Vascular Medicine, Centre Hospitalier Universitaire de Reims, Hôpital Robert Debré, Reims, France.
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41
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Pierot L, Soize S, Barbe C, HKadziolka K, Estrade L, Serre I. E-026 Predictive Factors of Outcome and Haemorrhage After Acute Ischaemic Stroke Treated by Mechanical Thrombectomy. J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.84] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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42
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Plee J, Barbe C, Richard MA, Dreno B, Bernard P. [Survey of post-graduate training for Dermatology and Venereology residents in France (2005-2010)]. Ann Dermatol Venereol 2013; 140:259-65. [PMID: 23567226 DOI: 10.1016/j.annder.2012.11.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Revised: 11/17/2012] [Accepted: 11/30/2012] [Indexed: 10/27/2022]
Abstract
BACKGROUND Training procedures for dermatology residents have never been evaluated in French university hospitals. The present study describes the methods used over the last 5 years. METHODS This was a retrospective survey using a questionnaire sent to French dermatology-residents completing their residency between 2005 and 2010. The data collated included information on theoretical aspects (courses, local, regional or national seminars, meetings) and on practical training (consultations, surgery, laser and cosmetic dermatology), research, post-residency assistantship and additional university diplomas, as well as overall opinions on dermatology training. Statistical analysis was descriptive and comparative according to the number of dermatology teachers (professors, senior lecturers) in the region in which training was given. RESULTS One hundred and twenty-two questionnaires were analyzed: 72 from regions with two or less than two university hospital dermatology teachers (group 1) and 50 with more than two such teachers (group 2). Fewer residents had completed a research year in group 1 (19% vs 40%; P=0.01), but the two groups were comparable concerning post-graduate training (DESC) (16%) or post-residency (87%) placement. There were no differences concerning local theoretical training or participation in seminars or meetings, apart from inter-regional seminars, which were more frequent in group 2 (24% vs 3%; P<0.001). There were no differences between the two groups in terms of personal consultations (91%), surgery (62%), laser treatment (13%) or cosmetic dermatology (3%). Satisfaction rates regarding theoretical and practical training were similar in both groups (69% vs 70% and 72% vs 78%, respectively). DISCUSSION This is the first survey carried out with the aim of evaluating suitability of training for dermatology residents in France with regard to the "reference" dermatological practice recently submitted to the French health ministry. The present results, obtained from 47% of residents receiving training during this period, show only very few differences concerning dermatology residency training with respect to the number of university hospital dermatology teachers, apart from research training. CONCLUSION Despite an overall good opinion on their residency, the dermatology residents involved underlined the need for greater focus on teaching of technical skills (surgery, laser, cosmetic dermatology).
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Affiliation(s)
- J Plee
- Service de dermatologie, hôpital Robert-Debré, CHU de Reims, avenue du Maréchal-Koenig, 51092 Reims cedex, France.
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Lévy-Sitbon C, Barbe C, Granel-Brocard F, Lipsker D, Aubin F, Dalac S, Truchetet F, Michel C, Mitschler A, Arnoult G, Le Clainche A, Dalle S, Bernard P, Grange F. Diagnostic et prise en charge du mélanome avec métastases ganglionnaires régionales : une étude basée sur la population. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Grange F, Barbe C, Aubin F, Arnoult G, Le Clainche A, Dufour V, Lesage C, Woronoff AS. Mélanomes des mains et des pieds : une étude française basée sur la population. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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45
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Grange F, Joly P, Barbe C, Bagot M, Oro S, Maubec E, D’Incan M, Ram-Wolff C, Templier I, Esteve E, Quereux G, Leduc M, Saiag P, Beylot-Barry M. Lymphome B cutané de type membre inférieur : le pronostic s’est amélioré. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Grange F, Barbe C, Mas L, Granel‐Brocard F, Lipsker D, Aubin F, Velten M, Dalac S, Truchetet F, Michel C, Mitschler A, Arnoult G, Buemi A, Dalle S, Reuter G, Bernard P, Woronoff A, Arnold F. The role of general practitioners in diagnosis of cutaneous melanoma: a population‐based study in France. Br J Dermatol 2012; 167:1351-9. [DOI: 10.1111/j.1365-2133.2012.11178.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- F. Grange
- Service de Dermatologie, Hôpital Robert Debré, Université de Reims‐Champagne‐Ardenne, avenue du général Koenig, 51092 Reims Cedex, France
| | - C. Barbe
- Unité d’Aide Méthodologique, Hôpital Maison Blanche, Reims, France
| | - L. Mas
- Service de Dermatologie, Hôpital Robert Debré, Université de Reims‐Champagne‐Ardenne, avenue du général Koenig, 51092 Reims Cedex, France
| | - F. Granel‐Brocard
- Service de Dermatologie, Hôpital Brabois, Vandoeuvre les Nancy, France
| | - D. Lipsker
- Clinique Dermatologique, Hôpital Civil, Strasbourg, France
| | - F. Aubin
- Service de Dermatologie, Hôpital Saint Jacques, Besançon, France
| | - M. Velten
- Registre des Cancers du Bas‐Rhin and Réseau Français des Registres de Cancers FRANCIM, Strasbourg, France
| | - S. Dalac
- Service de Dermatologie, Hôpital du Bocage, Dijon, France
| | - F. Truchetet
- Service de Dermatologie, Hôpital Beauregard, Thionville, France
| | - C. Michel
- Service de Dermatologie, Hôpital du Moenschberg, Mulhouse, France
| | - A. Mitschler
- Service de Dermatologie, Hôpital Louis Pasteur, Colmar, France
| | - G. Arnoult
- Centre de Recherche et d’Investigation Clinique, Hôpital Maison Blanche, Reims, France
| | - A. Buemi
- Registre des Cancers du Haut‐Rhin and Réseau Français des Registres de Cancers FRANCIM, Mulhouse, France
| | - S. Dalle
- Service de Dermatologie, Hôpital de l’Hôtel‐Dieu, Lyon, France
| | - G. Reuter
- Cabinet de Dermatologie, Strasbourg, France
| | - P. Bernard
- Service de Dermatologie, Hôpital Robert Debré, Université de Reims‐Champagne‐Ardenne, avenue du général Koenig, 51092 Reims Cedex, France
| | - A.S. Woronoff
- CHU de Besançon and Réseau Français des Registres de Cancers FRANCIM; Registre des Tumeurs du Doubs, Besançon, France
| | - F. Arnold
- Association Départementale des Professions de Santé pour le Dépistage des Cancers, Reims, France
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Journet J, Barbe C, Rieu P, Maheut H, Gaha K, Kazes I, Long A. [Time course of digital pressure during dialysis sessions in chronic hemodialysis patients. Prospective observational study of 49 patients]. ACTA ACUST UNITED AC 2012; 37:283-90. [PMID: 23148869 DOI: 10.1016/j.jmv.2012.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2012] [Accepted: 09/28/2012] [Indexed: 10/27/2022]
Abstract
OBJECTIVES To describe and compare the evolution of digital pressure on both hands during a dialysis session in patients without digital ischemia, and to identify the parameters influencing the digital pressure. MATERIALS Patients with an upper limb vascular access were prospectively included. Digital systolic pressure on the third finger of both hands measured by photoplethysmography and brachial systolic pressure were recorded before dialysis (H0) and every hour (from H1 to H4). RESULTS Among 53 patients, 49 were included (exclusions: one surgery for ischemia, one hand tremor, two no consent). None of them had digital ischemia. Digital pressure homolateral to the vascular access was significantly lower compared with controlateral side before and during dialysis. Digital pressure significantly decreased on both sides during dialysis. Brachial pressure decreased significantly compared to H0. Only the brachial pressure decrease was correlated with the decrease of digital pressure. The digital pressure was less than 30 mmHg in six patients. No evidence of digital ischemia was reported after a 6-month follow-up. CONCLUSION To our knowledge, this is the first study showing a significant decrease of digital pressure in both hands during hemodialysis in patients without digital ischemia. Further studies are necessary to investigate which parameters can affect digital pressure and to look for clinical consequence of this measurement.
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Affiliation(s)
- J Journet
- Service de Médecine Vasculaire, Hôpital Robert-Debré, Centre Hospitalier Universitaire de Reims, avenue du Général-Koenig, 51092 Reims cedex, France.
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Dauphin M, Barbe C, Lemaire S, Lagonotte E, Delepine G, Birembaut P, Gilles C, Polette M. Rôle pronostique de la vimentine comme marqueur de transition épithélio-mésenchymateuse dans les carcinomes non à petites cellules du poumon. Ann Pathol 2012. [DOI: 10.1016/j.annpat.2012.09.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Deslee G, Barbe C, Bourdin A, Durand-Zaleski I, Dutau H, Jolly D, Jounieaux V, Kessler R, Mal H, Pison C, Thiberville L, Vergnon JM, Marquette CH. [Cost-effectiveness of lung volume reduction coil treatment in emphysema. STIC REVOLENS]. Rev Mal Respir 2012. [PMID: 23200592 DOI: 10.1016/j.rmr.2012.09.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND Medical therapeutic options for the treatment of emphysema remain limited. Lung volume reduction surgery is infrequently used because of its high morbi-mortality. Endobronchial lung volume reduction coil (LVRC(®), PneumRx, Mountain View, CA) treatment has been recently developed and has been shown to be feasible and associated with an acceptable safety profile, while resulting in improvements in dyspnea, exercise capacity and lung function. The objective of this study is to analyze the cost effectiveness of LVRC treatment in severe emphysema. METHODS This prospective, multicenter study, randomized with a 1:1 ratio (LVRC vs conventional treatment) will include 100 patients who will be followed up for 1year. The primary outcome measure is the 6-month improvement of the 6-minute walk test: the percentage of patients showing an improvement of at least 54m will be compared between groups. A cost-effectiveness study will estimate the cost of LVRC treatment, the global cost of this therapeutic option and will compare the cost between patients treated by LVRC and by medical treatment alone. EXPECTED RESULTS This study should allow validating the clinical efficacy of LVRC in severe emphysema. The cost-effectiveness study will assess the medical-economic impact of the LVRC therapeutic option.
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Affiliation(s)
- G Deslee
- Service de pneumologie, hôpital Maison-Blanche, CHU de Reims, 45 rue Cognacq-Jay, Reims, France.
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Dramé M, Mahmoudi R, Sanchez S, Kanagaratnam L, Barbe C, Lang P, Blanchard F, Novella J, Jolly D. Six-month outcome of elderly people hospitalized via the emergency department: The Safes cohort. Eur Geriatr Med 2012. [DOI: 10.1016/j.eurger.2012.07.216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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