Lancet Rheumatology最新文献

{"title":"Assessing the impact of health-care access on the severity of low back pain by country: a case study within the GBD framework","authors":"YiFan Wu MPH ,&nbsp;Sarah Wulf Hanson PhD ,&nbsp;Garland Culbreth PhD ,&nbsp;Caroline Purcell MD ,&nbsp;Prof Peter Brooks MD ,&nbsp;Prof Jacek Kopec PhD ,&nbsp;Prof Lyn March PhD ,&nbsp;Prof Anthony D Woolf FRCP ,&nbsp;Maja Pasovic MEd MA ,&nbsp;Erin Hamilton MPH ,&nbsp;Damian Santomauro PhD ,&nbsp;Prof Theo Vos PhD","doi":"10.1016/S2665-9913(24)00151-6","DOIUrl":"10.1016/S2665-9913(24)00151-6","url":null,"abstract":"<div><h3>Background</h3><p>The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) is key for policy making. Low back pain is the leading cause of disability in terms of years lived with disability (YLDs). Due to sparse data, a current limitation of GDB is that a uniform severity distribution is presumed based on 12-Item Short Form Health Survey scores derived from US Medical Expenditure Panel Surveys (MEPS). We present a novel approach to estimate the effect of exposure to health interventions on the severity of low back pain by country and over time.</p></div><div><h3>Methods</h3><p>We extracted treatment effects for ten low back pain interventions from the Cochrane Database, combining these with coverage data from the MEPS to estimate the hypothetical severity in the absence of treatment in the USA. Severity across countries was then graded using the Health Access and Quality Index, allowing estimates of averted and avoidable burden under various treatment scenarios.</p></div><div><h3>Findings</h3><p>We included 210 trials from 36 Cochrane systematic reviews in the network analysis. The pooled effect sizes (measured as a standardised mean difference) for the most effective intervention classes were –0·460 (95% uncertainty interval –0·606 to –0·309) for a combination of psychological and physical interventions and –0·366 (–0·525 to –0·207) for surgery. Globally, access to treatment averted an estimated 17·6% (14·8 to 23·8) of the low back pain burden in 2020. If all countries had provided access to treatment at a level estimated for Iceland with the highest Health Access and Quality Index score, an extra 9·1% (6·4 to 11·2) of the burden of low back pain could be avoided. Even with full coverage of optimal treatment, a large proportion (65·9% [56·9 to 70·4]) of the low back pain burden is unavoidable.</p></div><div><h3>Interpretation</h3><p>This methodology fills an important shortcoming in the GBD by accounting for low back pain severity variations over time and between countries. Assumptions of unequal treatment access increased YLD estimates in resource-poor settings, with a modest decrease in countries with higher Health Access and Quality Index scores. Nonetheless, the large proportion of unavoidable burden indicates poor intervention efficacy. This method, applicable to other GBD conditions, provides policy makers with insights into health gains from improved treatment and underscores the importance of investing in research for new interventions.</p></div><div><h3>Funding</h3><p>Bill and Melinda Gates Foundation and Queensland Health.</p></div>","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":"6 9","pages":"Pages e598-e606"},"PeriodicalIF":15.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2665991324001516/pdfft?md5=8e167b58ec88f1ff73244d66e7292371&pid=1-s2.0-S2665991324001516-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards improving the Global Burden of Disease estimates for low back pain","authors":"Mark Hancock ,&nbsp;Alice Kongsted","doi":"10.1016/S2665-9913(24)00182-6","DOIUrl":"10.1016/S2665-9913(24)00182-6","url":null,"abstract":"","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":"6 9","pages":"Pages e588-e589"},"PeriodicalIF":15.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic lupus erythematosus in Aboriginal and Torres Strait Islander peoples in Australia: addressing disparities and barriers to optimising patient care","authors":"","doi":"10.1016/S2665-9913(24)00095-X","DOIUrl":"10.1016/S2665-9913(24)00095-X","url":null,"abstract":"<div><div>The first inhabitants of Australia and the traditional owners of Australian lands are the Aboriginal and Torres Strait Islander<span><span><span> peoples. Aboriginal and Torres Strait Islander peoples are two to four times more likely to have systemic lupus erythematosus (SLE) than the general Australian population. Phenotypically, SLE appears distinctive in Aboriginal and Torres Strait Islander peoples and its severity is substantially increased, with mortality rates up to six times higher than in the general Australian population with SLE. In particular, Aboriginal and Torres Strait Islander peoples with SLE have increased prevalence of </span>lupus nephritis and increased rates of progression to end-stage kidney disease. The reasons for the increased prevalence and severity of SLE in this population are unclear, but socioeconomic, environmental, and biological factors are all likely to be implicated, although there are no published studies investigating these factors in Aboriginal and Torres Strait Islander peoples with SLE specifically, indicating an important knowledge gap. In this Review, we summarise the data on the incidence, prevalence, and clinical and biological findings relating to SLE in Aboriginal and Torres Strait Islander peoples and explore potential factors contributing to its increased prevalence and severity in this population. Importantly, we identify </span>health disparities and deficiencies in health-care provision that limit optimal care and outcomes for many Aboriginal and Torres Strait Islander peoples with SLE and highlight potentially addressable goals to improve outcomes.</span></div></div>","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":"6 10","pages":"Pages e713-e726"},"PeriodicalIF":15.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Painful scalp nodules in SAPHO syndrome.","authors":"Clément Triaille, Victor Kokta, Julie Powell, Jean Jacques De Bruycker","doi":"10.1016/S2665-9913(24)00161-9","DOIUrl":"https://doi.org/10.1016/S2665-9913(24)00161-9","url":null,"abstract":"","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":" ","pages":""},"PeriodicalIF":15.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of telehealth during and after the COVID-19 pandemic and preferences for future care of people with systemic sclerosis: a cross-sectional study","authors":"","doi":"10.1016/S2665-9913(24)00166-8","DOIUrl":"10.1016/S2665-9913(24)00166-8","url":null,"abstract":"","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":"6 10","pages":"Pages e660-e663"},"PeriodicalIF":15.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pachydermodactyly: mimic of arthritis in a young man.","authors":"Cassandra Michelle Skinner-Taylor, Pablo Gamez-Siller, Brenda Cantu-Garza, Hector Guerra, Héctor Teodoro Rios-Bazaldua, Dionicio Angel Galarza-Delgado, Jesus Alberto Cardenas-de la Garza","doi":"10.1016/S2665-9913(24)00158-9","DOIUrl":"https://doi.org/10.1016/S2665-9913(24)00158-9","url":null,"abstract":"","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":" ","pages":""},"PeriodicalIF":15.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engagement of people with lived experience in studies published in high-impact rheumatology journals: a meta-research review","authors":"","doi":"10.1016/S2665-9913(24)00165-6","DOIUrl":"10.1016/S2665-9913(24)00165-6","url":null,"abstract":"","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":"6 9","pages":"Pages e593-e595"},"PeriodicalIF":15.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research in Brief","authors":"Jennifer Thorley","doi":"10.1016/S2665-9913(24)00163-2","DOIUrl":"https://doi.org/10.1016/S2665-9913(24)00163-2","url":null,"abstract":"","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":"6 7","pages":"Page e421"},"PeriodicalIF":25.4,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141423968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contesting the BACPAP consortium's consensus – Authors' reply","authors":"Eva Kosek ,&nbsp;Jo Nijs ,&nbsp;Alessandro Chiarotto ,&nbsp;Chad Cook ,&nbsp;Lieven A Danneels ,&nbsp;César Fernández-de-las-Peñas ,&nbsp;Paul W Hodges ,&nbsp;Bart Koes ,&nbsp;Adriaan Louw ,&nbsp;Raymond Ostelo ,&nbsp;Gwendolyne G M Scholten-Peeters ,&nbsp;Michele Sterling ,&nbsp;Othman Alkassabi ,&nbsp;Hana Alsobayel ,&nbsp;Darren Beales ,&nbsp;Paraskevi Bilika ,&nbsp;Jacqui R Clark ,&nbsp;Liesbet De Baets ,&nbsp;Christophe Demoulin ,&nbsp;Rutger M J de Zoete ,&nbsp;Steven Z George","doi":"10.1016/S2665-9913(24)00130-9","DOIUrl":"https://doi.org/10.1016/S2665-9913(24)00130-9","url":null,"abstract":"","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":"6 7","pages":"Pages e419-e420"},"PeriodicalIF":25.4,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141424327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital self-management for back pain in the UK","authors":"The Lancet Rheumatology","doi":"10.1016/S2665-9913(24)00164-4","DOIUrl":"https://doi.org/10.1016/S2665-9913(24)00164-4","url":null,"abstract":"","PeriodicalId":48540,"journal":{"name":"Lancet Rheumatology","volume":"6 7","pages":"Page e411"},"PeriodicalIF":25.4,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141424328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}