Stephenson Berger (singlesaw3)

In the overall population, adalimumab significantly lowered absenteeism [mean (95% confidence interval) reduction, 18.9% (13.3-24.5%); = 100]; presenteeism [40.0% (33.8-46.3%); = 98], overall work productivity impairment [46.8% (40.4-53.2%); = 94], activity impairment [47.0% (44.3-49.6); = 421], and the MOS-SS sleep problems index [31.6 (29.5-34.1); = 421] after 24-month treatment ( < 0.001). Significant improvements were also noted across the RA, PsA, and AS subpopulations ( < 0.05). Improvements in overall work impairment and sleep disturbance positively correlated with improvements in disease activity measures. Adalimumab improves work productivity and sleep problems while lowering disease activity in patients with moderate to severe RA, PsA, and AS managed in real-world settings. Adalimumab improves work productivity and sleep problems while lowering disease activity in patients with moderate to severe RA, PsA, and AS managed in real-world settings. Data regarding the real-life predictors of low disease activity (LDA) in rheumatoid arthritis (RA) patients are limited. Our aim was to evaluate the rate and predictors of LDA and treatment patterns in RA. This was a multicenter, prospective, RA cohort study where patients were evaluated in two different time points approximately 12 months apart. Statistical analysis was performed in order to identify predictors of LDA while patterns of disease-modifying anti-rheumatic drug [DMARDs; conventional synthetic (csDMARD) or biologic (bDMARD)] and glucocorticoid (GC) use were also recorded. The total number of patients included was 1317 (79% females, mean age 62.9 years, mean disease duration 10.3 years). After 1 year, 57% had achieved LDA (DAS28ESR<3.2) while 43% did not (34% moderate disease activity DAS28ESR ⩾3.2 to <5.1, 9% high disease activity, DAS28ESR ⩾5.1). By multivariate analysis, male sex was positively associated with LDA [odds ratio (OR) = 2.29 < 0.001] whereas advanced age (OR = 0.98idity index were independent factors associated with LDA while use of GCs or ⩾2 bDMARDs were negative predictors. Recent literature regarding the outcome of cancer patients infected with COVID-19 are not encouraging. Selleck alpha-Naphthoflavone Nevertheless, current evidence on the risk and benefits of continuing oncological treatment of cancer patients during the pandemic remains insufficient. We provide our experience in a center with high access for patients with COVID-19-associated pneumonia in Lombardy, Italy. We conducted a retrospective study using a prospectively maintained database of patients admitted to our hospital between 25 February 2020 and 9 April 2020 with a confirmed diagnosis of COVID-19 pneumonia. A total of 53 patients with a history or current oncological disease were included in this study. Sixteen oncological patients (30.2%) died during hospitalization. Multivariable logistic regression analysis found that age (Odds ratio [OR] 1.17, = 0.009), diabetes (OR 15.05, = 0.028) and active oncological disease (OR 13.60, = 0.015) were independently associated with in-hospital mortality. The mortality rate of the total number of cancer patients is about twice as high as that of non-oncological patients admitted to our hospital with a diagnosis of COVID-19. The presence of active oncological disease is independently related to mortality as well as age and diabetes. The majority of patients who died were frail. Careful evaluation of the risks and benefits of treatment in frail patients is needed, considering that difficult access to intensive care may have affected the mortality rate. The presence of active oncological disease is independently related to mortality as well as age and diabetes. The majority of patients who died were frail. Careful evaluation of the risks and benefits of treatment