Objective: the development and verification of a scale for identifying patients at high risk of osteoarthritis (OA).Material and methods. The results of the analysis of a sample of patients aged 35–90 years from the database of the Institute of Trace Elements (n=3440), which included information on clinical and anamnestic, diagnostic parameters and pharmacotherapy of patients, including patients with OA (n=107), are presented. To analyze information about patients, modern methods of data analysis proposed within the topological theory of pattern recognition were used.Results. Based on the analysis of the sample, a 100-point scale of 27 points was developed which allows to identify patients at high risk of OA (sensitivity 88%, specificity 100%). For patients with high scores on the scale, a kind of “preemptive” prescription of symptomatic slowacting drugs for osteoarthritis (SySADOA) based on highly purified substances of chondroitin sulfate (CS) and glucosamine sulfate (GS) is promising. The evidence for CS/GS is extensive and has been reviewed previously.Conclusion. Early adoption of preventive measures (including the usage of SySADOA – CS/GS) in patients with a high score on the developed scale may reduce the risk of OA.
Цель. Метаанализ восьми контролируемых исследований (n=771, возраст -53,6±6,2 лет) применения препарата Хондрогард (ХГ) (100 мг в/м первые 3 инъекции, с 4-й инъекции -по 200 мг в/м, ч/д, курс -20−30 инъекций) в комплексной терапии остеоартрита (ОА).Материалы и методы. В метаанализ по модели фиксированных эффектов вошли все опубликованные клинические исследования эффективности и безопасности использования препарата ХГ при ОА. Эффективность терапии оценивалась по шкалам/индексам ВАШ, Лекена, WOMAC. По каждому исследованию была собрана информация по 23 показателям. Анализ данных проводился программными пакетами MEDSTUDY и "R".
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