“…Прогрессирование заболевания в первую оче-редь связано с пролиферацией костной ткани, проявляющейся в основном ростом синдесмо-фитов (и/или энтезофитов) и процессом анки-лозирования, как правило, КПС [1,2].…”
unclassified
“…Появив-шийся за последние полтора десятилетия но-вый класс лекарственных средств -ингиби-торы фактора некроза опухоли α (иФНОα) -обеспечивают быстрое клиническое улучше-ние и положительное влияние на качество жизни при СпА [2][3][4][5][6]. Кроме того, имеются данные, что при длительном их применении замедляется прогрессирование болезни [7].…”
The paper provides guidelines for the use of tumor necrosis factor-α (TNF-α) inhibitors in the treatment of patients with axial spondyloarthritis (axSpA), including ankylosing spondylitis. It gives data on the efficacy of TNF-α inhibitors in patients with non-radiographic axSpA. By using international and Russian guidelines, the authors lay down indications for this therapy and criteria for evaluation of its efficiency and safety. Key words: axial spondyloarthritis; ankylosing spondylitis; tumor necrosis factor-α (TNF-α) inhibitors; efficacy; safety. For reference: Lapshina SA, Dubinina TV, Badokin VV, et al. Tumor necrosis factor-α inhibitors in the treatment of axial spondyloarthritis, including ankylosing spondylitis.
“…Прогрессирование заболевания в первую оче-редь связано с пролиферацией костной ткани, проявляющейся в основном ростом синдесмо-фитов (и/или энтезофитов) и процессом анки-лозирования, как правило, КПС [1,2].…”
unclassified
“…Появив-шийся за последние полтора десятилетия но-вый класс лекарственных средств -ингиби-торы фактора некроза опухоли α (иФНОα) -обеспечивают быстрое клиническое улучше-ние и положительное влияние на качество жизни при СпА [2][3][4][5][6]. Кроме того, имеются данные, что при длительном их применении замедляется прогрессирование болезни [7].…”
The paper provides guidelines for the use of tumor necrosis factor-α (TNF-α) inhibitors in the treatment of patients with axial spondyloarthritis (axSpA), including ankylosing spondylitis. It gives data on the efficacy of TNF-α inhibitors in patients with non-radiographic axSpA. By using international and Russian guidelines, the authors lay down indications for this therapy and criteria for evaluation of its efficiency and safety. Key words: axial spondyloarthritis; ankylosing spondylitis; tumor necrosis factor-α (TNF-α) inhibitors; efficacy; safety. For reference: Lapshina SA, Dubinina TV, Badokin VV, et al. Tumor necrosis factor-α inhibitors in the treatment of axial spondyloarthritis, including ankylosing spondylitis.
Objective: to conduct a cost-effectiveness study of major biologic disease-modifying antirheumatic drugs (bDMARDs) used for the treatment of ankylosing spondylitis (AS) in Russian health care system with the focus on the new effective drug netakimab (NTK).Patients and methods. Based on the available meta-analysis, a Markov model for therapy was constructed using reference drugs. Then, based on the simulation results, a Cost-Effectiveness Analysis (CEA) and a Budget Impact Analysis (BIA) were carried out. The robustness of the result has been confirmed by several sensitivity analyzes.Results and discussion. NTK showed an advantage in CEA, including the cases when the direct costs of therapy were lower for the reference drug (which shows the greater efficacy of NTK). According to the BIA, the extension of NTK administration in naive patients was consistently associated with a decrease in the budgetary burden. Sensitivity analyzes confirmed the robustness of the result.Conclusion. NTK has clinical and economic advantage in the treatment of AS, it is attractive in terms of both patient's and health care benefit in general. More extensive use of NTK can save more than 5 billion RUB.
A difficult airway is a life-threatening clinical situation in which a trained anesthesiologist experiences difficulty ventilating the upper airway with a tight mask, difficulty intubation the trachea, or both. This is an important socio-economic problem that makes a significant contribution to the structure of intraoperative mortality and disability of patients. A clinical observation of difficult airways in a patient with ankylosing spondylitis who was scheduled to have a brain tumor removed is presented.
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