Titre : Tests fonctionnels de l'axe hypophysosurrénalien

Tests fonctionnels de l'axe hypophysosurrénalien : Questions médicales fréquentes

Termes MeSH sélectionnés :

Network Meta-Analysis
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suppression à la dexaméthasone ?\nQuels symptômes justifient ces tests ?", "url": "https://questionsmedicales.fr/mesh/D010912?mesh_terms=Network+Meta-Analysis&page=2#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Tests fonctionnels de l'axe hypophysosurrénalien", "description": "Quels symptômes indiquent un dysfonctionnement surrénalien ?\nComment reconnaître le syndrome de Cushing ?\nQuels signes d'insuffisance surrénalienne ?\nQuels symptômes d'un excès de cortisol ?\nQuels symptômes d'un déficit en cortisol ?", "url": "https://questionsmedicales.fr/mesh/D010912?mesh_terms=Network+Meta-Analysis&page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Tests fonctionnels de l'axe hypophysosurrénalien", "description": "Peut-on prévenir les troubles surrénaliens ?\nComment réduire le stress pour protéger les surrénales ?\nL'alimentation influence-t-elle la santé surrénalienne ?\nQuels examens préventifs sont recommandés ?\nComment éviter les médicaments à risque pour les surrénales ?", "url": "https://questionsmedicales.fr/mesh/D010912?mesh_terms=Network+Meta-Analysis&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Tests fonctionnels de l'axe hypophysosurrénalien", "description": "Comment traiter le syndrome de Cushing ?\nQuel traitement pour l'insuffisance surrénalienne ?\nQuels médicaments pour réguler le cortisol ?\nComment gérer les effets secondaires des traitements ?\nY a-t-il des traitements naturels pour ces troubles ?", "url": "https://questionsmedicales.fr/mesh/D010912?mesh_terms=Network+Meta-Analysis&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Tests fonctionnels de l'axe hypophysosurrénalien", "description": "Quelles complications peuvent survenir avec le syndrome de Cushing ?\nQuels risques d'une insuffisance surrénalienne non traitée ?\nComment les troubles surrénaliens affectent-ils la santé mentale ?\nQuelles complications liées aux traitements hormonaux ?\nQuels impacts sur la qualité de vie ?", "url": "https://questionsmedicales.fr/mesh/D010912?mesh_terms=Network+Meta-Analysis&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Tests fonctionnels de l'axe hypophysosurrénalien", "description": "Quels facteurs augmentent le risque de syndrome de Cushing ?\nY a-t-il des prédispositions génétiques ?\nComment le stress influence-t-il les troubles surrénaliens ?\nQuels antécédents médicaux sont des facteurs de risque ?\nL'alimentation joue-t-elle un rôle dans ces troubles ?", "url": "https://questionsmedicales.fr/mesh/D010912?mesh_terms=Network+Meta-Analysis&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Quels tests évaluent l'axe hypophysosurrénalien ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Les tests de stimulation à l'ACTH et le test de suppression à la dexaméthasone sont courants." } }, { "@type": "Question", "name": "Comment interpréter un taux élevé de cortisol ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Un taux élevé peut indiquer un syndrome de Cushing ou une hyperplasie surrénalienne." } }, { "@type": "Question", "name": "Quel est le rôle du test de stimulation à l'ACTH ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Il évalue la capacité des glandes surrénales à produire du cortisol en réponse à l'ACTH." } }, { "@type": "Question", "name": "Quand réaliser un test de suppression à la dexaméthasone ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Il est effectué pour diagnostiquer le syndrome de Cushing en vérifiant la réponse au cortisol." } }, { "@type": "Question", "name": "Quels symptômes justifient ces tests ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes comme fatigue, prise de poids ou hypertension peuvent nécessiter ces tests." } }, { "@type": "Question", "name": "Quels symptômes indiquent un dysfonctionnement surrénalien ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Fatigue, perte de poids, hypotension et troubles de l'humeur sont des signes fréquents." } }, { "@type": "Question", "name": "Comment reconnaître le syndrome de Cushing ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Obésité centrale, vergetures, et hypertension artérielle sont des indicateurs clés." } }, { "@type": "Question", "name": "Quels signes d'insuffisance surrénalienne ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent fatigue extrême, hypotension, et hyperpigmentation de la peau." } }, { "@type": "Question", "name": "Quels symptômes d'un excès de cortisol ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent prise de poids, acné, et irrégularités menstruelles chez les femmes." } }, { "@type": "Question", "name": "Quels symptômes d'un déficit en cortisol ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes peuvent inclure faiblesse musculaire, nausées et perte d'appétit." } }, { "@type": "Question", "name": "Peut-on prévenir les troubles surrénaliens ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une détection précoce et un suivi médical régulier peuvent aider à prévenir des complications." } }, { "@type": "Question", "name": "Comment réduire le stress pour protéger les surrénales ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Des techniques comme la méditation, le yoga et l'exercice régulier peuvent être bénéfiques." } }, { "@type": "Question", "name": "L'alimentation influence-t-elle la santé surrénalienne ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une alimentation riche en nutriments et faible en sucre peut soutenir la santé surrénalienne." } }, { "@type": "Question", "name": "Quels examens préventifs sont recommandés ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Des bilans hormonaux réguliers peuvent aider à détecter des anomalies précocement." } }, { "@type": "Question", "name": "Comment éviter les médicaments à risque pour les surrénales ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Évitez les corticostéroïdes non prescrits et consultez toujours un médecin avant tout traitement." } }, { "@type": "Question", "name": "Comment traiter le syndrome de Cushing ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement peut inclure la chirurgie, la radiothérapie ou des médicaments pour réduire le cortisol." } }, { "@type": "Question", "name": "Quel traitement pour l'insuffisance surrénalienne ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement principal est le remplacement hormonal avec des corticostéroïdes." } }, { "@type": "Question", "name": "Quels médicaments pour réguler le cortisol ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Des médicaments comme le kétoconazole ou la mitotane peuvent être prescrits." } }, { "@type": "Question", "name": "Comment gérer les effets secondaires des traitements ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Il est essentiel de surveiller régulièrement les effets secondaires et d'ajuster les doses." } }, { "@type": "Question", "name": "Y a-t-il des traitements naturels pour ces troubles ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Certaines approches comme la gestion du stress et une alimentation équilibrée peuvent aider." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec le syndrome de Cushing ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent le diabète, l'hypertension et les maladies cardiovasculaires." } }, { "@type": "Question", "name": "Quels risques d'une insuffisance surrénalienne non traitée ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut entraîner une crise surrénalienne, potentiellement mortelle sans traitement." } }, { "@type": "Question", "name": "Comment les troubles surrénaliens affectent-ils la santé mentale ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Ils peuvent provoquer des troubles de l'humeur, de l'anxiété et des dépressions." } }, { "@type": "Question", "name": "Quelles complications liées aux traitements hormonaux ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements peuvent entraîner des effets secondaires comme l'ostéoporose et le diabète." } }, { "@type": "Question", "name": "Quels impacts sur la qualité de vie ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les troubles surrénaliens peuvent affecter l'énergie, l'humeur et les activités quotidiennes." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de syndrome de Cushing ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'obésité, le stress chronique et certains médicaments comme les corticostéroïdes sont des facteurs de risque." } }, { "@type": "Question", "name": "Y a-t-il des prédispositions génétiques ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Certaines conditions génétiques, comme le syndrome de Cushing familial, augmentent le risque." } }, { "@type": "Question", "name": "Comment le stress influence-t-il les troubles surrénaliens ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Le stress chronique peut perturber la production hormonale et aggraver les troubles surrénaliens." } }, { "@type": "Question", "name": "Quels antécédents médicaux sont des facteurs de risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Des antécédents de maladies endocriniennes ou de traitements hormonaux augmentent le risque." } }, { "@type": "Question", "name": "L'alimentation joue-t-elle un rôle dans ces troubles ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation déséquilibrée peut contribuer à des troubles hormonaux et à l'obésité." } } ] } ] }

Sources (10000 au total)

Network Meta-analysis of Different Treatments for Vestibular Migraine.

Although one of the major presentations of vestibular migraine is dizziness with/without unsteady gait, it is still classified as one of the migraine categories. However, in contrast to ordinary migra... The objective of this current network meta-analysis (NMA) was to compare the efficacy and acceptability of individual treatment strategies in patients with vestibular migraine.... The PubMed, Embase, ScienceDirect, ProQuest, Web of Science, ClinicalKey, Cochrane Central, and ClinicalTrials.gov databases were systematically searched for randomized controlled trials (RCTs), with ... Seven randomized controlled trials (N = 828, mean age 37.6 years, 78.4% female) and seven active regimens were included. We determined that only valproic acid (standardized mean difference [SMD] -1.61... The current study provides evidence that only valproic acid, propranolol, and venlafaxine might be associated with beneficial efficacy in vestibular migraine treatment.... CRD42023388343....

Preventive Medications in Pediatric Migraine: A Network Meta-Analysis.

Pediatric migraine substantially impacts quality of life and academic performance among children and adolescents. Understanding the efficacy and safety of pharmacological interventions for migraine pr... To conduct a comprehensive network meta-analysis to evaluate the efficacy and safety associated with pharmacological treatments for pediatric migraine prophylaxis among pediatric patients with a migra... PubMed, Embase, and SCOPUS were searched for publications up to September 2023. Search terms and indexing were chosen to encompass relevant studies, focusing on randomized clinical trials in pediatric... Inclusion criteria targeted randomized clinical trials involving pediatric patients with migraine. Studies were selected based on their examination of oral pharmacological interventions. The search yi... Data extraction adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines. Five investigators independently extracted study data into a spreadsheet in duplicat... The primary outcome was migraine frequency (number of attacks per month). Secondary outcomes included a 50% or greater responder rate, headache duration, headache intensity, and disability (assessed b... The analysis incorporated 45 trials with 3771 participants. Compared with placebo, pregabalin (ratio of means [RoM], 0.38; 95% CI, 0.18-0.79) and topiramate with vitamin D3 (RoM, 0.44; 95% CI, 0.30-0.... In this network meta-analysis of randomized clinical trials, topiramate and pregabalin were associated with reduction in headache frequency and intensity. Although there were also other drugs that sho...

Efficacy of Laser in Hair Removal: A Network Meta-analysis.

Laser hair removal is an increasingly prevalent trend of cosmetic procedures. The purpose of this study was to assess the effectiveness of hair reduction among several types of laser interventions.... The selected studies searched in PubMed and EMBASE were assessed for quality of evidence, and extracted data on absolute hair count and hair reduction rate. Qualitative data were synthesized using sta... A total of 13 randomized controlled trials (RCTs) (... Eliminating unwanted hair with lasers or intense pulsed light is safe and effective; however, which type of intervention is more beneficial in the long-term process should be studied with a longer fol...

A network meta-analysis of arthroscopic rotator cuff repair.

Rotator cuff tear is a common shoulder injury that often leads to serious limitations in daily life. Herein, a network Meta-analysis using frequency theory was performed to evaluate the clinical outco... PubMed, EMbase, The Cochrane Library, and Web of Science were searched for randomized controlled trials and cohort studies comparing rotator cuff repair techniques published from inception to May 2022... A total of 51 articles were finally included, including 27 randomized controlled trials and 24 cohort studies. Results from the network Meta-analysis showed that: (1) In terms of the American Shoulder... Based on the results of network Meta-analysis and surface under the cumulative ranking, platelet-rich plasma therapy, bone marrow stimulation, and double-row repair have good overall rehabilitation ef...

Treatment of children with infantile spasms: A network meta-analysis.

We performed a systematic review and network meta-analysis (NMA) to obtain comparative effectiveness estimates and rankings of non-surgical interventions used to treat infantile spasms.... All randomized controlled trials (RCTs) including children 2 months to 3 years of age with infantile spasms (with hypsarrhythmia or hypsarrhythmia variants on electroencephalography) receiving appropr... Twenty-two RCTs comparing first-line treatments for infantile spasms were reviewed; of these, 17 were included in the NMA. Both frequentist and Bayesian network rankings for electroclinical remission ... Treatments including ACTH and high dose prednisolone are more effective in achieving electroclinical and clinical remissions for infantile spasms.... Adrenocorticotropic hormone and high dose prednisolone are more effective than other medications for infantile spasms. Symptomatic etiology decreases the likelihood of remission even after adjusting f...

Comparison of interventions for Barrett's esophagus: A network meta-analysis.

Barrett's esophagus (BE) is a precancerous condition that has the potential to develop into esophageal cancer (EC). Currently, there is a wide range of management options available for individuals at ... Data extracted from eligible randomized controlled trials were utilized in a Bayesian network meta-analysis to examine the relative effectiveness of BE's treatment regimens and determine their ranking... We identified twenty-three RCT studies with a total of 1675 participants, and ten different interventions. Regarding complete ablation of non-dysplastic BE, the comparative effectiveness ranking indic... Endoscopic surveillance alone or PPI/H2RA alone may not be sufficient for managing BE, even in cases of non-dysplastic BE. However, APC has shown excellent efficacy in treating non-dysplastic BE. For ...

Treatment of diabetic kidney disease. A network meta-analysis.

Diabetic kidney disease (DKD) is a health burden of rising importance. Slowing progression to end stage kidney disease is the main goal of drug treatment. The aim of this analysis is to compare drug t... We searched Medline, CENTRAL and clinicaltrials.gov for randomized, controlled studies including adults with DKD treated with the following drugs of interest: single angiotensin-converting-enzyme-inhi... Of initial 3489 publications, 38 clinical trials were found eligible, in total including 42346 patients. Concerning the primary endpoints overall mortality and end stage kidney disease, SGLT2i on top ... As the only drug class, SGLT2i showed in our analysis beneficial effects on top of ACEi/ARB treatment regarding mortality and end stage kidney disease and by that reconfirmed its position as treatment...

Pharmaceutical Therapies for the Treatment of Obesity: A Network Meta-analysis.

Despite the introduction of various pharmaceutical therapies for treating obesity, selecting the optimal treatment remains challenging for both patients and physicians. Therefore, in this network meta... International databases, including PubMed, Web of Science, Scopus, Cochrane Library, and Embase, were searched for studies published from database inception to April 2023. The consistency assumption w... Of 9519 retrieved references, 96 randomized controlled trials, including 68 with both men and women, 23 with women only, and 5 with men only, met the eligibility criteria for this study. There were 4 ... According to the results of this NMA, semaglutide seems to be an effective treatment option for both men and women, whereas beloranib appears to be particularly effective for women with obesity and ov...

Model selection for component network meta-analysis in connected and disconnected networks: a simulation study.

Network meta-analysis (NMA) allows estimating and ranking the effects of several interventions for a clinical condition. Component network meta-analysis (CNMA) is an extension of NMA which considers t... We evaluate a forward model selection strategy for component network meta-analysis to relax the additivity assumption that can be used in connected or disconnected networks. In addition, we describe a... CNMA models provide good performance for connected networks and can be an alternative to standard NMA if additivity holds. For disconnected networks, we recommend to use additive CNMA only if strong c... CNMA methods are feasible for connected networks but questionable for disconnected networks....