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Lery M, Shourick J, Tchitchimata C, Dreyfus I, Mazereeuw-Hautier J. Screening for comorbidities in congenital ichthyosis: A retrospective case-control study. J Eur Acad Dermatol Venereol 2024; 38:e417-e419. [PMID: 38185995 DOI: 10.1111/jdv.19642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 11/13/2023] [Indexed: 01/09/2024]
Affiliation(s)
- M Lery
- Reference Centre for Rare Skin Diseases, Department of Dermatology, Hôpital Larrey, CHU Toulouse, University Paul Sabatier, Toulouse, France
| | - J Shourick
- Department of Epidemiology and Public Health, UMR 1027 INSERM, Toulouse University Hospital, Toulouse, France
| | - C Tchitchimata
- Reference Centre for Rare Skin Diseases, Department of Dermatology, Hôpital Larrey, CHU Toulouse, University Paul Sabatier, Toulouse, France
| | - I Dreyfus
- Reference Centre for Rare Skin Diseases, Department of Dermatology, Hôpital Larrey, CHU Toulouse, University Paul Sabatier, Toulouse, France
| | - J Mazereeuw-Hautier
- Reference Centre for Rare Skin Diseases, Department of Dermatology, Hôpital Larrey, CHU Toulouse, University Paul Sabatier, Toulouse, France
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2
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Zettl J, Jaafar A, Shourick J, Tack I, Vallet M. Alteration of the maximal renal water excretion capacity with kidney function and age in human. Int Urol Nephrol 2024; 56:1429-1438. [PMID: 37794282 DOI: 10.1007/s11255-023-03813-9] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 09/16/2023] [Indexed: 10/06/2023]
Abstract
PURPOSE The kidney's capability to concentrate and dilute urine is crucial to maintaining body fluid compartments and plasma osmolality. Advanced age and chronic kidney disease (CKD) result in decreased maximal urine concentration. Less is known regarding urine dilution ability. The primary purpose of this study was to determine the relationship between maximal renal water excretion and renal function, age, and gender in humans. METHODS This monocentric retrospective study includes patients referred to the Department of Clinical Physiology in Toulouse University Hospital to measure the glomerular filtration rate (mGFR) between April 2013 and February 2018. mGFR was assessed using inulin renal clearance and required ample hydration. We quantified the effects of age, gender and mGFR have on water excretion ability, which was assessed by minimal urinary osmolality (minUosm) and maximal free water clearance (maxCH2O). RESULTS 666 patients were included (mean age 51 ± 14 years, 53% female). Mean mGFR was 82 ± 25 mL/min/1.73m2. MinUosm after hydration was higher in patients with renal insufficiency while maxCH2O was markedly lower. Age was also, with a weaker effect, associated with decreased in water excretion, independently of mGFR. MaxCH2O clearance was similar in both genders, whereas minUosm was lower in women, possibly resulting from a lower osmotic load. DISCUSSION This study shows a decrease in maximal urinary dilution capacity and free water clearance with CKD and age, without gender difference. These alterations are mild but must be considered when a significant water intake is required or in the case of hyponatremia.
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Affiliation(s)
- Julie Zettl
- Department of Clinical Physiology, Toulouse University Hospital (CHU), Toulouse, France
| | - Acil Jaafar
- Department of Clinical Physiology, Toulouse University Hospital (CHU), Toulouse, France
| | - Jason Shourick
- Department of Epidemiology, Clinical Epidemiology and Public Health, UMR 1027, INSERM-University of Toulouse III, Toulouse University Hospital (CHU), Toulouse, France
| | - Ivan Tack
- Department of Clinical Physiology, Toulouse University Hospital (CHU), Toulouse, France
- Laboratoire de Physiologie, Faculté de Santé, Département Médecine, Université Toulouse III, Toulouse, France
| | - Marion Vallet
- Department of Clinical Physiology, Toulouse University Hospital (CHU), Toulouse, France.
- Laboratoire de Physiologie, Faculté de Santé, Département Médecine, Université Toulouse III, Toulouse, France.
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3
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Shourick J. Correlation and causation dermatology. J Eur Acad Dermatol Venereol 2024; 38:633-634. [PMID: 38523494 DOI: 10.1111/jdv.19858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Accepted: 01/29/2024] [Indexed: 03/26/2024]
Affiliation(s)
- Jason Shourick
- AGING Team, CERPOP, UMR1295, Toulouse University III, Toulouse, France
- Department of Clinical Epidemiology and Public Health, Toulouse University Hospital, Toulouse, France
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4
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Zaroui A, Kharoubi M, Gounot R, Oghina S, Degoutte C, Bezard M, Galat A, Guendouz S, Roulin L, Audard V, Leroy V, Teiger E, Poullot E, Molinier-Frenkel V, Le Bras F, Belhadj K, Bastard JP, Fellahi S, Shourick J, Lemonier F, Damy T. Prognostic mortality factors in advanced light chain cardiac amyloidosis: A prospective cohort study. ESC Heart Fail 2024. [PMID: 38444090 DOI: 10.1002/ehf2.14671] [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: 07/18/2023] [Revised: 12/11/2023] [Accepted: 12/20/2023] [Indexed: 03/07/2024] Open
Abstract
AIMS Predicting mortality in severe AL cardiac amyloidosis is challenging due to elevated biomarker levels and limited thresholds for stratifying severe cardiac damage. METHODS AND RESULTS This prospective, observational, cohort study included de novo, confirmed cardiac AL amyloidosis patients at the Henri Mondor National Reference Centre. The goal was to identify predictors of mortality to enhance prognostic stratification and improve informed decision-making regarding therapy. Over the 12-year study period, among the 233 patients included, 133 were NYHA III-IV and 179 Mayo 2004 III. The independent predictors for mortality identified were hsTnT, NT-proBNP, cardiac output, and conjugated bilirubin. A novel prognostic, conditional stratification, Mondor amyloidosis cardiac staging (MACS) was developed with biomarker cut-off values for Stage 1: hsTnT ≤ 107 ng/L and NT-proBNP ≤ 3867 ng/L (n = 77; 33%); for stage 2 NT-proBNP > 3867 ng/L (n = 72; 30%). For stage 3, if troponin >107 ng/L, regardless of NT-proBNP then CB 4 μmol/L, was added (n = 41; 17.5%) and stage 4: CB > 4 μmol/L (n = 43; 18.5%). The median overall survival was 8 months 95% CI [2-24]. At 1 year, 102 (44%) patients died and the Kaplan-Meier median survival with MACS Stage 1 was not reached, while stage 2 was 15.2 months (95% CI [11-18]) and stage 3, 6.6 months (95% CI [1-13]). Notably, among European stage II patients, 17.1%, n = 8 were MACS stage 3 and European stage IIIb 21.4% (n = 23) were MACS stage 4. Importantly, among European stage IIIb patients 42.2% (n = 29) were classified MACS stage 4 and 12.5% n = 9 were only MACS stage 2. CONCLUSIONS The Mondor prognostic staging system, including conjugate bilirubin may significantly improve prognostic stratification for patients with severe cardiac amyloidosis.
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Affiliation(s)
- Amira Zaroui
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Cardiology, Henri Mondor Teaching Hospital, Creteil, France
- Clinical Epidemiology and Ageing (CEpiA) Geriatrics, Primary Care and Public Health, Creteil, France
| | - Mounira Kharoubi
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Cardiology, Henri Mondor Teaching Hospital, Creteil, France
- Univ Paris Est Créteil (UPEC), National Institute of Medical Research (INSERM) U955, Institut Mondor de Recherche Biomédicale (IMRB), Créteil, France
| | - Romain Gounot
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Lymphoid Malignancies Unit, Henri Mondor Teaching Hospital, Creteil, France
| | - Silvia Oghina
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Cardiology, Henri Mondor Teaching Hospital, Creteil, France
| | - Charlotte Degoutte
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Lymphoid Malignancies Unit, Henri Mondor Teaching Hospital, Creteil, France
| | - Melanie Bezard
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Cardiology, Henri Mondor Teaching Hospital, Creteil, France
- Univ Paris Est Créteil (UPEC), National Institute of Medical Research (INSERM) U955, Institut Mondor de Recherche Biomédicale (IMRB), Créteil, France
| | - Arnault Galat
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Cardiology, Henri Mondor Teaching Hospital, Creteil, France
| | - Soulef Guendouz
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Cardiology, Henri Mondor Teaching Hospital, Creteil, France
| | - Louise Roulin
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Univ Paris Est Créteil (UPEC), National Institute of Medical Research (INSERM) U955, Institut Mondor de Recherche Biomédicale (IMRB), Créteil, France
- Lymphoid Malignancies Unit, Henri Mondor Teaching Hospital, Creteil, France
| | - Vincent Audard
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Assistance Publique des Hôpitaux de Paris (AP-HP), Nephrology and Renal Transplantation Department, Henri Mondor Teaching Hospital, Rare Disease Reference Centre for Idiopathic Nephrotique Syndrome, University Hospital Federation for Innovative Therapy for Immune Disorders, Créteil, France
- Department of Epidemiology, Toulouse Teaching Hospital, Toulouse, France
| | - Vincent Leroy
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Hepatology, Henri Mondor Teaching Hospital, Creteil, France
| | - Emmanuel Teiger
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Cardiology, Henri Mondor Teaching Hospital, Creteil, France
- Univ Paris Est Créteil (UPEC), National Institute of Medical Research (INSERM) U955, Institut Mondor de Recherche Biomédicale (IMRB), Créteil, France
| | - Elsa Poullot
- Department of Pathology, Henri Mondor Teaching Hospital, Creteil, France
| | - Valérie Molinier-Frenkel
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Immunology, LBMR Immunoglobulin deposit diseases and amyloses, France Henri Mondor Teaching Hospital, Creteil, France
| | - Fabien Le Bras
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Lymphoid Malignancies Unit, Henri Mondor Teaching Hospital, Creteil, France
| | - Karim Belhadj
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Lymphoid Malignancies Unit, Henri Mondor Teaching Hospital, Creteil, France
| | | | - Soraya Fellahi
- Biochemistry Department Henri Mondor Teaching Hospital, Creteil, France
| | - Jason Shourick
- Department of Epidemiology, Toulouse Teaching Hospital, Toulouse, France
| | - Francois Lemonier
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Univ Paris Est Créteil (UPEC), National Institute of Medical Research (INSERM) U955, Institut Mondor de Recherche Biomédicale (IMRB), Créteil, France
- Lymphoid Malignancies Unit, Henri Mondor Teaching Hospital, Creteil, France
| | - Thibaud Damy
- French Referral Centre for Cardiac Amyloidosis, GRC Amyloid Research Institute, Amyloidosis Mondor Network, and DHU A-TVB, Henri Mondor Teaching Hospital, APHP, Creteil, France
- Department of Cardiology, Henri Mondor Teaching Hospital, Creteil, France
- Clinical Epidemiology and Ageing (CEpiA) Geriatrics, Primary Care and Public Health, Creteil, France
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Pouplin J, Maulat C, Yubero G, Shourick J, Cuellar E, Culetto A, Barange K, Buscail L, Carrere N, Peron JM, Suc B, Bournet B, Boulard P, Muscari F. Curative surgical treatment of common bile duct stones: Retrospective cohort study. World J Surg 2024; 48:692-700. [PMID: 38348553 DOI: 10.1002/wjs.12093] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 01/15/2024] [Indexed: 03/07/2024]
Abstract
BACKGROUND In the event of symptomatic common bile duct (CBD) stones with dilated CBD, one possible curative treatment option is stone extraction through choledocotomy associated with cholecystectomy. Endoscopic treatment is only reserved for residual stones at 6 weeks. The aim of this study was to evaluate the results from laparoscopic curative surgical treatment of CBD stones with dilated CBD. METHODS This is a retrospective single-centered cohort study. All consecutive patients admitted for laparoscopic cholecystectomy with evidence of CBD stones with dilated CBD from January 2010 to December 2020 at our center were included. Success was defined by CBD clearance at 6 weeks. Need for additional procedures, such as endoscopic sphincterotomy, immediate, and end-of-procedure morbi-mortality as well as factors associated with procedure failure, were also studied. RESULTS A total of 246 patients who received curative treatment were included in the study. The success rate for the curative treatment was 93.1% (229 patients). Immediate postoperative morbidity was 24.4% with a 5.3% reintervention rate. Immediate and 6-week postoperative mortality rates were zero and 0.4%, respectively. The mean length of stay was 11.3 days. Factors associated with procedure failure appeared to be the occurrence of an early postoperative complication and the need for readmission during the period between surgery and drain removal. CONCLUSION This study indicates that laparoscopic curative surgical treatment for symptomatic CBD stones may be performed with acceptable results without routine need for additional procedures.
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Affiliation(s)
- Julien Pouplin
- Digestive Surgery and Transplantation Department, Toulouse University Hospital, Toulouse, France
| | - Charlotte Maulat
- Digestive Surgery and Transplantation Department, Toulouse University Hospital, Toulouse, France
| | - Gabriel Yubero
- Epidemiology Department, Toulouse University Hospital, Toulouse, France
| | - Jason Shourick
- Epidemiology Department, Toulouse University Hospital, Toulouse, France
| | - Emmanuel Cuellar
- Digestive Surgery and Transplantation Department, Toulouse University Hospital, Toulouse, France
| | - Adrian Culetto
- Gastroenterology Department, Toulouse University Hospital, Toulouse, France
| | - Karl Barange
- Gastroenterology Department, Toulouse University Hospital, Toulouse, France
| | - Louis Buscail
- Gastroenterology Department, Toulouse University Hospital, Toulouse, France
| | - Nicolas Carrere
- Digestive Surgery and Transplantation Department, Toulouse University Hospital, Toulouse, France
| | - Jean-Marie Peron
- Gastroenterology Department, Toulouse University Hospital, Toulouse, France
| | - Bertrand Suc
- Digestive Surgery and Transplantation Department, Toulouse University Hospital, Toulouse, France
| | - Barbara Bournet
- Gastroenterology Department, Toulouse University Hospital, Toulouse, France
| | - Paul Boulard
- Digestive Surgery and Transplantation Department, Toulouse University Hospital, Toulouse, France
| | - Fabrice Muscari
- Digestive Surgery and Transplantation Department, Toulouse University Hospital, Toulouse, France
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Buscail E, Planchamp T, Le Cosquer G, Bouchet M, Thevenin J, Carrere N, Muscari F, Abbo O, Maulat C, Weyl A, Duffas JP, Philis A, Ghouti L, Canivet C, Motta JP, Vergnolle N, Deraison C, Shourick J. Postoperative ileus after digestive surgery: Network meta-analysis of pharmacological intervention. Br J Clin Pharmacol 2024; 90:107-126. [PMID: 37559444 DOI: 10.1111/bcp.15878] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 07/15/2023] [Accepted: 07/18/2023] [Indexed: 08/11/2023] Open
Abstract
AIMS Several medicinal treatments for avoiding postoperative ileus (POI) after abdominal surgery have been evaluated in randomized controlled trials (RCTs). This network meta-analysis aimed to explore the relative effectiveness of these different treatments on ileus outcome measures. METHODS A systematic literature review was performed to identify RCTs comparing treatments for POI following abdominal surgery. A Bayesian network meta-analysis was performed. Direct and indirect comparisons of all regimens were simultaneously compared using random-effects network meta-analysis. RESULTS A total of 38 RCTs were included in this network meta-analysis reporting on 6371 patients. Our network meta-analysis shows that prokinetics significantly reduce the duration of first gas (mean difference [MD] = 16 h; credible interval -30, -3.1; surface under the cumulative ranking curve [SUCRA] 0.418), duration of first bowel movements (MD = 25 h; credible interval -39, -11; SUCRA 0.25) and duration of postoperative hospitalization (MD -1.9 h; credible interval -3.8, -0.040; SUCRA 0.34). Opioid antagonists are the only treatment that significantly improve the duration of food recovery (MD -19 h; credible interval -26, -14; SUCRA 0.163). CONCLUSION Based on our meta-analysis, the 2 most consistent pharmacological treatments able to effectively reduce POI after abdominal surgery are prokinetics and opioid antagonists. The absence of clear superiority of 1 treatment over another highlights the limits of the pharmacological principles available.
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Affiliation(s)
- Etienne Buscail
- Digestive Surgery Department, Toulouse University Hospital, Toulouse, France
- INSERM, U1220, University of Toulouse, Digestive Health Research Institute (IRSD), Toulouse, France
| | - Thibault Planchamp
- INSERM, U1220, University of Toulouse, Digestive Health Research Institute (IRSD), Toulouse, France
- Paediatric Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Guillaume Le Cosquer
- INSERM, U1220, University of Toulouse, Digestive Health Research Institute (IRSD), Toulouse, France
- Gastroenterology Department, Toulouse University Hospital, Toulouse, France
| | - Manon Bouchet
- Digestive Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Julie Thevenin
- INSERM, U1220, University of Toulouse, Digestive Health Research Institute (IRSD), Toulouse, France
| | - Nicolas Carrere
- Digestive Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Fabrice Muscari
- Digestive Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Olivier Abbo
- Paediatric Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Charlotte Maulat
- Digestive Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Ariane Weyl
- Gynaecological Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Jean Pierre Duffas
- Digestive Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Antoine Philis
- Digestive Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Laurent Ghouti
- Digestive Surgery Department, Toulouse University Hospital, Toulouse, France
| | - Cindy Canivet
- Digestive Surgery Department, Toulouse University Hospital, Toulouse, France
- Gastroenterology Department, Toulouse University Hospital, Toulouse, France
| | - Jean Paul Motta
- INSERM, U1220, University of Toulouse, Digestive Health Research Institute (IRSD), Toulouse, France
| | - Nathalie Vergnolle
- INSERM, U1220, University of Toulouse, Digestive Health Research Institute (IRSD), Toulouse, France
| | - Celine Deraison
- INSERM, U1220, University of Toulouse, Digestive Health Research Institute (IRSD), Toulouse, France
| | - Jason Shourick
- Epidemiology and Public Health Department, UMR 1027 INSERM, Toulouse University Hospital, University of Toulouse, Toulouse, France
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Bouzid W, Tavassoli N, Berbon C, Qassemi S, Vaysset S, Poly M, Bounes V, Shourick J, Nourhashémi F. Exploring Population Characteristics and Recruitment Challenges in Older People Experiencing Falls at Home without Hospitalization or with an Emergency Department Visit: Insights from the RISING-DOM Experience. Clin Interv Aging 2023; 18:1995-2008. [PMID: 38058551 PMCID: PMC10697010 DOI: 10.2147/cia.s421053] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 09/05/2023] [Indexed: 12/08/2023] Open
Abstract
Background An increasing number of falls among community-living older adults are reported in emergency calls. Data on evidence of appropriate fall prevention interventions are limited and challenges in recruiting this population in randomized trials are acknowledged. Purpose The main aim of this study was to provide demographic data, circumstance and fall-related outcomes of the population in the RISING-DOM study [Impact d'une évaluation des facteurs de RISque de chute et d'une prise en charge personnalisée, sur la mortalité et l'institutionnalisation, après INtervention du SAMU chez la personne âGée à DOMicile], a multicenter, randomized interventional trial involving community-dwelling older adults who have experienced a fall at home and were not hospitalized. Additionally, the challenges of remote recruitment in this population were discussed. Patients and Methods Participants were identified through the Occitania Emergency Observatory database. Participant recruitment and data collection were performed through telephone interviews (October 2019-March 2022). Additionally, a sample survey of Emergency Medical Services calls was carried out. Results Out of the 1151 individuals screened, a total of 951 participants were included in the trial follow-up, resulting in an acceptance rate of 82.62%. The screening delay was extended due to the COVID-19 pandemic. Recruiting difficulties were mainly related to identifying potential participants, unavailable contact information and unreachability. Participants' mean age was 84.1 years, 65.8% were women, and 44.3% lived alone. Pain was the most frequent outcome (53%). In the previous year, 73.5% of participants reported experiencing a fall, with 66.7% of those falls requiring assistance from Emergency Medical Services (EMS). Nearly, 40% did not take proactive steps to prevent future falls and walking aids (79.8%) were the most common preventive action. Conclusion Indicators of a high-risk group of falls have been identified underscoring the need for appropriate fall interventions in the target population. Challenges of large sampling for randomized fall prevention trials were provided. Trial Registration Clinicaltrials.gov identifier: NCT04132544. Registration date: 18/10/2019. https://www.clinicaltrials.gov/ct2/show/NCT04132544?term=rising-dom&draw=2&rank=1.
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Affiliation(s)
- Wafa Bouzid
- Geriatric Medicine Unit (Gérontopole), University of Toulouse Hospital Center, Toulouse, France
- Regional Health Agency of Occitanie, Toulouse, 31000, France
| | - Neda Tavassoli
- Geriatric Medicine Unit (Gérontopole), University of Toulouse Hospital Center, Toulouse, France
| | - Caroline Berbon
- Geriatric Medicine Unit (Gérontopole), University of Toulouse Hospital Center, Toulouse, France
| | - Soraya Qassemi
- Geriatric Medicine Unit (Gérontopole), University of Toulouse Hospital Center, Toulouse, France
| | - Sandrine Vaysset
- Geriatric Medicine Unit (Gérontopole), University of Toulouse Hospital Center, Toulouse, France
| | - Magali Poly
- Geriatric Medicine Unit (Gérontopole), University of Toulouse Hospital Center, Toulouse, France
| | - Vincent Bounes
- Emergency Medicine Unit, University of Toulouse Hospital Center, Toulouse, France
| | - Jason Shourick
- Research Methodology Support Unit (USMR), Clinical Epidemiology and Public Health Department, University of Toulouse Hospital Center, Toulouse, France
- CERPOP, UMR 1295, INSERM – University of Toulouse III, Toulouse, France
| | - Fati Nourhashémi
- Geriatric Medicine Unit (Gérontopole), University of Toulouse Hospital Center, Toulouse, France
- CERPOP, UMR 1295, INSERM – University of Toulouse III, Toulouse, France
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8
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Pouplin J, Maulat C, Yubero G, Shourick J, Cuellar E, Culetto A, Castanet F, Barange K, Buscail L, Carrere N, Peron JM, Suc B, Bournet B, Muscari F. Long-term expectant management of common bile duct stones in non-dilated common bile duct: retrospective cohort study. BJS Open 2023; 7:zrad096. [PMID: 37738365 PMCID: PMC10516453 DOI: 10.1093/bjsopen/zrad096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 07/18/2023] [Accepted: 07/22/2023] [Indexed: 09/24/2023] Open
Affiliation(s)
- Julien Pouplin
- Department of Digestive Surgery and Transplantation, Toulouse University Hospital, Toulouse, France
| | - Charlotte Maulat
- Department of Digestive Surgery and Transplantation, Toulouse University Hospital, Toulouse, France
| | - Gabriel Yubero
- Department of Epidemiology, Toulouse University Hospital, Toulouse, France
| | - Jason Shourick
- Department of Epidemiology, Toulouse University Hospital, Toulouse, France
| | - Emmanuel Cuellar
- Department of Digestive Surgery and Transplantation, Toulouse University Hospital, Toulouse, France
| | - Adrian Culetto
- Department of Gastroenterology, Toulouse University Hospital, Toulouse, France
| | - Fanny Castanet
- Department of Digestive Surgery and Transplantation, Toulouse University Hospital, Toulouse, France
| | - Karl Barange
- Department of Gastroenterology, Toulouse University Hospital, Toulouse, France
| | - Louis Buscail
- Department of Gastroenterology, Toulouse University Hospital, Toulouse, France
| | - Nicolas Carrere
- Department of Digestive Surgery and Transplantation, Toulouse University Hospital, Toulouse, France
| | - Jean-Marie Peron
- Department of Gastroenterology, Toulouse University Hospital, Toulouse, France
| | - Bertrand Suc
- Department of Digestive Surgery and Transplantation, Toulouse University Hospital, Toulouse, France
| | - Barbara Bournet
- Department of Gastroenterology, Toulouse University Hospital, Toulouse, France
| | - Fabrice Muscari
- Department of Digestive Surgery and Transplantation, Toulouse University Hospital, Toulouse, France
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9
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Guédon C, Tauber M, Linder C, Paul C, Shourick J. Real-life long-term efficacy of dupilumab in adults with moderate to severe atopic dermatitis: Results of a cohort study. Ann Dermatol Venereol 2023; 150:215-216. [PMID: 37598014 DOI: 10.1016/j.annder.2023.06.004] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 03/21/2023] [Accepted: 06/22/2023] [Indexed: 08/21/2023]
Affiliation(s)
- C Guédon
- Department of Dermatology, CHU and Université de Toulouse, Toulouse, France.
| | - M Tauber
- Department of Dermatology, CHU Lyon, Lyon, France
| | - C Linder
- Department of Dermatology, CH Pau, Pau, France
| | - C Paul
- Department of Dermatology, CHU and Université de Toulouse, Toulouse, France
| | - J Shourick
- Department of Epidemiology, Clinical Epidemiology and Public Health, UMR 1027 INSERM-University of Toulouse III, Toulouse University Hospital (CHU), Toulouse, France
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10
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Merhi S, Salameh P, Abboud M, Seneschal J, Eleftheriadou V, Pane I, Tran VT, Shourick J, Ezzedine K. Facial involvement is reflective of patients' global perception of vitiligo extent. Br J Dermatol 2023; 189:188-194. [PMID: 37002778 DOI: 10.1093/bjd/ljad109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 08/30/2022] [Revised: 03/27/2023] [Accepted: 03/29/2023] [Indexed: 07/20/2023]
Abstract
BACKGROUND The involvement of visible areas in vitiligo has been found to be correlated with increased psychiatric morbidity. Although multiple tools have been developed to assess vitiligo, no cutoff for improvement or worsening of vitiligo from a patient's perspective has been established. OBJECTIVES To determine the minimal clinically important difference (MCID) of the Self-Assessment Vitiligo Extent Score (SA-VES) in patients with vitiligo and to evaluate, from the patient's perspective, the importance of the change in the involvement of visible areas (face and hands) in patients' overall perception of disease worsening or improving. METHODS This was a cross-sectional study in the context of the ComPaRe e-cohort. Adult patients with vitiligo were invited to answer online questionnaires. They completed the SA-VES twice, 1 year apart. In addition, patients answered a 5-point Likert anchor question aimed at assessing their perception of the evolution of the extent of their vitiligo. The MCID was calculated using distribution- and anchor-based approaches. Using ordinal logistic regression, the change of vitiliginous lesions on the face or hands was compared to the overall extent of vitiligo (patches on all body areas). RESULTS In total, 244 patients with vitiligo were included in the analyses; 20 (8%) were found to have an improvement in their vitiligo. The MCID in worsened patients was equal to a 1.3% body surface area [95% confidence interval (CI) 1.01-1.43] increase in the SA-VES. For participants with improved vitiligo, the MCID was equal to a decrease in total SA-VES of 1.3% (95% CI 0.867-1.697). Patients' perceptions of change in their vitiligo was increased sevenfold when it affected the face vs. the rest of the body. CONCLUSIONS Changes in the facial SA-VES were highly correlated with patients' impressions of the extent of vitiligo.
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Affiliation(s)
- Samar Merhi
- Université Paris-Est Créteil, EpiDermE - Epidemiology in Dermatology and Evaluation of Therapeutics, Creteil, France
- Faculty of Nursing and Health Sciences, Notre Dame University - Louaize (NDU), Zouk Mosbeh, Lebanon
| | - Pascale Salameh
- School of Medicine, Lebanese American University, Byblos, Lebanon
- Institut National de Santé Publique d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB), Beirut, Lebanon
- Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus
- Faculty of Pharmacy, Lebanese University, Hadat, Lebanon
| | - Mounya Abboud
- Université Paris-Est Créteil, EpiDermE - Epidemiology in Dermatology and Evaluation of Therapeutics, Creteil, France
| | - Julien Seneschal
- University of Bordeaux, CNRS UMR5164, ImmunoConCept, Bordeaux, France
- Department of Dermatology, Pediatric Dermatology, National Reference Center for Rare Skin Disorders, Hôpital Saint-André, Bordeaux, France
| | - Viktoria Eleftheriadou
- Walsall Healthcare NHS Trust and The Royal Wolverhampton NHS Trust, University of Birmingham, Birmingham, UK
| | - Isabelle Pane
- Centre de Recherche Épidémiologie et StatistiqueS (CRESS - Université Paris Cité, INSERM UMR1153), Paris, France
| | - Viet-Thi Tran
- Centre de Recherche Épidémiologie et StatistiqueS (CRESS - Université Paris Cité, INSERM UMR1153), Paris, France
- Centre d'Épidémiologie Clinique - Hôpital Hôtel-Dieu (AP-HP), Paris, France
| | - Jason Shourick
- Department of Epidemiology and Public Health, UMR 1027 INSERM, Toulouse University Hospital, Toulouse, France
| | - Khaled Ezzedine
- Université Paris-Est Créteil, EpiDermE - Epidemiology in Dermatology and Evaluation of Therapeutics, Creteil, France
- AP-HP, Hôpital Henri-Mondor, Service de Dermatologie, Créteil, France
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11
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Godeau M, Shourick J, Dreyfus I, Casassa É, Bergeron A, Severino-Freire M, Granier Tournier C, Malloizel-Delaunay J, Boccara O, Aubert H, Maruani A, Chiaverini C, Labrèze C, Mazereeuw-Hautier J. cLFM‐Qol
: a specific quality of life measurement tool for children from 11 to 15 years with low‐flow malformations. J Eur Acad Dermatol Venereol 2023. [PMID: 36972023 DOI: 10.1111/jdv.19061] [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: 10/18/2022] [Accepted: 03/08/2023] [Indexed: 03/29/2023]
Abstract
BACKGROUND Low-flow malformations (LFMs) are rare diseases with a significant impact on health-related quality of life (HRQoL), especially in children. No disease-specific questionnaire is available for children with LFMs. OBJECTIVE To develop and validate a specific HRQoL questionnaire for children from 11 to 15 years old suffering from LFMs. METHODS A preliminary questionnaire based on a verbatim from focus groups was created and sent to children from 11 to 15 years old suffering from LFMs, together with a dermatology specific and a generic HRQoL questionnaire (cDLQI and EQ-5D-Y). RESULTS A total of 75 from 201 included children responded to the questionnaires. The final version of the questionnaire (cLFM-QoL) included 15 questions and was not divisible into subscales. It demonstrated excellent internal consistency (cronbach 0.89), convergent validity and readability (SMOG 6.04). cLFM-QoL mean score (+ SD) was 12.9/45 (8.03) for all grades of severity, for mild 8.22/45 (7.5), moderate 14.03/45 (8.35), severe 12.35/45 (6.59) or very severe patients 20.7/45 (3.39) (p 0.006). CONCLUSION cLFM-QoL is a validated short and easy to use specific questionnaire with excellent psychometric capacities. It will be suitable for any children 11 to 15 with LFMs, in daily practice or clinical trials.
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Affiliation(s)
- Marion Godeau
- Reference Center for Rare Skin Diseases, Dermatology Department, CHU toulouse, Paul Sabatier University, Occitanie, Toulouse, France
| | - Jason Shourick
- Pôle santé publique et médecine sociale, Epidemiology Department, CHU Toulouse, Faculté de médecine de Purpan, Occitanie, Toulouse, France
| | - Isabelle Dreyfus
- Reference Center for Rare Skin Diseases, Dermatology Department, CHU toulouse, Paul Sabatier University, Occitanie, Toulouse, France
| | - Éline Casassa
- Reference Center for Rare Skin Diseases, Dermatology Department, CHU toulouse, Paul Sabatier University, Occitanie, Toulouse, France
| | - Anaïs Bergeron
- Centre d'Etudes et de Recherches en Psychopathologie et psychologie de la Santé, Psychopathology Department, Toulouse II Jean Jaurès University, Occitanie, Toulouse, France
| | - Maella Severino-Freire
- Reference Center for Rare Skin Diseases, Dermatology Department, CHU toulouse, Paul Sabatier University, Occitanie, Toulouse, France
| | - Céline Granier Tournier
- Reference Center for Rare Skin Diseases, Dermatology Department, CHU toulouse, Paul Sabatier University, Occitanie, Toulouse, France
| | | | - Olivia Boccara
- Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Dermatology Department, Necker-Enfants Malades Hospitals, Île-de-France, Paris, France
| | - Hélène Aubert
- Dermatology Derpartment, CHU Nantes, Nantes, Pays de la Loire, France
| | - Annabel Maruani
- Dermatology Department, CHRU Tours, François Rabelais University, Centre, Tours, France
| | - Christine Chiaverini
- Dermatology Department, CHU Nice, Archet 2 Hospital, Provence-Alpes-Côte d'Azu, Nice, France
| | - Christine Labrèze
- Pediatric Dermatology Unit, CHU Bordeaux, Pellegrin children's Hospital, Aquitaine, Bordeaux, France
| | - Juliette Mazereeuw-Hautier
- Reference Center for Rare Skin Diseases, Dermatology Department, CHU toulouse, Paul Sabatier University, Occitanie, Toulouse, France
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12
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Eleftheriadou V, Bergqvist C, Kechichian E, Shourick J, Ju HJ, van Geel N, Bae JM, Ezzedine K. Has the core outcome (domain) set for vitiligo been implemented? An updated systematic review on outcomes and outcome measures in vitiligo randomized clinical trials. Br J Dermatol 2023; 188:247-258. [PMID: 36763863 DOI: 10.1093/bjd/ljac074] [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: 04/15/2022] [Revised: 10/21/2022] [Accepted: 10/22/2022] [Indexed: 01/22/2023]
Abstract
BACKGROUND In 2015, a major achievement in vitiligo research was the development of an internationally agreed upon core outcome domain set for randomized clinical trials (RCTs). Three outcomes were identified as being essential: repigmentation, side-effects/harms and maintenance of gained repigmentation. Four items were further recommended for inclusion. The following recommendations then followed: repigmentation should be assessed by measuring the percentage of repigmentation in quartiles (0-25%, 26-50%, 51-79%, 80-100%) and cosmetic acceptability of the results should be assessed using the Vitiligo Noticeability Scale. OBJECTIVES The primary objective of this study was to assess uptake of the core outcome domain set for RCTs in vitiligo. Secondary objectives were to update the systematic review on outcomes reported in vitiligo RCTs, and to assess whether repigmentation and cosmetic acceptability of the results were measured using the above-mentioned recommended scales. METHODS We searched PubMed, Cochrane Library (CENTRAL and Systematic Reviews) and ClinicalTrials.gov for vitiligo RCTs between November 2009 and March 2021. Screening and data extraction were independently performed on title and summary by two researchers. All outcomes and outcome measures reported in eligible RCTs were retrieved and collated. RESULTS In total, 174 RCTs were identified: 62 were published between 2009 and 2015, and 112 were published between 2016 and 2021.Thirty-eight different outcomes were reported. Repigmentation was the primary outcome in 89% of trials (150 of 169). Forty-nine different tools were used to measure repigmentation. Side-effects and harms were reported in 78% of trials (136 of 174). Maintenance of gained repigmentation was reported in only 11% of trials (20 of 174) and duration of follow-up varied greatly from 1 to 14 months. Cosmetic acceptability of the results and cessation of disease activity were assessed in only 2% of trials (four of 174). Quality of life of patients with vitiligo was assessed in 13% of trials (22 of 174). Finally, only 11 of 112 RCTs (10%) published between 2016 and 2021 reported all three essential core outcome domains (repigmentation, side-effects and maintenance of gained repigmentation) and none of the trials reported both essential and recommended core outcome domains. CONCLUSIONS Efforts are still needed to close the gap between set recommendations and RCT outcome reporting.
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Affiliation(s)
- Viktoria Eleftheriadou
- Department of Dermatology, New Cross Hospital, The Royal Wolverhampton NHS Trust, Wolverhampton, UK
| | - Christina Bergqvist
- Department of Dermatology, Henri Mondor University Hospital, Créteil, France
| | - Elio Kechichian
- Department of Dermatology, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Jason Shourick
- Department of Epidemiology and Public Health, UMR 1027 INSERM, Toulouse University Hospital, Toulouse, France
| | - Hyun-Jeong Ju
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Nanja van Geel
- Department of Dermatology, Ghent University Hospital, Ghent, Belgium
| | - Jung Min Bae
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Khaled Ezzedine
- Department of Dermatology, Henri Mondor University Hospital, Créteil, France.,EA 7379 EpidermE, Faculty of Medicine, Université Paris-Est Créteil, UPEC, Créteil, France
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13
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Ezzedine K, Shourick J, Bergqvist C, Misery L, Chuberre B, Kerob D, Halioua B, Le Fur G, Paul C, Richard MA, Taieb C. Patient Unique Stigmatization Holistic tool in dermatology (PUSH-D): Development and validation of a dermatology-specific stigmatization assessment tool. J Eur Acad Dermatol Venereol 2023; 37:443-450. [PMID: 36201355 PMCID: PMC10092236 DOI: 10.1111/jdv.18641] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 09/13/2022] [Indexed: 01/18/2023]
Abstract
BACKGROUND The skin plays an important role in establishing interpersonal relationships, and thus visible skin disorders, which have a significant impact on physical appearance, influence other people's behaviours and attitudes. OBJECTIVE To develop and validate a dermatologic-specific questionnaire to evaluate stigmatization in individuals with visible skin conditions. METHODS Items were generated by a verbatim report based on qualitative interviews with patients with various dermatologic conditions. Subsequently, a study was implemented for psychometric analysis. A dermatology-specific stigmatization questionnaire (PUSH-D) was refined via item reduction according to inter-question correlations, consensus among experts and exploratory factor analysis. Internal consistency was determined by calculating Cronbach's α. Concurrent validity was determined by calculating the correlation between PUSH-D and the Dermatology Life Quality Index (DLQI) and the Rosenberg Self-Esteem Scale (RSES). RESULTS From a primary list of 22 items, PUSH-D was reduced to a 17-item questionnaire, covering two pertinent dimensions based on the exploratory factor analysis. Construct validity was demonstrated, and PUSH-D showed good internal consistency (Cronbach's α = 0.9). PUSH-D correlated strongly with the DLQI 0.72 (p < 0.001) and moderately with the RSES 0.49 (p < 0.001). CONCLUSION PUSH-D allows a comprehensive view of the degree of stigmatization in visible skin disorders, as well as the comparability of stigmatization levels across various skin conditions.
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Affiliation(s)
- Khaled Ezzedine
- EA 7379 EpidermE, Université Paris-Est Créteil (UPEC), Créteil, France.,Department of Dermatology, Henri Mondor University Hospital, AP-HP, Créteil, France
| | - Jason Shourick
- Department of Clinical Epidemiology and Public Health, CHU Toulouse, Toulouse, France
| | - Christina Bergqvist
- Department of Dermatology, Henri Mondor University Hospital, AP-HP, Créteil, France
| | - Laurent Misery
- Department of Dermatology, Brest University Hospital, Brest, France.,French Society of Human Skin Sciences [SFSHP], Maison de la Dermatologie, Paris, France
| | | | | | - Bruno Halioua
- French Society of Human Skin Sciences [SFSHP], Maison de la Dermatologie, Paris, France.,Private Practice, Paris, France
| | | | - Carle Paul
- Department of Dermatology, University of Toulouse, Toulouse, France
| | - Marie-Aleth Richard
- Department of Dermatology, Assistance Publique des Hôpitaux de Marseille, Aix Marseille University, UMR 911, INSERM CRO2, Marseille, France
| | - Charles Taieb
- French Society of Human Skin Sciences [SFSHP], Maison de la Dermatologie, Paris, France.,Patient Priority Department, EMMA, Paris, France
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14
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Grolleau C, Le Cleach L, Shourick J, Sbidian E, Afach S. Long-term clinical trials of biologics in plaque psoriasis demonstrate heterogeneous study designs. Br J Dermatol 2023; 188:677-678. [PMID: 36702800 DOI: 10.1093/bjd/ljac142] [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] [Received: 07/11/2022] [Revised: 12/15/2022] [Accepted: 12/17/2022] [Indexed: 01/28/2023]
Affiliation(s)
- Chloé Grolleau
- AP-HP, Hôpitaux universitaires Henri Mondor, Département de Dermatologie, UPEC, Créteil, F-94010, France.,Université Paris-Est Créteil, UPEC, EpiDermE EA 7379, Créteil, F-94010, France
| | - Laurence Le Cleach
- AP-HP, Hôpitaux universitaires Henri Mondor, Département de Dermatologie, UPEC, Créteil, F-94010, France.,Université Paris-Est Créteil, UPEC, EpiDermE EA 7379, Créteil, F-94010, France
| | - Jason Shourick
- AP-HP, Hôpitaux universitaires Henri Mondor, Département de Dermatologie, UPEC, Créteil, F-94010, France.,Université Paris-Est Créteil, UPEC, EpiDermE EA 7379, Créteil, F-94010, France
| | - Emilie Sbidian
- AP-HP, Hôpitaux universitaires Henri Mondor, Département de Dermatologie, UPEC, Créteil, F-94010, France.,Université Paris-Est Créteil, UPEC, EpiDermE EA 7379, Créteil, F-94010, France.,INSERM, Centre d'Investigation Clinique 1430, Créteil, F-94010, France
| | - Sivem Afach
- Université Paris-Est Créteil, UPEC, EpiDermE EA 7379, Créteil, F-94010, France
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15
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Shourick J, Lucas P, Tavassoli N, Rego-Lopes M, Seux ML, Hanon O, Andrieu S, Vellas B, Forette F. Sensitivity, Specificity, Positive and Negative Predictive Values of a Postal Mail Self-Screening Tool for Frailty in French Older Adults. J Frailty Aging 2023; 12:175-181. [PMID: 37493377 PMCID: PMC9923634 DOI: 10.14283/jfa.2023.11] [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] [Indexed: 07/27/2023]
Abstract
BACKGROUND Frailty has emerged as one of the major risk factors of loss of autonomy and it can be reverted through early and appropriate interventions. A wide range of available frailty screening tools are administered, mainly in clinical settings. However, few frailty instruments are self-administered. OBJECTIVES The aim of this study was to determine the diagnostic test accuracy of a modified self-administered questionnaire derived from the Study of Osteoporotic Fractures (SOF) index against the Fried frailty phenotype in identifying frailty. DESIGN Observational, multicenter, diagnostic test accuracy study. PARTICIPANTS Participants aged 70 and over, living at home or in community-dwelling (n=5134) in two centers in France were contacted. MEASUREMENTS Participants were mailed self-administered questionnaires derived from the SOF index. Responders who accepted the home evaluation were assessed by trained nurses, blinded to results of the questionnaire, using the Fried frailty phenotype as the reference method. RESULTS The questionnaire was sent to 5134 participants, of which 1878 (36.6%) met inclusion criteria and returned the questionnaire. Fried frailty assessments were obtained in 691 (35.4%) participants. A total of 639 subjects had a complete evaluation on both the self-administered questionnaire and the Fried phenotype. Mean age was 78.9 (standard deviation [SD]: 5.95) years and 359 (56.2%) participants were women. According to the questionnaire, 159 (24.9%) subjects were considered frail, 172 (26.9%) pre-frail, and 308 (48.2) robust. With the home evaluation, Fried frailty phenotype results were respectively, 114 (17.8%), 295 (46.2%) and 230 (36%). The self-administered questionnaire presented a sensitivity of 66.6% (95% CI: 57.2-75.2) and a specificity of 84.2% (95% CI: 80.8-87.2). CONCLUSIONS A self-administered questionnaire can be used in elders and represents an opportunity for empowering them in the management of their health in the context of frailty.
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Affiliation(s)
- J Shourick
- Jason Shourick, Department of Clinical Epidemiology and Public Health, Toulouse University Hospital, Toulouse, France, 11 rue Jean Mermoz, Faculté de Médecine, 37 allées Jules Guesde, 31 062 Toulouse Cedex 9, E-mail address:
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16
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Salle R, Halioua B, Le Fur G, Aubert R, Shourick J, Taieb C. Psoriasis and sexuality: Patients express their feelings. Skin Health and Disease 2022. [DOI: 10.1002/ski2.199] [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] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Romain Salle
- Department of General and Oncologic Dermatology Université Paris‐Saclay USQY, EA4340‐BECCOH, AP‐HP Ambroise‐Paré hospital Boulogne‐Billancourt France
| | | | | | - Roberte Aubert
- President of France Psoriasis [patient association] Paris France
| | - Jason Shourick
- Department of Epidemiology, Clinical Epidemiology and Public Health UMR 1027 INSERM‐University of Toulouse III Toulouse University Hospital (CHU) Toulouse France
| | - Charles Taieb
- French Society of Human Skin Sciences, [SFSHP] Maison de la dermatologie Paris France
- Patient Priority Department EMMA Fontenay sous Bois France
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17
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Bohelay G, Alexandre M, Le Roux-Villet C, Sitbon I, Doan S, Soued I, Shourick J, Rousset L, Mellottee B, Heller M, Lièvre N, Zumelzu C, Morin F, Grootenboer-Mignot S, Gabison E, Caux F, Prost-Squarcioni C, Musette P. Rituximab Therapy for Mucous Membrane Pemphigoid: A Retrospective Monocentric Study With Long-Term Follow-Up in 109 Patients. Front Immunol 2022; 13:915205. [PMID: 35844526 PMCID: PMC9281543 DOI: 10.3389/fimmu.2022.915205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 05/23/2022] [Indexed: 11/13/2022] Open
Abstract
Mucous membrane pemphigoid (MMP) is a heterogeneous group of rare, chronic, subepithelial autoimmune blistering diseases (AIBDs) with predominant involvement of mucous membranes that can be sight-threatening and life-threatening. Rituximab (RTX) has demonstrated its efficacy in severe MMP refractory to conventional immunosuppressants in small series that differed in RTX scheme, concomitant therapies, and outcome definitions. In a meta-analysis involving 112 patients with MMP treated with RTX, complete remission (CR) was reported in 70.5% of cases. Herein, we report the largest retrospective monocentric study on RTX efficacy in a series of 109 severe and/or refractory patients with MMP treated with RTX with a median follow-up period of 51.4 months. RTX was administered in association with immunomodulatory drugs (dapsone, salazopyrine) without any other systemic immunosuppressant in 104 patients. The RTX schedule comprised two injections (1 g, 2 weeks apart), repeated every 6 months until CR or failure, with a unique consolidation injection (1 g) after CR. The median survival times to disease control and to CR were 7.1 months and 12.2 months, respectively. The median number of RTX cycles required to achieve CR in 85.3% of patients was two. The larynx was the lesional site that took the longest time to achieve disease control. One year after RTX weaning, CR off RTX was obtained in 68.7% of cases. CR off RTX with only minimum doses of immunomodulatory drugs was achieved in 22.0% of patients. Further, 10.1% of patients were partial responders and 4.6% were non-responders to RTX. Relapse occurred in 38.7% of cases, of whom 91.7% had achieved CR again at the last follow-up. In MMP, CR was achieved in a longer time and after more rituximab cycles than in pemphigus, especially for patients with MMP with anti-type VII collagen reactivity. RTX with concomitant immunomodulatory drugs was not responsible for an unusual proportion of adverse events. This large study confirms that RTX is an effective therapy in patients with severe and/or refractory MMP, corroborating previous findings regarding the effects of RTX on AIBDs such as pemphigus.
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Affiliation(s)
- Gérôme Bohelay
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
- Inserm UMR 1125 Li2P, UFR SMBH Léonard de Vinci, Université Sorbonne Paris Nord (USPN), Bobigny, France
| | - Marina Alexandre
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| | - Christelle Le Roux-Villet
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| | - Ishaï Sitbon
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| | - Serge Doan
- Department of Ophthalmology, Bichat University Hospital, AP-HP, Université de Paris, Paris, France
| | - Isaac Soued
- Department of ENT and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Bobigny, France
| | - Jason Shourick
- Department of Epidemiology, Clinical Epidemiology and Public Health, UMR 1027 INSERM-University of Toulouse III, Toulouse University Hospital (CHU), Toulouse, France
| | - Laurie Rousset
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| | - Benoît Mellottee
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| | - Michel Heller
- Department of Histology, UFR SMBH Léonard de Vinci, Université Sorbonne Paris Nord (USPN), Bobigny, France
| | - Nicole Lièvre
- Department of Histology, UFR SMBH Léonard de Vinci, Université Sorbonne Paris Nord (USPN), Bobigny, France
| | - Coralie Zumelzu
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| | - Florence Morin
- Department of Immunology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Saint Louis University Hospital, AP-HP, Université de Paris, Paris, France
| | - Sabine Grootenboer-Mignot
- Department of Immunology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Bichat University Hospital, AP-HP, Université de Paris, Paris, France
| | - Eric Gabison
- Department of Ophthalmology, Bichat University Hospital, AP-HP, Université de Paris, Paris, France
| | - Frédéric Caux
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
- Inserm UMR 1125 Li2P, UFR SMBH Léonard de Vinci, Université Sorbonne Paris Nord (USPN), Bobigny, France
| | - Catherine Prost-Squarcioni
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
- Department of Histology, UFR SMBH Léonard de Vinci, Université Sorbonne Paris Nord (USPN), Bobigny, France
- Department of Pathology, Avicenne University Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis (HUPSSD), AP-HP, Université Sorbonne Paris Nord (USPN), Bobigny, France
| | - Philippe Musette
- Department of Dermatology and Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
- Inserm UMR 1125 Li2P, UFR SMBH Léonard de Vinci, Université Sorbonne Paris Nord (USPN), Bobigny, France
- *Correspondence: Philippe Musette,
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18
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Masson Regnault M, Shourick J, Jendoubi F, Tauber M, Paul C. Time to Relapse After Discontinuing Systemic Treatment for Psoriasis: A Systematic Review. Am J Clin Dermatol 2022; 23:433-447. [PMID: 35489008 PMCID: PMC9055370 DOI: 10.1007/s40257-022-00679-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2022] [Indexed: 12/30/2022]
Abstract
Background The decision of when to discontinue systemic treatment after achieving remission in psoriasis is an important question. In this systematic review, we sought to evaluate time to relapse after the discontinuation of systemic treatment in psoriasis patients. Methods Systematic searches of PubMed, Cochrane Library, and Embase databases were performed for randomized controlled studies reporting time to relapse after discontinuation of systemic drugs in psoriasis patients. In addition, pharmaceutical companies were contacted by the authors regarding missing data from the identified publications. In each publication, the time to psoriasis relapse and the timing of drug discontinuation were carefully assessed. The level of psoriasis control at the time of drug discontinuation and the definition used for psoriasis relapse were taken into account. Results Thirty articles published before April 2021 were included in the systematic review. Four articles focused on conventional systemic treatments with methotrexate and/or cyclosporine, nine focused on tumor necrosis factor (TNF) antagonists, eight focused on interleukin-17 (IL-17) antagonists, eight focused on IL-12/23 or IL-23 antagonists, and one focused on tofacitinib and apremilast. Different definitions were used to define psoriasis treatment success at the time of drug discontinuation. Similarly, heterogeneous criteria were used to define psoriasis relapse. Comparison between drugs was performed indirectly (i.e. across studies) for most drugs. Considering time of 50% loss of maximum Psoriasis Area Severity Index (PASI) improvement, a shorter median time to psoriasis relapse was observed with traditional systemic treatment (~ 4 weeks) compared to biological agents (from 12 to ~ 34 weeks). When using stringent relapse criteria, such as loss of PASI 90, a longer time to relapse after treatment cessation was observed with IL-23 antagonists (21–42 weeks) versus IL-17 antagonists (7–24 weeks). Conclusion Biological agents are associated with a longer time to relapse than oral systemic agents after drug discontinuation. Among biologicals, IL-23 antagonists are associated with the longest time to relapse. These findings may have clinical consequences for the selection of systemic agents when intermittent treatment is necessary. Supplementary Information The online version contains supplementary material available at 10.1007/s40257-022-00679-y.
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19
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Mahe E, Shourick J, Mallet S, Abasq C, Bursztejn AC, Sampogna F, Bodemer C, Boralevi F, Barbarot S, Lasek A, Merhand S, Taïeb C, Ezzedine K. Perceived clinical severity of atopic dermatitis in children: comparison between patients' and parents' evaluation. J Eur Acad Dermatol Venereol 2022; 36:e592-e594. [PMID: 35293021 DOI: 10.1111/jdv.18083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 02/14/2022] [Accepted: 02/24/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Emmanuel Mahe
- Department of Dermatology, Hôpital Victor Dupouy, 69 rue du Lieutenant-Colonel Prud'hon, 95100, Argenteuil, France
| | - Jason Shourick
- Dermatologist, Epidemiologist, Hôpital de Toulouse, Toulouse, France
| | - Stephanie Mallet
- Service de Dermatologie, Vénéréologie et Cancérologie Cutanée, Hôpital de la Timone, Assistance-publique-Hôpitaux de Marseille, Marseille, France
| | - Claire Abasq
- Service de Dermatologie, Centre Hospitalier Universitaire de Brest, Brest, France
| | - Anne-Claire Bursztejn
- Service de Dermatologie, CHU de Nancy-Hôpitaux de Brabois, Rue du Morvan, 54500, Vandœuvre-lès-Nancy, France
| | - Francesca Sampogna
- Health Services Research Unit, Istituto Dermopatico dell'Immacolata, Rome, Italy
| | | | - Franck Boralevi
- Pediatric Dermatology Unit, Hospital Pellegrin, University Centre Hospital of Bordeaux, Bordeaux, France
| | - Sébastien Barbarot
- Department of Dermatology, Nantes University Hospital, 44035, Nantes, France
| | - Audrey Lasek
- Service de dermatologie, Hospital St Vincent de Paul, Groupement des Hôpitaux de l'Institut Catholique de Lille, France
| | | | - Charles Taïeb
- Patients Priority Department, European Market Maintenance Assessment [EMMA], Fontenay Sous Bois, France
| | - Khaled Ezzedine
- Department of Dermatology, Hôpital Henri Mondor, FR-94000, Creteil, France
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20
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Bouzid W, Tavassoli N, Berbon C, Qassemi S, Bounes V, Azema O, Shourick J, Nourhashémi F. Impact of a personalised care plan for the elderly calling emergency medical services after a fall at home: The RISING-DOM multi-centre randomised controlled trial protocol. BMC Geriatr 2022; 22:182. [PMID: 35246053 PMCID: PMC8894840 DOI: 10.1186/s12877-022-02850-w] [Citation(s) in RCA: 2] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 02/16/2022] [Indexed: 11/25/2022] Open
Abstract
Background A growing number of emergency calls are made each year for elderly people who fall. Many of them are not taken to hospital or are rapidly discharged from the Emergency Department (ED). Evidence shows that, with no further support, this vulnerable population is particularly at risk of injuries, dependency and death. This study aims to determine the effectiveness of a comprehensive geriatric assessment and a tailored intervention in the elderly calling on an Emergency Medical Service (EMS) for a fall at home, but not conveyed to the ED or rapidly discharged from it (less than 24 h from hospitalisation), to the time to institutionalisation or death. Methods Rising-Dom is a two-arm randomised (ratio 1:1), interventional, multi-centre and open study. Community-dwelling elderly people (≥ 70 years) who call an EMS for a fall at home are recruited. The intervention group receives home visits by a nurse with a comprehensive fall risk assessment and a personalised intervention care plan with a planned follow-up (six nurse home visits and five nurse phone calls). Subjects enrolled in the usual care-control group continue to receive their routine care for the prevention or treatment of diseases. Primary (time to institutionalisation or death) and secondary (unscheduled hospitalisations, additional EMS calls relating to falls, functional decline and quality of life) outcome data will be collected for both groups through five phone calls made by Clinical Research Associates (CRA) blind to the participants’ group during the follow-up period (24-months). Twelve hospital centres in the South-West of France are participating in the study as study sites. The inclusion period started in October 2019 and will end in March 2022. By the end of this period, 1,190 subjects are expected to be enrolled. Discussion Studies on elderly home falls have rarely concerned people who were not taken to hospital. The Rising-Dom intervention scheme should enhance understanding of features related to this vulnerable population and investigate the impact of a nurse care at home on delaying death and institutionalisation. Trial registration Clinicaltrials.gov identifier: NCT04132544. Registration date: 18/10/2019. Sponsor: University Hospital, Toulouse. https://www.clinicaltrials.gov/ct2/show/NCT04132544?term=rising-dom&draw=2&rank=1
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Affiliation(s)
- Wafa Bouzid
- Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
| | - Neda Tavassoli
- Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Caroline Berbon
- Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Soraya Qassemi
- Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Vincent Bounes
- Pôle Médecine d'Urgence, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Olivier Azema
- Observatoire Régional Des Urgences d'Occitanie (ORU Occitanie), Hôpital La Grave, Place Lange, 31300, Toulouse, France
| | - Jason Shourick
- Unité de Soutien Méthodologique À La Recherche (USMR), Service d'Epidémiologie Clinique Et de Santé Publique, CHU de Toulouse, Toulouse, France.,CERPOP, UMR 1295, INSERM - Université de Toulouse III, Toulouse, France
| | - Fati Nourhashémi
- Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.,CERPOP, UMR 1295, INSERM - Université de Toulouse III, Toulouse, France
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21
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Maulat C, Truant S, Hobeika C, Barbier L, Herrero A, Doussot A, Gagnière J, Girard É, Tranchart H, Regimbeau JM, Fuks D, Cauchy F, Prodeau M, Notte A, Toubert C, Salamé E, El Amrani M, Andrieu S, Muscari F, Shourick J, Suc B. Prognostication algorithm for non-cirrhotic non-B non-C hepatocellular carcinoma—a multicenter study under the aegis of the French Association of Hepato-Biliary Surgery and liver Transplantation. Hepatobiliary Surg Nutr 2022; 12:192-204. [PMID: 37124677 PMCID: PMC10129883 DOI: 10.21037/hbsn-22-33] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 07/22/2022] [Indexed: 11/06/2022]
Abstract
Background Liver resection and local ablation are the only curative treatment for non-cirrhotic hepatocellular carcinoma (HCC). Few data exist concerning the prognosis of patients resected for non-cirrhotic HCC. The objectives of this study were to determine the prognostic factors of recurrence-free survival (RFS) and overall survival (OS) and to develop a prognostication algorithm for non-cirrhotic HCC. Methods French multicenter retrospective study including HCC patients with non-cirrhotic liver without underlying viral hepatitis: F0, F1 or F2 fibrosis. Results A total of 467 patients were included in 11 centers from 2010 to 2018. Non-cirrhotic liver had a fibrosis score of F0 (n=237, 50.7%), F1 (n=127, 27.2%) or F2 (n=103, 22.1%). OS and RFS at 5 years were 59.2% and 34.5%, respectively. In multivariate analysis, microvascular invasion and HCC differentiation were prognostic factors of OS and RFS and the number and size were prognostic factors of RFS (P<0.005). Stratification based on RFS provided an algorithm based on size (P=0.013) and number (P<0.001): 2 HCC with the largest nodule ≤10 cm (n=271, Group 1); 2 HCC with a nodule >10 cm (n=176, Group 2); >2 HCC regardless of size (n=20, Group 3). The 5-year RFS rates were 52.7% (Group 1), 30.1% (Group 2) and 5% (Group 3). Conclusions We developed a prognostication algorithm based on the number (≤ or >2) and size (≤ or >10 cm), which could be used as a treatment decision support concerning the need for perioperative therapy. In case of bifocal HCC, surgery should not be a contraindication.
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Affiliation(s)
- Charlotte Maulat
- Department of Digestive Surgery, Hepatobiliary and Pancreatic Surgery and Liver Transplantation Unit, Toulouse University Hospital, Toulouse, France
| | - Stéphanie Truant
- Department of Digestive Surgery and Transplantation, Claude-Huriez, Hospital, CHRU Lille, Lille, France
- CANTHER laboratory “Cancer Heterogeneity, Plasticity and Resistance to Therapies”, Inserm UMR-S1277 Teams “Mucins, Cancer and Drug Resistance”, Lille, France
| | - Christian Hobeika
- Department of Hepato-bilio-pancreatic Surgery and Liver Transplantation, Beaujon Hospital, APHP, Clichy, France
| | - Louise Barbier
- Department of Digestive Surgery and Liver Transplantation, Trousseau Hospital, Tours University Hospital, Tours, France
| | - Astrid Herrero
- Department of Digestive Surgery and Liver Transplantation, Saint Eloi Hospital, Montpellier University Hospital, Montpellier, France
| | - Alexandre Doussot
- Department of Digestive Surgery and Liver Transplantation, Besançon University Hospital, Besançon, France
| | - Johan Gagnière
- Department of Digestive and Hepatobiliary Surgery, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
- U1071 Inserm/Université Clermont-Auvergne, Clermont-Ferrand, France
| | - Édouard Girard
- Department of Digestive Surgery and Emergency, CHU Grenoble-Alpes, Grenoble, France
| | - Hadrien Tranchart
- Department of Mini-invasive Surgery, Antoine Béclère Hospital, APHP, Clamart, France
| | - Jean-Marc Regimbeau
- Department of Digestive Surgery, Amiens Picardie University Hospital and Picardie Jules Verne University, Amiens, France
| | - David Fuks
- Department of Digestive Surgery, Institut Mutualiste Montsouris, Paris, France
| | - François Cauchy
- Department of Hepato-bilio-pancreatic Surgery and Liver Transplantation, Beaujon Hospital, APHP, Clichy, France
| | - Mathieu Prodeau
- Department of Digestive Surgery and Transplantation, Claude-Huriez, Hospital, CHRU Lille, Lille, France
| | - Antoine Notte
- Department of Digestive Surgery and Liver Transplantation, Besançon University Hospital, Besançon, France
| | - Cyprien Toubert
- Department of Digestive Surgery and Liver Transplantation, Saint Eloi Hospital, Montpellier University Hospital, Montpellier, France
| | - Ephrem Salamé
- Department of Digestive Surgery and Liver Transplantation, Trousseau Hospital, Tours University Hospital, Tours, France
| | - Mehdi El Amrani
- Department of Digestive Surgery and Transplantation, Claude-Huriez, Hospital, CHRU Lille, Lille, France
| | - Sandrine Andrieu
- Department of Epidemiology, Toulouse University Hospital, Toulouse, France
| | - Fabrice Muscari
- Department of Digestive Surgery, Hepatobiliary and Pancreatic Surgery and Liver Transplantation Unit, Toulouse University Hospital, Toulouse, France
| | - Jason Shourick
- Department of Epidemiology, Toulouse University Hospital, Toulouse, France
| | - Bertrand Suc
- Department of Digestive Surgery, Hepatobiliary and Pancreatic Surgery and Liver Transplantation Unit, Toulouse University Hospital, Toulouse, France
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22
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Salle R, Taïeb C, Aubert R, Heller U, Halioua B, Shourick J. Evaluation of factors associated with sexual dysfunction in psoriasis in a cohort of 1409 patients. Clin Exp Dermatol 2021; 47:964-966. [PMID: 34905631 DOI: 10.1111/ced.15058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 12/07/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Romain Salle
- Faculté de Médecine, Université de Paris, Paris, France
| | - Charles Taïeb
- European Market Maintenance Assessment, Patients Priority, France
| | | | | | | | - Jason Shourick
- Department of Epidemiology and Public Health, UMR 1027 INSERM, Toulouse University Hospital, Toulouse, France
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23
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Abstract
The evaluation of global atopic dermatitis control is key to minimizing disease burden. The Atopic Dermatitis Control Tool (ADCT) has been developed for this purpose. Participants (diagnosed by a physician) were recruited to this observational cross-sectional study using real-life methodology and completed a questionnaire on sociodemographic and personal information. The ADCT algorithm, described by Pariser, was used to categorize patients as having controlled or uncontrolled atopic dermatitis. Data were collected for 1,606 patients. Median age of the patients was 40 years , and 1,023 (63.7%) patients were women. A total of 1,146 (71.4%) patients had uncontrolled atopic dermatitis according to the ADCT score. Patients with uncontrolled disease were at significantly higher risk of a high stress level and were more likely to be absent from work than those with controlled disease. In conclusion, a key factor for predicting disease burden in atopic dermatitis is patient self-assessed disease control in terms of multiple dimensions: stress, sleep, quality of life, work absenteeism and loss of productivity.
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Affiliation(s)
| | - Charles Taieb
- Patient Priority Department, European Market Maintenance Assessment, FR-94120 Fontenay sous Bois, France.
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24
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Brehon A, Shourick J, Hua C, Skayem C, Wolkenstein P, Chosidow O, Duong TA. Dermatological emergency unit, day-care hospital and consultations in time of COVID-19: the impact of teledermatology. J Eur Acad Dermatol Venereol 2021; 36:e175-e177. [PMID: 34758164 PMCID: PMC9088691 DOI: 10.1111/jdv.17811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 09/27/2021] [Accepted: 10/29/2021] [Indexed: 11/27/2022]
Affiliation(s)
- A Brehon
- Department of Dermatology, AP-HP, Groupe Hospitalier Henri Mondor, Créteil, France
| | - J Shourick
- Department of Epidemiology and Public Health Analysis et Analyses, USMR, Toulouse, France
| | - C Hua
- Department of Dermatology, AP-HP, Groupe Hospitalier Henri Mondor, Créteil, France
| | - C Skayem
- Department of Dermatology, AP-HP, Groupe Hospitalier Henri Mondor, Créteil, France
| | - P Wolkenstein
- Department of Dermatology, AP-HP, Groupe Hospitalier Henri Mondor, Créteil, France
| | - O Chosidow
- Department of Dermatology, AP-HP, Groupe Hospitalier Henri Mondor, Créteil, France
| | - T A Duong
- Department of Dermatology, AP-HP, Groupe Hospitalier Henri Mondor, Créteil, France.,Chaire Avenir Santé Numérique, Équipe 8 IMRB U955, INSERM, Créteil, France
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25
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Shourick J, Seneschal J, Andreu N, Meurant JM, Pane I, Ravaud P, Tran VT, Ezzedine K. Vitiligo Treatment Impact score (VITs): development and validation of a vitiligo burden of treatment questionnaire using the ComPaRe Vitiligo e-cohort. J Eur Acad Dermatol Venereol 2021; 36:279-285. [PMID: 34657353 DOI: 10.1111/jdv.17742] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Accepted: 09/30/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Vitiligo management is challenging and requires long-term adherence of patients who often complain of the burden associated with treatment. OBJECTIVE To develop and validate a patient reported measurement of the burden of treatment in vitiligo. METHODS The study was nested within the ComPaRe Vitiligo e-cohort, an online e-cohort of vitiligo patients in France. Items were derived from a literature review and from the qualitative analysis of a survey using open-ended questions of 204 patients with Vitiligo. Construct validity of the resulting instrument was assessed by comparing the instrument's score to the Dermatology Life Quality Index (DLQI), Vitiligo Impact Patient score (VIPs) and Treatment Burden Questionnaire (TBQ) scores. Reliability was assessed by test-retest with 15 ± 10 days of interval between both assessments. RESULTS In total, 343 adult participants participated in the validation of the Vitiligo Treatment Impact score (VITs). The VITs is a 19-item questionnaire assessing the burden of treatment in patients with vitiligo with results suggesting four domains ('Finding a doctor', 'Phototherapy', 'Topical treatment' and 'Impact on outdoor activities and photoprotection'). The VITs total score was well correlated with the DLQI, VIP and TBQ scores. Agreement between test and retest was good (ICC 0.705, 95% CI 0.491-0.818). CONCLUSIONS We developed a patient reported measurement of the burden of treatment in vitiligo with good psychometric properties.
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Affiliation(s)
- J Shourick
- Service de Dermatologie, AP-HP, Hôpital Henri-Mondor, Créteil, France.,EpiDermE - Epidemiology in Dermatology and Evaluation of Therapeutics, Université Paris-Est Créteil, Creteil, France
| | - J Seneschal
- Service de Dermatologie, Centre de Référence des Maladies Rares de la Peau, Hôpital Saint André, CHU de Bordeaux, Bordeaux, France.,INSERM, BMGIC, U1035, Univ. Bordeaux, Bordeaux, France
| | - N Andreu
- Service de Dermatologie, Centre de Référence des Maladies Rares de la Peau, Hôpital Saint André, CHU de Bordeaux, Bordeaux, France
| | - J-M Meurant
- Association Française du Vitiligo, Paris, France
| | - I Pane
- Centre de Recherche Épidémiologie et StatistiqueS (CRESS - Université de Paris, INSERM UMR1153), Paris, France.,Centre d'épidémiologie clinique - Hôpital Hôtel-Dieu (AP-HP), Paris, France
| | - P Ravaud
- Centre de Recherche Épidémiologie et StatistiqueS (CRESS - Université de Paris, INSERM UMR1153), Paris, France.,Centre d'épidémiologie clinique - Hôpital Hôtel-Dieu (AP-HP), Paris, France
| | - V-T Tran
- Centre de Recherche Épidémiologie et StatistiqueS (CRESS - Université de Paris, INSERM UMR1153), Paris, France.,Centre d'épidémiologie clinique - Hôpital Hôtel-Dieu (AP-HP), Paris, France
| | - K Ezzedine
- Service de Dermatologie, AP-HP, Hôpital Henri-Mondor, Créteil, France.,EpiDermE - Epidemiology in Dermatology and Evaluation of Therapeutics, Université Paris-Est Créteil, Creteil, France
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26
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Shourick J, Taieb C, Seneschal J, Merhand S, Ezzedine K, Halioua B, Richard MA, Mrowietz U. EczemaPartner - adapting a questionnaire to assess the impact of atopic dermatitis on partners of patients. J Eur Acad Dermatol Venereol 2021; 36:e192-e193. [PMID: 34626005 DOI: 10.1111/jdv.17726] [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: 11/30/2022]
Affiliation(s)
- J Shourick
- Department of Epidemiology and Public Health, UMR 1027 INSERM, Toulouse University Hospital, Toulouse, France
| | - C Taieb
- EMMA, Fontenay sous Bois, France
| | | | - S Merhand
- Association Française de l'Eczema, Redon, France
| | | | | | | | - U Mrowietz
- Psoriasis-Center at the Department of Dermatology, University Medical Center Schleswig-Holstein, Kiel, Germany
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27
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Bursztejn AC, Shourick J, Bodemer C, Lasek A, Mahé E, Merhand S, Sampogna F, Taïeb C, Boralevi F, Ezzedine K, Barbarot S, Mallet S, Abasq C. Feelings of guilt in parents of children with atopic dermatitis. J Eur Acad Dermatol Venereol 2021; 36:e155-e157. [PMID: 34586676 DOI: 10.1111/jdv.17712] [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] [Received: 07/15/2021] [Accepted: 09/17/2021] [Indexed: 11/30/2022]
Affiliation(s)
- A C Bursztejn
- Service de Dermatologie, CHU de Nancy-Hôpitaux de Brabois, Vandœuvre-lès-Nancy, France
| | - J Shourick
- Dermatologist, Epidemiologist, Hôpital de Toulouse, Toulouse, France
| | - C Bodemer
- Department of Dermatology, Hôpital Necker, AP-HP, Paris, France
| | - A Lasek
- Service de dermatologie, Hospital St Vincent de Paul, Groupement des Hôpitaux de l'Institut Catholique de Lille, Lille, France
| | - E Mahé
- Department of Dermatology, Hôpital Victor Dupouy, Argenteuil, France
| | - S Merhand
- French Eczema Association, Redon, France
| | - F Sampogna
- Clinical Epidemiology Unit, IDI-IRCCS, Rome, Italy
| | - C Taïeb
- Patients Priority Department, European Market Maintenance Assessment [EMMA], Fontenay Sous Bois, France
| | - F Boralevi
- Pediatric Dermatology Unit, Hospital Pellegrin, University Centre Hospital of Bordeaux, Bordeaux, France
| | - K Ezzedine
- Department of Dermatology, Hôpital Henri Mondor, Creteil, France
| | - S Barbarot
- Department of Dermatology, Nantes University Hospital, Nantes, France
| | - S Mallet
- Service de Dermatologie, Vénéréologie et Cancérologie Cutanée, Hôpital de la Timone, Assistance-publique-Hôpitaux de Marseille, Marseille, France
| | - C Abasq
- Service de Dermatologie, Centre Hospitalier Universitaire de Brest, Brest, France
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Bézard M, Oghina S, Vitiello D, Kharoubi M, Kordeli E, Galat A, Zaroui A, Guendouz S, Gilles F, Shourick J, Hamon D, Audard V, Teiger E, Poullot E, Molinier-Frenkel V, Lemonnier F, Agbulut O, Le Bras F, Damy T. Dexamethasone is associated with early deaths in light chain amyloidosis patients with severe cardiac involvement. PLoS One 2021; 16:e0257189. [PMID: 34525116 PMCID: PMC8443042 DOI: 10.1371/journal.pone.0257189] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Accepted: 08/26/2021] [Indexed: 11/19/2022] Open
Abstract
Background Cardiac light chain amyloidosis (AL-CA) patients often die within three months of starting chemotherapy. Chemotherapy for non-immunoglobulin M gammopathy with AL-CA frequently includes bortezomib (Bor), cyclophosphamide (Cy), and dexamethasone (D). We previously reported that NT-ProBNP levels can double within 24h of dexamethasone administration, suggesting a deleterious impact on cardiac function. In this study, we evaluate the role of dexamethasone in early cardiovascular mortality during treatment. Methods and findings We retrospectively assessed 100 de novo cardiac AL patients (62% male, mean age 68 years) treated at our institute between 2009 and 2018 following three chemotherapy regimens: CyBorDComb (all initiated on day 1; 34 patients), DCyBorSeq (D, day 1; Cy, day 8; Bor, day 15; 17 patients), and CyBorDSeq (Cy, day 1; Bor, day 8; D, day 15; 49 patients). The primary endpoint was cardiovascular mortality and cardiac transplantation at days 22 and 455. At day 22, mortality was 20.6% with CyBorDComb, 23.5% with DCyBorSeq, and 0% with CyBorDSeq (p = 0.003). At day 455, mortality was not significantly different between regimens (p = 0.195). Acute toxicity of dexamethasone was evaluated on myocardial function using a rat model of isolated perfused heart. Administration of dexamethasone induced a decrease in left ventricular myocardium contractility and relaxation (p<0.05), supporting a potential negative inotropic effect of dexamethasone in AL-CA patients with severe cardiac involvement. Conclusion Delaying dexamethasone during the first chemotherapy cycle reduces the number of early deaths without extending survival. It is clear that dexamethasone is beneficial in the long-term treatment of patients with AL-CA. However, the initial introduction of dexamethasone during treatment is critical, but may be associated with early cardiac deaths in severe CA. Thus, it is important to consider the dosage and timing of dexamethasone introduction on a patient-severity basis. The impact of dexamethasone in the treatment of AL-CA needs further investigation.
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Affiliation(s)
- Mélanie Bézard
- The French Cardiac Amyloidosis Reference Center, GRC Amyloid Research Institute, Réseau amylose Mondor, and DHU A-TVB, Créteil, France
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
- * E-mail:
| | - Silvia Oghina
- The French Cardiac Amyloidosis Reference Center, GRC Amyloid Research Institute, Réseau amylose Mondor, and DHU A-TVB, Créteil, France
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Damien Vitiello
- Sport and Health Sciences Institute (I3SP–EA3625), Paris University, Paris, France
- Sorbonne University, Institut de Biologie Paris-Seine (IBPS), CNRS UMR 8256, Inserm ERL U1164, Adaptation biologique et vieillissement, Paris, France
| | - Mounira Kharoubi
- The French Cardiac Amyloidosis Reference Center, GRC Amyloid Research Institute, Réseau amylose Mondor, and DHU A-TVB, Créteil, France
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Ekaterini Kordeli
- Sorbonne University, Institut de Biologie Paris-Seine (IBPS), CNRS UMR 8256, Inserm ERL U1164, Adaptation biologique et vieillissement, Paris, France
| | - Arnault Galat
- The French Cardiac Amyloidosis Reference Center, GRC Amyloid Research Institute, Réseau amylose Mondor, and DHU A-TVB, Créteil, France
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Amira Zaroui
- The French Cardiac Amyloidosis Reference Center, GRC Amyloid Research Institute, Réseau amylose Mondor, and DHU A-TVB, Créteil, France
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Soulef Guendouz
- The French Cardiac Amyloidosis Reference Center, GRC Amyloid Research Institute, Réseau amylose Mondor, and DHU A-TVB, Créteil, France
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Floriane Gilles
- The French Cardiac Amyloidosis Reference Center, GRC Amyloid Research Institute, Réseau amylose Mondor, and DHU A-TVB, Créteil, France
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | | | - David Hamon
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Vincent Audard
- Nephrology and Transplantation Department, Rare Disease Reference Center «Syndrome Néphrotique Idiopathique», Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Emmanuel Teiger
- The French Cardiac Amyloidosis Reference Center, GRC Amyloid Research Institute, Réseau amylose Mondor, and DHU A-TVB, Créteil, France
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
- Université Paris Est Créteil (UPEC), Institut National de la Santé et de la Recherche Médicale (INSERM) U955, Institut Mondor de Recherche Biomédicale (IMRB), Créteil, France
| | - Elsa Poullot
- Université Paris Est Créteil (UPEC), Institut National de la Santé et de la Recherche Médicale (INSERM) U955, Institut Mondor de Recherche Biomédicale (IMRB), Créteil, France
- Anatomy and Cytopathology, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Valérie Molinier-Frenkel
- Université Paris Est Créteil (UPEC), Institut National de la Santé et de la Recherche Médicale (INSERM) U955, Institut Mondor de Recherche Biomédicale (IMRB), Créteil, France
- Immunology Laboratory, Créteil, France
| | - François Lemonnier
- Hematopathology-Lymphoid Unit, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Onnik Agbulut
- Sorbonne University, Institut de Biologie Paris-Seine (IBPS), CNRS UMR 8256, Inserm ERL U1164, Adaptation biologique et vieillissement, Paris, France
| | - Fabien Le Bras
- Hematopathology-Lymphoid Unit, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
| | - Thibaud Damy
- The French Cardiac Amyloidosis Reference Center, GRC Amyloid Research Institute, Réseau amylose Mondor, and DHU A-TVB, Créteil, France
- Cardiology Department, Assistance Publique des Hôpitaux de Paris, University Hospital Henri Mondor, Créteil, France
- Université Paris Est Créteil (UPEC), Institut National de la Santé et de la Recherche Médicale (INSERM) U955, Institut Mondor de Recherche Biomédicale (IMRB), Créteil, France
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Ju HJ, Bae JM, Lee RW, Kim SH, Parsad D, Pourang A, Hamzavi I, Shourick J, Ezzedine K. Surgical Interventions for Patients With Vitiligo: A Systematic Review and Meta-analysis. JAMA Dermatol 2021; 157:307-316. [PMID: 33595599 DOI: 10.1001/jamadermatol.2020.5756] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Importance Surgical interventions are a key part of the therapeutic arsenal, especially in refractory and stable vitiligo. Comparison of treatment outcomes between the different surgical procedures and their respective adverse effects has not been adequately studied. Objective To investigate the reported treatment response following different surgical modalities in patients with vitiligo. Data Sources A comprehensive search of the MEDLINE, Embase, Web of Science, and Cochrane Library databases from the date of database inception to April 18, 2020, was conducted. The key search terms used were vitiligo, surgery, autologous, transplantation, punch, suction blister, and graft. Study Selection Of 1365 studies initially identified, the full texts of 358 articles were assessed for eligibility. A total of 117 studies were identified in which punch grafting (n = 19), thin skin grafting (n = 10), suction blister grafting (n = 29), noncultured epidermal cell suspension (n = 45), follicular cell suspension (n = 9), and cultured epidermal cell suspension (n = 17) were used. Data Extraction and Synthesis Three reviewers independently extracted data on study design, patients, intervention characteristics, and outcomes. Random effects meta-analyses using generic inverse-variance weighting were performed. Main Outcomes and Measures The primary outcomes were the rates of greater than 90%, 75%, and 50% repigmentation response. These rates were calculated by dividing the number of participants in an individual study who showed the corresponding repigmentation by the total number of participants who completed the study. The secondary outcomes were the factors associated with treatment response to the surgical intervention. Results Among the 117 unique studies and 8776 unique patients included in the analysis, rate of repigmentation of greater than 90% for surgical interventions was 52.69% (95% CI, 46.87%-58.50%) and 45.76% (95% CI, 30.67%-60.85%) for punch grafting, 72.08% (95% CI, 54.26%-89.89%) for thin skin grafting, 61.68% (95% CI, 47.44%-75.92%) for suction blister grafting, 47.51% (95% CI, 37.00%-58.03%) for noncultured epidermal cell suspension, 36.24% (95% CI, 18.92%-53.57%) for noncultured follicular cell suspension, and 56.82% (95% CI, 48.93%-64.71%) for cultured epidermal cell suspension. The rate of repigmentation of greater than 50% after any surgical intervention was 81.01% (95% CI, 78.18%-83.84%). In meta-regression analyses, the treatment response was associated with patient age (estimated slope, -1.1418), subtype of vitiligo (estimated slope, 0.3047), and anatomical sites (estimated slope, -0.4050). Conclusions and Relevance The findings of this systematic review and meta-analysis suggest that surgical intervention can be an effective option for refractory stable vitiligo. An appropriate procedure should be recommended based on patient age, site and size of the lesion, and costs.
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Affiliation(s)
- Hyun Jeong Ju
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul
| | - Jung Min Bae
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul
| | - Ro Woo Lee
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul
| | - Soo Hyung Kim
- Department of Dermatology, St Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul
| | - Davinder Parsad
- Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigharh, India
| | - Aunna Pourang
- Department of Dermatology, Henry Ford Hospital, Detroit, Michigan
| | - Iltefat Hamzavi
- Vitiligo Unit, Multicultural Dermatology Center, Henry Ford Hospital, Detroit, Michigan
| | - Jason Shourick
- Epidemiology in Dermatology and Evaluation of Therapeutics, Département Infectieux/Immuno/Vaccin, Paris-Est University, Paris Est Créteil University, Créteil, France.,Department of Dermatology, Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Paris Est Créteil University, Créteil, France
| | - Khaled Ezzedine
- Epidemiology in Dermatology and Evaluation of Therapeutics, Département Infectieux/Immuno/Vaccin, Paris-Est University, Paris Est Créteil University, Créteil, France.,Department of Dermatology, Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Paris Est Créteil University, Créteil, France
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30
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Misery L, Shourick J, Reychler G, Taieb C. Association between chronic idiopathic cough and sensitive skin syndromes is a new argument in favor of common neuropathic pathways: results from a survey on 4050 subjects. Sci Rep 2021; 11:16976. [PMID: 34417530 PMCID: PMC8379212 DOI: 10.1038/s41598-021-96608-w] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 08/06/2021] [Indexed: 02/07/2023] Open
Abstract
Sensitive skin syndrome has a neuropathic origin, which is why it is frequently associated with irritable bowel syndrome. We have looked for a possible association with chronic cough, which is commonly maintained by neurogenic mechanisms, whatever the initial cause(s). A survey was carried out on a representative sample of the population over 15 years of age using the quota method. The questionnaire included sociodemographic data and questions about sensitive skin, the presence of chronic cough, smoking and possible causes of chronic cough. Chronic cough was assessed by the Leicester Cough Questionnaire, and 4050 subjects responded (mean age: 45 years). Overall, 12.2% of subjects with a chronic cough were compared to the 87.8% without any cough. Among them, 72.5% had sensitive skin (vs. 47.8%, p < 0.001); additionally, 17.4% of the subjects with sensitive skin had a chronic cough (vs. 6.9% if no sensitive skin). These proportions were higher if very sensitive skin was reported. The risk of having chronic cough was twice as high if sensitive skin was reported [OR = 1.9 (1.5-2.4), p < 0.001]. The risk of having sensitive skin was also twice as high for chronic cough. Thus, chronic cough and sensitive skin are frequently associated. This association represents a new argument in favor of a neuropathic nature of sensitive skin. Sensitive skin and chronic cough are both modes of overreaction to environmental factors, which tend to be autonomized by neurogenic mechanisms. Dermatologists should ask their patients if they have a chronic cough, and pneumologists should ask about the presence of sensitive skin.
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Affiliation(s)
- Laurent Misery
- Laboratory of Neurosciences, University of Western Brittany, Brest, France.
- Department of Dermatology, University Hospital of Brest, Brest, France.
| | | | - Grégory Reychler
- Department of Pneumology, University Clinics Saint-Luc, Brussels, Belgium
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31
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Barbarot S, Boralevi F, Shourick J, Sampogna F, Mahé E, Merhand S, Bursztejn AC, Mallet S, Ezzedine K, Abasq C, Taïeb C, Lasek A, Bodemer C. Characteristics of children and adolescents with atopic dermatitis who attended therapeutic patient education. J Eur Acad Dermatol Venereol 2021; 35:2263-2269. [PMID: 34273203 DOI: 10.1111/jdv.17526] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Accepted: 06/25/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Atopic dermatitis (AD) is a chronic, relapsing, inflammatory skin disease. Therapeutic patient education (TPE) has been demonstrated to be effective in AD in reducing disease severity and improving coping and quality of life. OBJECTIVES To describe the sociodemographic and clinical characteristics of children and adolescents with AD who had attended TPE sessions, as well as the characteristics of their parents, and compare them with those who did not attend TPE. METHODS Parents of children with AD aged 6-17 years old were recruited from a representative sample of the French population contacted by e-mail. Sociodemographic data and clinical information were collected in patients and parents. Clinical severity was assessed by parents using a proxy version of the Patient-Oriented Eczema Measure (POEM). Attendance to TPE sessions was assessed by the following question 'did your child or one or both parents attended TPE for AD?'. Also, the number of sessions was recorded. Determinants of TPE attendance were evaluated by univariable and multivariable analyses. RESULTS Data were collected on 1063 parents and children with AD. A total of 131 (12.3%) children and/or parents attended TPE sessions. Most of them attended 2-5 TPE sessions. In that group, there were 85 boys (64.9%), and severity evaluated by POEM was mild in 29.8%, moderate in 52.7% and severe in 17.6% of patients. In the multivariable model, attending TPE sessions was significantly associated with sex of the child (boy vs. girl), consultation with a dermatologist or a paediatrician, high clinical severity and presence of AD in parents. CONCLUSIONS Despite recommendations, the use of TPE in children with AD is still low in France. There is a need for implementing such programmes in the management of the disease, in particular when the disease is severe.
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Affiliation(s)
- S Barbarot
- Department of Dermatology, Nantes University Hospital, Nantes, France
| | - F Boralevi
- Pediatric Dermatology Unit, Hospital Pellegrin, University Centre Hospital of Bordeaux, Bordeaux, France
| | - J Shourick
- Dermatologist, Epidemiologist, Hôpital de Toulouse, Toulouse, France
| | - F Sampogna
- Clinical Epidemiology Unit, IDI-IRCCS, Rome, Italy
| | - E Mahé
- Department of Dermatology, Hôpital Victor Dupouy, Argenteuil, France
| | - S Merhand
- French Eczema Association, Association Fraçaise de l'Eczéma, Redon, France
| | - A-C Bursztejn
- Service de Dermatologie, CHU de Nancy-Hôpitaux de Brabois, Vandœuvre-lès-Nancy, France
| | - S Mallet
- Service de Dermatologie, Vénéréologie et Cancérologie Cutanée, Hôpital de la Timone, Assistance-publique, Hôpitaux de Marseille, Marseille, France
| | - K Ezzedine
- Department of Dermatology, Hôpital Henri Mondor, Creteil, France
| | - C Abasq
- Service de Dermatologie, Centre Hospitalier Universitaire de Brest, Brest, France
| | - C Taïeb
- Patients Priority Department, European Market Maintenance Assessment [EMMA], Fontenay Sous Bois, France
| | - A Lasek
- Service de Dermatologie, Hospital St Vincent de Paul, Groupement des Hôpitaux de l'Institut Catholique de Lille, Lille, France
| | - C Bodemer
- Department of Dermatology, Hôpital Necker, AP-HP, Paris, France
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Sbidian E, Mezzarobba M, Shourick J, Billionnet C, Coste J, Weill A, Rudant J, Chosidow O, Hollestein L, Nijsten T. Choice of Systemic Drugs for the Management of Moderate-to-severe Psoriasis: A Cross-country Comparison Based on National Health Insurance Data. Acta Derm Venereol 2021; 101:adv00473. [PMID: 33585948 PMCID: PMC9380268 DOI: 10.2340/00015555-3765] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Current management of moderate-to-severe psoriasis may be heterogeneous between European countries, probably due to differences in the organization of care. The aim of this study was to compare the utilization of systemic treatments for psoriasis between 2 countries. All adults with psoriasis who were registered in the French (SNDS) and the Dutch (VEKTIS) national health insurance databases between 2012 and 2016 were eligible for inclusion. In France, 105,035 (15%) of 684,156 patients and, in the Netherlands, 37,405 (28.6%) of 130,822 patients received at least a systemic agent. In France, the proportion of patients treated with systemic agents was constant, while the type of drugs dispensed shifted from non-biological to biological agents. In the Netherlands, the first systemic treatment was methotrexate and, in France, acitretin. In France, the choice of the first biologic was much more variable than it was in the Netherlands, where a large proportion of patients were dispensed ustekinumab. This study highlights discrepancies between France and the Netherlands concerning the choice of first non-biologic agent and first biologic agent for patients with psoriasis. These discrepancies may be due to differences in the healthcare systems between the 2 countries.
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Affiliation(s)
- Emilie Sbidian
- Department of Dermatology, Hôpital Henri-Mondor, 51, av du Maréchal de Lattre de Tassigny, FR-94010 Créteil Cedex, France. E-mail:
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Cribier B, Taieb C, Saint Aroman M, Shourick J. SARS-CoV-2: skin diseases, mask wearing and unpleasant sensations. J Eur Acad Dermatol Venereol 2021; 35:e558-e560. [PMID: 34013583 PMCID: PMC8242697 DOI: 10.1111/jdv.17380] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 04/09/2021] [Accepted: 04/23/2021] [Indexed: 12/12/2022]
Affiliation(s)
- B Cribier
- Clinique Dermatologique, Hôpitaux Universitaires de Strasbourg, Strasbourg Cedex, France
| | - C Taieb
- EMMA, Patients Priority, Fontenay sous-bois, France
| | - M Saint Aroman
- Pierre Fabre Dermo-Cosmétique, Corporate Patient Centricity, Lavaur, France
| | - J Shourick
- Epidemiology, CHU Toulouse, Toulouse, France
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34
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Canu D, Shourick J, Andreu N, Gey A, Ballanger-Désolneux F, Barailler H, Boniface K, Ezzedine K, Seneschal J. Demographic and clinical characteristics of patients with both psoriasis and vitiligo in a cohort of vitiligo patients: a cross-sectional study. J Eur Acad Dermatol Venereol 2021; 35:e676-e679. [PMID: 34013570 DOI: 10.1111/jdv.17383] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- D Canu
- Department of Dermatology, National Reference Center for Rare Skin Disorders, Hôpital Saint-André, CHU de Bordeaux, Bordeaux, France
| | - J Shourick
- Department of Dermatology, Hôpital Larrey, CHU de Toulouse, Toulouse, France
| | - N Andreu
- Department of Dermatology, National Reference Center for Rare Skin Disorders, Hôpital Saint-André, CHU de Bordeaux, Bordeaux, France
| | - A Gey
- Department of Dermatology, National Reference Center for Rare Skin Disorders, Hôpital Saint-André, CHU de Bordeaux, Bordeaux, France
| | - F Ballanger-Désolneux
- Department of Dermatology, National Reference Center for Rare Skin Disorders, Hôpital Saint-André, CHU de Bordeaux, Bordeaux, France
| | - H Barailler
- Department of Dermatology, National Reference Center for Rare Skin Disorders, Hôpital Saint-André, CHU de Bordeaux, Bordeaux, France
| | - K Boniface
- INSERM, BMGIC, U1035, Immuno-Dermatology, Université Bordeaux, Bordeaux, France
| | - K Ezzedine
- Department of Dermatology, Henri Mondor University Hospital, Créteil, France.,EpidermE, Université Paris-Est Créteil, UPEC, Créteil, France
| | - J Seneschal
- Department of Dermatology, National Reference Center for Rare Skin Disorders, Hôpital Saint-André, CHU de Bordeaux, Bordeaux, France.,INSERM, BMGIC, U1035, Immuno-Dermatology, Université Bordeaux, Bordeaux, France
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35
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Delaleu J, Duverger L, Shourick J, Tirgan MH, Algain M, Tounkara T, Kourouma S, Bagot M, Petit A. Suppurative keloids: a complication of severe keloid disease. Int J Dermatol 2021; 60:1392-1396. [PMID: 33973653 DOI: 10.1111/ijd.15641] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 04/07/2021] [Accepted: 04/08/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Some keloids show cystic cavities that give rise to acute inflammatory flares and oozing. These suppurative keloids (SK) have rarely been systematically studied. We conducted a retrospective cohort study to evaluate SK frequency and its risk factors. We also reviewed microbiological analyses as well as the histological features of removed SKs. METHODS Between July 1, 2015, and September 30, 2016, all adult patients attending a specialized keloid clinic were asked to participate. Clinical information and microbiological results were extracted from each patient's file. Histological features were observed and interpreted. RESULTS In this study, we observed an SK rate of 26% for a mean keloid history of 17.2 years. Male gender, African ancestry, and a family history of keloids were significantly associated with suppuration. Microbiological examination revealed commensal skin flora 7/9 (77.8%), Staphylococcus aureus 1/9 (11.1%), and Enterococcus faecalis 1/9 (11.1%). CONCLUSION Suppuration is a common complication of keloids occurring in patients with severe keloid disease and may arise from pilosebaceous occlusion and aseptic inflammation.
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Affiliation(s)
- Jeremie Delaleu
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France.,University of Paris, Paris, France
| | - Lucie Duverger
- Pathology Department, APHP, Saint Louis University Hospital, Paris, France
| | - Jason Shourick
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France
| | | | - Maysoon Algain
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France.,Dermatology Department, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
| | - Thierno Tounkara
- Dermatology Department, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
| | - Sarah Kourouma
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France.,Dermatology Department, Treichville University Hospital, Abidjan, Ivory Coast
| | - Martine Bagot
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France.,University of Paris, Paris, France
| | - Antoine Petit
- Dermatology Department, APHP, Saint Louis University Hospital, Paris, France
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Shourick J, Wack M, Jannot AS. Correction to: Assessing rare diseases prevalence using literature quantification. Orphanet J Rare Dis 2021; 16:213. [PMID: 33971919 PMCID: PMC8111929 DOI: 10.1186/s13023-021-01854-w] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- Jason Shourick
- Department of Medical Informatics, Hôpital Européen Georges Pompidou, AP-HP, 20 Rue Leblanc, 75015, Paris, France.
| | - Maxime Wack
- Department of Medical Informatics, Hôpital Européen Georges Pompidou, AP-HP, 20 Rue Leblanc, 75015, Paris, France
| | - Anne-Sophie Jannot
- Department of Medical Informatics, Hôpital Européen Georges Pompidou, AP-HP, 20 Rue Leblanc, 75015, Paris, France.,INSERM, Centre de Recherche des Cordeliers, UMRS 1138, Université de Paris, Université Sorbonne Paris Cité, Paris, France
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Berthelot E, Broussier A, Damy T, Donadio C, Cosson S, Rovani X, Salengro E, Billebeau G, Megbemado R, Rekik N, Godreuil C, Richard K, Shourick J, Assayag P, Belmin J, David JP, Hittinger L. Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience. BMC Geriatr 2021; 21:288. [PMID: 33933023 PMCID: PMC8088705 DOI: 10.1186/s12877-021-02210-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Accepted: 03/30/2021] [Indexed: 11/10/2022] Open
Abstract
CONTEXT A growing number of elderly patients hospitalized for Acute Heart Failure (AHF) are being managed in cardiogeriatrics departments, but their characteristics and prognosis are poorly known. This study aimed to investigate the profile and outcome (rehospitalization at 90 days) of patients hospitalized for AHF in cardiogeriatrics departments in the Val-de-Marne area in the suburbs of Paris, and to compare them to AHF patients hospitalized in cardiology departments in the same area. METHODS Observational study, ICREX-94, conducted in seven cardiology departments in France and three specific cardiogeriatrics departments in Val-de-Marne. RESULTS A total of 308 patients were hospitalized for AHF between October 2017 and January 2019. During the 90 days following discharge, 29.6% patients were readmitted to the hospital. Compared with patients hospitalized in cardiology departments, patients in cardiogeriatrics departments were older (p < 0.001), less independent (living more often alone or in an institution) (p < 0.001), more often depressed (p < 0.001), had more often major neurocognitive disorder (p < 0.001), had a higher Human Development Index (HDI, p < 0.001), and were less often diagnosed with amyloidosis (p < 0.001). There was no difference in outcome whether patients were discharged from cardiology or cardiogeriatrics departments. The most frequent precipitating factors underlying AHF decompensation between the first and second hospitalization were arrhythmia and infection. CONCLUSION AHF patients discharged from cardiogeriatrics departments, compared to cardiology departments, showed clinical differences but had the same prognosis regarding AHF rehospitalization at 90 days.
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Affiliation(s)
- Emmanuelle Berthelot
- Université Paris Sud, Le Kremlin-Bicêtre, France.
- APHP, Department of Cardiology, Hopital Bicêtre, 78, rue du général Leclerc, 94270, Le Kremlin Bicêtre, France.
| | - Amaury Broussier
- Université Paris Est, Créteil, INSERM, IMRB, Equipe CEpiA, F-94010, Créteil, France
- Department of Geriatrics, AP-HP, Henri-Mondor/Emile-Roux hospitals, F-94456, Limeil-Brevannes, France
| | - Thibaud Damy
- Université Paris Est, Créteil, INSERM, IMRB, Equipe CEpiA, F-94010, Créteil, France
- Department of Cardiology, heart failure and amyloidosis unit, Referral Center For Cardiac Amyloidosis, AP-HP, Henri-Mondor/Albert-Chenevier hospitals, F-94010, Créteil, France
| | - Cristiano Donadio
- Université Paris Sud, Le Kremlin-Bicêtre, France
- APHP, Department of Cardiology, Hopital Bicêtre, 78, rue du général Leclerc, 94270, Le Kremlin Bicêtre, France
- Department of geriatrics, AP-HP, Hôpital Charles Foix and Sorbonne Université, F-94200, Ivry-sur-Seine, France
| | - Stephane Cosson
- Hôpital privé Paul Dégine, 4 avenue Marx Dormoy, F-94500, Champigny-sur-Marne, France
| | - Xavier Rovani
- Hôpital privé Paul Dégine, 4 avenue Marx Dormoy, F-94500, Champigny-sur-Marne, France
| | - Emmanuel Salengro
- Centre Hospitalier de Villeneuve St Georges, 40 allée de la Source, F-94190, Villeneuve-Saint-Georges, France
| | - Gilles Billebeau
- Centre Hospitalier de Villeneuve St Georges, 40 allée de la Source, F-94190, Villeneuve-Saint-Georges, France
| | - Richard Megbemado
- Hôpital Sainte Camille, 2 rue des Pères Camilliens, F-94360, Bry-sur-Marne, France
| | - Noomen Rekik
- Hôpital Sainte Camille, 2 rue des Pères Camilliens, F-94360, Bry-sur-Marne, France
| | - Christian Godreuil
- Hôpital d'Instruction des Armées Bégin, 69 avenue de Paris, F-94160, Saint-Mandé, France
| | - Kevin Richard
- AP-HP Centre hospitalier Chenevier, 40 rue de Mesly, F-94000, Créteil, France
| | | | - Patrick Assayag
- Université Paris Sud, Le Kremlin-Bicêtre, France
- APHP, Department of Cardiology, Hopital Bicêtre, 78, rue du général Leclerc, 94270, Le Kremlin Bicêtre, France
| | - Joel Belmin
- Department of geriatrics, AP-HP, Hôpital Charles Foix and Sorbonne Université, F-94200, Ivry-sur-Seine, France
| | - Jean Philippe David
- Université Paris Est, Créteil, INSERM, IMRB, Equipe CEpiA, F-94010, Créteil, France
- Department of Internal Medicine and Geriatrics, AP-HP, Henri Mondor hospitals, F-94010, Créteil, France
| | - Luc Hittinger
- Université Paris Est, Créteil, INSERM, IMRB, Equipe CEpiA, F-94010, Créteil, France
- Department of Cardiology, heart failure and amyloidosis unit, Referral Center For Cardiac Amyloidosis, AP-HP, Henri-Mondor/Albert-Chenevier hospitals, F-94010, Créteil, France
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Shourick J, Ahmed M, Seneschal J, Passeron T, Andreux N, Qureshi A, Chow EY, Natella PA, Harris J, Tran VT, Ezzedine K. Development of a shared decision-making tool in vitiligo: an international study. Br J Dermatol 2021; 185:787-796. [PMID: 33830502 DOI: 10.1111/bjd.20137] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/02/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Shared decision-making tools (SDMt) are visual tools developed to promote joint medical decisions between physicians and patients. There is a paucity of such tools in dermatology. OBJECTIVES To develop and validate a SDMt for use in specialized consultation for vitiligo. METHODS A prospective cross-sectional study was carried out from March 2019 to March 2020. We first conducted a qualitative study of topics discussed by patients and clinicians during therapeutic decision-making in the setting of a specialized consultation for vitiligo using an anchored-theory method, which allowed conceptualization of the SDMt. The usefulness of the SDMt was evaluated by a working group of multidisciplinary health workers and patients with vitiligo. Consensus on the final tool was obtained through an e-Delphi method. RESULTS We recruited 30 patients with vitiligo for the qualitative study, which identified 91 topics related to therapeutic decision-making. Hierarchical clustering analysis confirmed the distribution of these topics in two subgroups (general treatment goals and priorities, and topics specific to each treatment). The consensus of a multidisciplinary group was used to develop the SDMt. The tool was comprised of eight A5 cards, which addressed face repigmentation; body repigmentation (limited area); body repigmentation (extended area); partial or complete depigmentation; coping with the disease; stabilization of disease; maintaining repigmentation; and disease information. Cognitive interviews confirmed the satisfaction, readability and usefulness of the SDMt. The SDMt was then translated and culturally validated in English. CONCLUSIONS We developed a tool for shared decision-making in nonsegmental vitiligo, which we translated and cross-culturally validated in a US patient population with vitiligo to ensure its generalizability.
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Affiliation(s)
- J Shourick
- Epidemiology in Dermatology and Evaluation of Therapeutics (EpiDermE), EA7379, Paris-Est University, UPEC, DHU VIC, Créteil, France
| | - M Ahmed
- Department of Dermatology, University of Massachusetts Medical School, Worcester, MA, 01605, USA
| | - J Seneschal
- Hôpital Saint-André, CHU Bordeaux, Bordeaux, France
| | - T Passeron
- Université Côte d'Azur, Department of Dermatology, CHU Nice, Nice, France.,Université Côte d'Azur, INSERM U1065, C3M, Nice, France
| | - N Andreux
- Hôpital Saint-André, CHU Bordeaux, Bordeaux, France
| | - A Qureshi
- Department of Dermatology, Warren Alpert Medical School, Brown University, 339 Eddy Street, Providence, RI, 02903, USA
| | - E Y Chow
- Department of Epidemiology, School of Public Health, Brown University, Providence, RI, 02903, USA
| | - P A Natella
- Assistance Publique-Hôpitaux de Paris, Public Health Department/Clinical Research Unit (URC-Mondor), Groupe Hospitalier Henri-Mondor/Albert Chenevier, Créteil, France
| | - J Harris
- Department of Dermatology, University of Massachusetts Medical School, Worcester, MA, 01605, USA
| | - V-T Tran
- Université de Paris, CRESS, INSERM, INRA, Paris, France.,Center d'Epidémiologie Clinique, Hôpital Hôtel Dieu, AP-HP, Paris, France
| | - K Ezzedine
- Epidemiology in Dermatology and Evaluation of Therapeutics (EpiDermE), EA7379, Paris-Est University, UPEC, DHU VIC, Créteil, France.,Department of Dermatology, Mondor Hospital (AP-HP), Paris Est Créteil University, Créteil, France
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Jendoubi F, Shourick J, Negretto M, Laurent C, Apoil PA, Evrard S, Mansat-De Mas V, Severino-Freire M, Mailhol C, Degboé Y, Dubreuil P, Hermine O, Paul C, Bulai Livideanu C. Cutaneous mastocytosis in adults with a serum tryptase level < 20 ng mL -1 : why we should investigate further. Br J Dermatol 2021; 185:453-455. [PMID: 33811770 DOI: 10.1111/bjd.20098] [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] [Received: 01/13/2021] [Revised: 03/30/2021] [Accepted: 03/31/2021] [Indexed: 11/27/2022]
Affiliation(s)
- F Jendoubi
- Departments of, Department of, Dermatology, Toulouse University Hospital, Paul Sabatier University, Reference Centre for Mastocytosis (CEREMAST) Toulouse, Toulouse, France
| | - J Shourick
- Department of Epidemiology, Toulouse University Hospital, Paul Sabatier University, Toulouse, France
| | - M Negretto
- Departments of, Department of, Dermatology, Toulouse University Hospital, Paul Sabatier University, Reference Centre for Mastocytosis (CEREMAST) Toulouse, Toulouse, France
| | - C Laurent
- Department of, Anatomy and Pathological Cytology of Prof. Brousset, Toulouse University Hospital, Paul Sabatier University, Reference Centre for Mastocytosis (CEREMAST) Toulouse, Toulouse, France
| | - P A Apoil
- Immunology Clinical Laboratory, CEREMAST Toulouse, Toulouse, France
| | - S Evrard
- Department of, Anatomy and Pathological Cytology of Prof. Brousset, Toulouse University Hospital, Paul Sabatier University, Reference Centre for Mastocytosis (CEREMAST) Toulouse, Toulouse, France
| | - V Mansat-De Mas
- Department of Haematology, CEREMAST Toulouse, Toulouse, France
| | - M Severino-Freire
- Departments of, Department of, Dermatology, Toulouse University Hospital, Paul Sabatier University, Reference Centre for Mastocytosis (CEREMAST) Toulouse, Toulouse, France
| | - C Mailhol
- Department of Pneumo-allergology, CEREMAST Toulouse, Toulouse, France
| | - Y Degboé
- Department of Rheumatology, CEREMAST Toulouse, Toulouse University Hospital and Paul Sabatier University and INSERM UMR1043, Toulouse, France
| | - P Dubreuil
- CRCM, [CEREMAST, Marseille, Equipe Labellisée Ligue Contre le Cancer], INSERM, Institut Paoli-Calmettes, Aix-Marseille University, CNRS, Marseille, France
| | - O Hermine
- Haematology, CEREMAST Necker, AP-HP, Paris, France
| | - C Paul
- Departments of, Department of, Dermatology, Toulouse University Hospital, Paul Sabatier University, Reference Centre for Mastocytosis (CEREMAST) Toulouse, Toulouse, France
| | - C Bulai Livideanu
- Departments of, Department of, Dermatology, Toulouse University Hospital, Paul Sabatier University, Reference Centre for Mastocytosis (CEREMAST) Toulouse, Toulouse, France
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Abstract
Introduction Estimating the prevalence of diseases is crucial for the organization of healthcare. The amount of literature on a rare pathology could help differentiate between rare and very rare diseases. The objective of this work was to evaluate to what extent the number of publications can be used to predict the prevalence of a given pathology. Methods We queried Orphanet for the global prevalence class for all conditions for which it was available. For these pathologies, we cross-referenced the Orphanet, MeSH, and OMIM vocabularies to assess the number of publication available on Pubmed using three different query strategies (one proposed in the literature, and two built specifically for this study). We first studied the association of the number of publications obtained by each of these query strategies with the prevalence class, then their predictive ability. Results Class prevalence was available for 3128 conditions, 2970 had a prevalence class < 1/1,000,000, 41 of 1–9/1,000,000, 84 of 1–9/100,000, and 33 of 1–9/10,000. We show a significant association and excellent predictive performance of the number of publication, with an AUC over 94% for the best query strategy. Conclusion Our study highlights the link and the excellent predictive performance of the number of publications on the prevalence of rare diseases provided by Orphanet.
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Affiliation(s)
- Jason Shourick
- Department of Medical Informatics, Hôpital Européen Georges Pompidou, AP-HP, 20 Rue Leblanc, 75015, Paris, France.
| | - Maxime Wack
- Department of Medical Informatics, Hôpital Européen Georges Pompidou, AP-HP, 20 Rue Leblanc, 75015, Paris, France
| | - Anne-Sophie Jannot
- Department of Medical Informatics, Hôpital Européen Georges Pompidou, AP-HP, 20 Rue Leblanc, 75015, Paris, France.,INSERM, Centre de Recherche des Cordeliers, UMRS 1138, Université de Paris, Université Sorbonne Paris Cité, Paris, France
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41
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Condamina M, Shourick J, Seneschal J, Sbidian E, Andreu N, Pane I, Ravaud P, Tran VT, Ezzedine K. Factors associated with perceived stress in patients with vitiligo in the ComPaRe e-cohort. J Am Acad Dermatol 2021; 86:696-698. [PMID: 33684495 DOI: 10.1016/j.jaad.2021.02.083] [Citation(s) in RCA: 6] [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: 10/20/2020] [Revised: 02/20/2021] [Accepted: 02/27/2021] [Indexed: 10/22/2022]
Affiliation(s)
- Morgane Condamina
- Service de Dermatologie-Vénéréologie, CHU Robert Debré, Reims, France
| | - Jason Shourick
- AP-HP, Hôpital Henri-Mondor, Service de Dermatologie, Créteil, France; Université Paris-Est Créteil, EpiDermE-Epidemiology in Dermatology and Evaluation of Therapeutics, Creteil, France
| | - Julien Seneschal
- Service de Dermatologie, Centre de Référence des Maladies Rares de la Peau, Hôpital Saint André, CHU de Bordeaux, Bordeaux, France; INSERM U1035 Biothérapie des Maladies Génétiques Inflammatoires et Cancers, Immuno-Dermatologie ATIP AVENIR, Université de Bordeaux, Bordeaux, France
| | - Emilie Sbidian
- AP-HP, Hôpital Henri-Mondor, Service de Dermatologie, Créteil, France; Université Paris-Est Créteil, EpiDermE-Epidemiology in Dermatology and Evaluation of Therapeutics, Creteil, France
| | - Nicolas Andreu
- Service de Dermatologie, Centre de Référence des Maladies Rares de la Peau, Hôpital Saint André, CHU de Bordeaux, Bordeaux, France
| | - Isabelle Pane
- Centre de Recherche Épidémiologie et StatistiqueS (CRESS-Université de Paris, INSERM UMR1153), Paris, France; Centre d'épidémiologie clinique-Hôpital Hôtel-Dieu (AP-HP), Paris, France
| | - Philippe Ravaud
- Université Paris-Est Créteil, EpiDermE-Epidemiology in Dermatology and Evaluation of Therapeutics, Creteil, France; Centre d'épidémiologie clinique-Hôpital Hôtel-Dieu (AP-HP), Paris, France
| | - Viet-Thi Tran
- Centre de Recherche Épidémiologie et StatistiqueS (CRESS-Université de Paris, INSERM UMR1153), Paris, France; Centre d'épidémiologie clinique-Hôpital Hôtel-Dieu (AP-HP), Paris, France
| | - Khaled Ezzedine
- AP-HP, Hôpital Henri-Mondor, Service de Dermatologie, Créteil, France; Université Paris-Est Créteil, EpiDermE-Epidemiology in Dermatology and Evaluation of Therapeutics, Creteil, France.
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Buscail E, Canivet C, Shourick J, Chantalat E, Carrere N, Duffas JP, Philis A, Berard E, Buscail L, Ghouti L, Chaput B. Perineal Wound Closure Following Abdominoperineal Resection and Pelvic Exenteration for Cancer: A Systematic Review and Meta-Analysis. Cancers (Basel) 2021; 13:cancers13040721. [PMID: 33578769 PMCID: PMC7916499 DOI: 10.3390/cancers13040721] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 02/01/2021] [Accepted: 02/05/2021] [Indexed: 01/13/2023] Open
Abstract
Simple Summary Abdominoperineal resection (APR) and pelvic exenteration (PE) for the treatment of cancer (mainly anal and rectal cancers) require extensive pelvic resection with a high rate of postoperative complications. The objective of this work was to systematically review and meta-analyze the effects of vertical rectus abdominis myocutaneous flap (VRAMf) and mesh closure on perineal morbidity following APR and PE. The studies were distributed as follows: Group A comparing primary closure (PC) and VRAMf, Group B comparing PC and mesh closure, Group C comparing PC and VRAMf in PE. The meta-analysis of Groups A and B showed PC to be associated with an increase in the rate of total and major perineal wound complications. PC was associated with a decrease in total and major perineal complications in Group C. Abstract Background. Abdominoperineal resection (APR) and pelvic exenteration (PE) for the treatment of cancer require extensive pelvic resection with a high rate of postoperative complications. The objective of this work was to systematically review and meta-analyze the effects of vertical rectus abdominis myocutaneous flap (VRAMf) and mesh closure on perineal morbidity following APR and PE (mainly for anal and rectal cancers). Methods. We searched PubMed, Cochrane, and EMBASE for eligible studies as of the year 2000. After data extraction, a meta-analysis was performed to compare perineal wound morbidity. The studies were distributed as follows: Group A comparing primary closure (PC) and VRAMf, Group B comparing PC and mesh closure, and Group C comparing PC and VRAMf in PE. Results. Our systematic review yielded 18 eligible studies involving 2180 patients (1206 primary closures, 647 flap closures, 327 mesh closures). The meta-analysis of Groups A and B showed PC to be associated with an increase in the rate of total (Group A: OR 0.55, 95% CI 0.43–0.71; p < 0.01/Group B: OR 0.54, CI 0.17–1.68; p = 0.18) and major perineal wound complications (Group A: OR 0.49, 95% CI 0.35–0.68; p < 0.001/Group B: OR 0.38, 95% CI 0.12–1.17; p < 0.01). PC was associated with a decrease in total (OR 2.46, 95% CI 1.39–4.35; p < 0.01) and major (OR 1.67, 95% CI 0.90–3.08; p = 0.1) perineal complications in Group C. Conclusions. Our results confirm the contribution of the VRAMf in reducing major complications in APR. Similarly, biological prostheses offer an interesting alternative in pelvic reconstruction. For PE, an adapted reconstruction must be proposed with specialized expertise.
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Affiliation(s)
- Etienne Buscail
- Department of Digestive Surgery, Toulouse University Hospital, 31100 Toulouse, France; (E.B.); (C.C.); (N.C.); (J.-P.D.); (A.P.); (L.G.)
- INSERM, U1220, Digestive Health Research Institute (IRSD), University of Toulouse, 31100 Toulouse, France
| | - Cindy Canivet
- Department of Digestive Surgery, Toulouse University Hospital, 31100 Toulouse, France; (E.B.); (C.C.); (N.C.); (J.-P.D.); (A.P.); (L.G.)
- Department of Gastroenterology and Pancreatology, Toulouse University Hospital, 31100 Toulouse, France
| | - Jason Shourick
- Department of Epidemiology and Public Health, UMR 1027 INSERM, Toulouse University Hospital, University of Toulouse, 31100 Toulouse, France; (J.S.); (E.B.)
| | - Elodie Chantalat
- Department of Surgery, Oncopole, INSERM-UPS UMR U1048, Institute of Metabolic and Cardiovascular Diseases, University of Toulouse, 31100 Toulouse, France;
| | - Nicolas Carrere
- Department of Digestive Surgery, Toulouse University Hospital, 31100 Toulouse, France; (E.B.); (C.C.); (N.C.); (J.-P.D.); (A.P.); (L.G.)
| | - Jean-Pierre Duffas
- Department of Digestive Surgery, Toulouse University Hospital, 31100 Toulouse, France; (E.B.); (C.C.); (N.C.); (J.-P.D.); (A.P.); (L.G.)
| | - Antoine Philis
- Department of Digestive Surgery, Toulouse University Hospital, 31100 Toulouse, France; (E.B.); (C.C.); (N.C.); (J.-P.D.); (A.P.); (L.G.)
| | - Emilie Berard
- Department of Epidemiology and Public Health, UMR 1027 INSERM, Toulouse University Hospital, University of Toulouse, 31100 Toulouse, France; (J.S.); (E.B.)
| | - Louis Buscail
- Department of Gastroenterology and Pancreatology, Toulouse University Hospital, 31100 Toulouse, France
- Correspondence: ; Tel.: +33-5-61-32-30-55; Fax: +33-5-61-32-22-29
| | - Laurent Ghouti
- Department of Digestive Surgery, Toulouse University Hospital, 31100 Toulouse, France; (E.B.); (C.C.); (N.C.); (J.-P.D.); (A.P.); (L.G.)
| | - Benoit Chaput
- Department of Plastic and Reconstructive Surgery, Toulouse University Hospital, 31100 Toulouse, France;
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Dréno B, Khammari A, Seité S, Legrand C, Halioua B, Misery L, Ezzedine K, Shourick J, Taieb C. Impact of acne on the daily life of adult patients: building a self-administered patient questionnaire. J Eur Acad Dermatol Venereol 2021; 35:1212-1218. [PMID: 33506539 DOI: 10.1111/jdv.17134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Accepted: 12/10/2020] [Indexed: 12/12/2022]
Abstract
BACKGROUND Acne is a long-lasting disease in adolescents and adults impacting the patient's daily life. Currently, there is no specific questionnaire that assesses its impact in adult patients. AIM To build a self-administered questionnaire assessing the impact of acne on the daily life in adult patients. METHOD A multidisciplinary working group was created, including 3 experts in healthcare questionnaires and dermatologists specialized in acne. A questionnaire using a standardized methodology for designing self-administered patient questionnaires according to conceptual, development and validation phases was developed. A cultural and linguistic validation into US English was conducted, based on the original French version. RESULTS A 14-item questionnaire demonstrating consistency, reproducibility and high reliability was build. The questionnaire significantly correlated with the SF-12 mental and SF-12 physical scores and CADI, indicating good external validity. CONCLUSION The present acne burden questionnaire AI-ADL allows the practioner to assess quickly and easily the burden of acne in patients during his daily clinical practice. Moreover, its short format allows patients to express easily and quickly their feelings and to initiate a conversation between the practioner and his patient. Thus, AI-ADL may help to better understand the multidimensional nature of acne, as well as the individual impact on the acne patient's daily life and moreover, it may play a key role in the decision-making process of treatment initiation and involvement of the patient in the management of his acne.
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Affiliation(s)
- B Dréno
- Department of Oncodermatology, CHU Nantes, CRCINA, Inserm 1232, CIC 1413, University of Nantes, Nantes, France
| | - A Khammari
- Department of Oncodermatology, CHU Nantes, CRCINA, Inserm 1232, CIC 1413, University of Nantes, Nantes, France
| | - S Seité
- La Roche Posay Dermatological Laboratories, Levallois Perret, France
| | - C Legrand
- France Acné- Adolescents- Adultes, France3A, Association française de Patients, Vincennes, France
| | | | - L Misery
- Dermatology and Venerology Department, University Hospital, Brest, France
| | | | - J Shourick
- Department of Epidemiology, Hôpital de Toulouse, Toulouse, France
| | - C Taieb
- Patient-Priority, European Market Maintenance Assessment, Fontenay sous Bois, France
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Shourick J, Taïeb C, Seite S. Allergy - Patients with Atopic Dermatitis Express Themselves Through a Questionnaire. Clin Cosmet Investig Dermatol 2021; 13:1075-1077. [PMID: 33447067 PMCID: PMC7802332 DOI: 10.2147/ccid.s285943] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Accepted: 12/08/2020] [Indexed: 11/24/2022]
Abstract
Introduction Allergies are becoming more prevalent across the globe and can be linked to several skin diseases, particularly atopic dermatitis (AD). Disruption of the immune system in the skin can lead to inflammatory diseases such as atopic and contact dermatitis, skin infections, and allergies. This is especially evident in processes such as “atopic march”, where in childhood, the development of atopic dermatitis can later lead to food allergies, allergic rhinitis and asthma. Objective The aim of this international online survey is to study the link between self-reported doctor-diagnosed AD and allergy prevalence. Methodology Our survey queried a representative sample of the general population over the age of 18 from five countries (Brazil, China, Russia, the USA and France). Results A total of 9399 participants answered the entire online questionnaire. Among them, 2483 (26.4%) had an allergy diagnosed by a doctor (1243 with food allergies (13.2%), 1564 with respiratory allergies (16.6%) and 1669 with skin allergies (17.7%)). There were 794 (31.9%) participants with current AD in the allergy group and 640 (9.25%) in the group without allergies (p<0.001), and there were 1299 (52.3%) participants with CAD in the allergy group versus 1368 (19.8%) in the group without allergies (p<0.001). Multivariate analysis showed ORs of 3.24 [2.98, 3.63] (p<0.001) for current AD and 2.4 [2.09, 2.74] (p<0.001) for CAD. There was no significant interaction between AD and CAD (p=0.6). Conclusion A total of 26.4% of survey respondents reported having doctor-diagnosed allergies. Among these patients, half reported having AD during childhood, and 1/3 reported having a current AD. CAD and AD patients clearly have a higher risk of having an allergy than patients without CAD or AD.
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Affiliation(s)
- Jason Shourick
- Département Epidémiologie, Hôpital de Toulouse, Toulouse, France
| | - Charles Taïeb
- Patients Priority Department, European Market Maintenance Assessment, Fontenay Sous-bois, France
| | - Sophie Seite
- La Roche-Posay Dermatological Laboratories, Levallois Perret, France
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Berthelot E, Broussier A, Damy T, Donadio C, Cosson S, Rovani X, Salengro E, Billebeau G, Megbemado R, Rekik N, Richard K, Godreuil C, Shourick J, Assayag P, Belmin J, David J, Hittinger L. How a specialized cardiogeratric unit can improve Heart failure management: The ICREX-94 experience. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.110] [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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Misery L, Shourick J, Sénéschal J, Paul C, de Pouvourville G, Jullien D, Mahé E, Bachelez H, Aubert R, Joly P, Héas S, Reguiai Z, Ezzedine K, Taieb C, Richard MA. Use of mind-body practices by patients with psoriasis: results from a study on 2562 patients. J Eur Acad Dermatol Venereol 2020; 35:e305-e307. [PMID: 33277731 DOI: 10.1111/jdv.17061] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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)
- L Misery
- Department of Dermatology, University Hospital of Brest, Brest, France
| | | | - J Sénéschal
- Department of Dermatology, University Hospital of Bordeaux, Bordeaux, France
| | - C Paul
- Department of Dermatology, University Hospital of Toulouse, Toulouse, France
| | | | - D Jullien
- Department of Dermatology, Edouard Herriot Hospital, University Hospital of Lyon, Lyon, France
| | - E Mahé
- Department of Dermatology, Hospital of Argenteuil, Argenteuil, France
| | - H Bachelez
- Department of Dermatology, Saint Louis Hospital, AP-HP, Paris, France
| | - R Aubert
- Association France Psoriasis, Paris, France
| | - P Joly
- Department of Dermatology, University Hospital of Rouen, Rouen, France
| | - S Héas
- University of Rennes 2, Rennes, France
| | - Z Reguiai
- Department of Dermatology, Courlancy Polyclinic, Reims, France
| | - K Ezzedine
- Department of Dermatology, Henri Mondor Hospital, AP-HP, Créteil, France
| | - C Taieb
- EMMA, Fontenay sous Bois, France
| | - M A Richard
- Department of Dermatology, Timone Hospital, University Hospital of Marseille, Marseille, France
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Jullien D, Paul C, Shourick J, Sénéschal J, de Pouvourville G, Misery L, Mahé E, Bachelez H, Aubert R, Joly P, Héas S, Reguiai Z, Ezzedine K, Taieb C, Richard MA. Psoriasis: frequency and reasons for absenteeism results from a study on 1609 active patients. J Eur Acad Dermatol Venereol 2020; 35:e301-e303. [PMID: 33289175 DOI: 10.1111/jdv.17056] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- D Jullien
- Department of Dermatology, Edouard Herriot Hospital, University Hospital of Lyon, Lyon, France
| | - C Paul
- Department of Dermatology, University Hospital of Toulouse, Toulouse, France
| | - J Shourick
- Department of Epidemiology, University of Toulouse, Toulouse, France
| | - J Sénéschal
- Department of Dermatology, University Hospital of Bordeaux, Bordeaux, France
| | | | - L Misery
- Department of Dermatology, University Hospital of Brest, Brest, France
| | - E Mahé
- Department of Dermatology, Hospital of Argenteuil, Argenteuil, France
| | - H Bachelez
- Department of Dermatology, Saint Louis Hospital, AP-HP, Paris, France
| | - R Aubert
- Association France Psoriasis, Paris, France
| | - P Joly
- Department of Dermatology, University Hospital of Rouen, Rouen, France
| | - S Héas
- University of Rennes 2, Rennes, France
| | - Z Reguiai
- Department of Dermatology, Courlancy Polyclinic, Reims, France
| | - K Ezzedine
- Department of Dermatology, Henri Mondor Hospital, AP-HP, Créteil, France
| | - C Taieb
- Departement of Patients Priority, EMMA, Fontenay sous Bois, France
| | - M A Richard
- Department of Dermatology, Timone Hospital, University Hospital of Marseille, Marseille, France
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Hamann P, Shourick J, Laurent C, Skayem C. Impact de la crise de la COVID-19 sur les internes de dermatologie français. Ann Dermatol Venereol 2020. [PMCID: PMC7688279 DOI: 10.1016/j.annder.2020.09.239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Introduction Lors de la crise de la COVID-19, les internes de dermatologie, comme les autres professionnels de santé, ont été en première ligne. Nous avons souhaité évaluer l’impact de cette pandémie sur leurs pratiques professionnelles, leurs conditions de travail, leur formation universitaire et leur santé mentale. Matériel et méthodes Un questionnaire en ligne disponible du 17 au 26 avril a été envoyé à tous les internes français en dermatologie par la mailing list de l’association Futurs dermato-venerologues de France. Le questionnaire comprenait 104 questions dont le questionnaire de burn-out de Maslach. Des régressions logistiques multivariées ont été effectuées pour examiner les facteurs associés au maintien d’une activité de dermatologie, une moins bonne supervision, une dégradation de la formation et les causes rapportées, et l’impact psychologique via un score de burn-out. Résultats Les internes déclarant une moins bonne supervision étaient les internes les plus avancés dans le cursus (OR 3,24 IC [1,65 ; 6,65], p < 0,001) ou en stage en CH périphériques (OR 2,21 IC [1,14 ; 4,46], p = 0,022). Pour 181 (76 %) internes, la pandémie a eu un effet négatif sur leur formation. La cause principale rapportée par 175 (74 %) d’entre eux était l’annulation des cours et des congrès. Il n’y avait de différence significative, entre les internes des zones fortement touchées ou non concernant la dégradation de leur formation ou des causes possibles liées à cette dégradation. Aucun interne n’était exempt de symptômes de burn-out, cinq (2 %) présentaient des symptômes intermédiaires, 43 (18 %) étaient fortement touchés dans 1 dimension, 76 (32 %) dans 2 et 112 (47 %) dans 3, sans différence significative entre les zones fortement et moins touchées. Discussion La crise de la COVID-19 a mis en tension notre système de santé mais également notre capacité à maintenir des activités essentielles pour les internes comme l’enseignement. Ces difficultés n’ont pas été exclusivement du fait du changement d’activité ou de la submersion des services par des patients atteints de la COVID-19, puisque la dégradation de la formation n’était pas corrélée à la situation géographique. La mise en place d’outils dématérialisés pour maintenir un lien et une formation adéquate n’a pas pu être mis en œuvre rapidement et efficacement durant la crise. Des stratégies pour accroître l’utilisation des outils numériques de formation et la télé-dermatologie semblent être des armes essentielles pour lutter en temps de crise épidémique avec le moins de répercussions sur leur travail et leur formation. Ces outils sont également adaptés aux nouvelles générations et aux nouveaux modes d’organisation du travail dans la société, dépassant même le cadre de la médecine et de la dermatologie.
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Zimmerman C, Drahy F, Shourick J, Montlahuc C, Hua C, Bouaziz JD, Chosidow O, Wolkenstein P, Bagot M, Duong T. Urgences dermatologiques : quelles consultations dans 2 centres hospitalo-universitaires ? Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.346] [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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Linder C, Shourick J, Touhouche A, Giordano-Labadie F, Severino-Freire M, Borjesson C, Richet C, Marguery MC, Tauber M, Paul C. Analyse des patients non-répondeurs au dupilumab traités pour une dermatite atopique en vie réelle. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.095] [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: 10/22/2022]
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