Titre : Équivalence thérapeutique

Équivalence thérapeutique : Questions médicales fréquentes

Termes MeSH sélectionnés :

International Classification of Functioning, Disability and Health
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observer ?\nLes symptômes varient-ils selon les traitements ?\nQuels symptômes nécessitent un avis médical ?", "url": "https://questionsmedicales.fr/mesh/D013810?mesh_terms=International+Classification+of+Functioning,+Disability+and+Health&page=7#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Équivalence thérapeutique", "description": "Comment prévenir les erreurs de traitement ?\nQuelles sont les bonnes pratiques de prescription ?\nComment informer les patients sur l'équivalence ?\nQuels outils aident à la prévention des erreurs ?\nPourquoi est-il important de connaître l'équivalence ?", "url": "https://questionsmedicales.fr/mesh/D013810?mesh_terms=International+Classification+of+Functioning,+Disability+and+Health&page=7#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Équivalence thérapeutique", "description": "Quels traitements sont souvent équivalents ?\nComment choisir 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couramment utilisés." } }, { "@type": "Question", "name": "Quelles sont les normes d'évaluation ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Les normes incluent des critères de sécurité, d'efficacité et de qualité des médicaments." } }, { "@type": "Question", "name": "Qui réalise les évaluations d'équivalence ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Les agences de régulation, comme l'ANSM, et des chercheurs indépendants effectuent ces évaluations." } }, { "@type": "Question", "name": "Quels sont les critères d'inclusion ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les critères incluent la population cible, les indications et les méthodes de traitement." } }, { "@type": "Question", "name": "Quels symptômes indiquent une non-équivalence ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Des effets indésirables ou une efficacité réduite peuvent signaler une non-équivalence." } }, { "@type": "Question", "name": "Comment reconnaître une réaction allergique ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent éruption cutanée, démangeaisons, et gonflement après administration." } }, { "@type": "Question", "name": "Quels signes d'inefficacité observer ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "L'absence d'amélioration des symptômes après un traitement peut indiquer une inefficacité." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon les traitements ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les traitements peuvent provoquer des symptômes différents selon leur composition." } }, { "@type": "Question", "name": "Quels symptômes nécessitent un avis médical ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes graves ou persistants après un traitement doivent être évalués par un médecin." } }, { "@type": "Question", "name": "Comment prévenir les erreurs de traitement ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La vérification des prescriptions et l'éducation des patients sont essentielles." } }, { "@type": "Question", "name": "Quelles sont les bonnes pratiques de prescription ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Utiliser des protocoles standardisés et vérifier les allergies des patients." } }, { "@type": "Question", "name": "Comment informer les patients sur l'équivalence ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Fournir des brochures et des consultations pour expliquer les options de traitement." } }, { "@type": "Question", "name": "Quels outils aident à la prévention des erreurs ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Des logiciels de gestion des prescriptions et des alertes de sécurité peuvent aider." } }, { "@type": "Question", "name": "Pourquoi est-il important de connaître l'équivalence ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Cela permet de choisir le traitement le plus approprié et de réduire les coûts." } }, { "@type": "Question", "name": "Quels traitements sont souvent équivalents ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les génériques et les médicaments de marque pour la même indication sont souvent équivalents." } }, { "@type": "Question", "name": "Comment choisir entre deux traitements équivalents ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Le choix dépend de la tolérance, du coût et des préférences du patient." } }, { "@type": "Question", "name": "Les traitements équivalents ont-ils les mêmes effets ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Ils doivent avoir des effets cliniques similaires, mais peuvent différer en effets secondaires." } }, { "@type": "Question", "name": "Comment évaluer la sécurité des traitements ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "La sécurité est évaluée par des études cliniques et des rapports d'effets indésirables." } }, { "@type": "Question", "name": "Les traitements équivalents nécessitent-ils des doses différentes ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Pas nécessairement, mais des ajustements peuvent être nécessaires selon le patient." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec des traitements équivalents ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Des complications peuvent inclure des réactions allergiques ou des interactions médicamenteuses." } }, { "@type": "Question", "name": "Comment gérer les complications liées aux traitements ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Il est crucial d'arrêter le traitement et de consulter un professionnel de santé." } }, { "@type": "Question", "name": "Les complications sont-elles prévisibles ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Certaines complications peuvent être prévisibles, surtout avec des antécédents médicaux." } }, { "@type": "Question", "name": "Quels sont les signes d'une complication grave ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes tels que des douleurs thoraciques ou des difficultés respiratoires sont alarmants." } }, { "@type": "Question", "name": "Comment prévenir les complications ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi régulier et une communication ouverte avec le médecin sont essentiels." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque d'échec thérapeutique ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Des facteurs comme l'âge, les comorbidités et l'adhérence au traitement influencent le risque." } }, { "@type": "Question", "name": "Comment l'adhérence au traitement affecte-t-elle l'équivalence ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Une mauvaise adhérence peut réduire l'efficacité, rendant l'équivalence difficile à évaluer." } }, { "@type": "Question", "name": "Les antécédents médicaux influencent-ils l'équivalence ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de réactions aux médicaments peuvent affecter le choix du traitement." } }, { "@type": "Question", "name": "Quels facteurs environnementaux jouent un rôle ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Des facteurs comme l'alimentation, le mode de vie et l'exposition à des toxines peuvent influencer." } }, { "@type": "Question", "name": "Comment évaluer les facteurs de risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Une évaluation complète de l'historique médical et des habitudes de vie est nécessaire." } } ] } ] }

Sources (10000 au total)

Psychometric testing of the Chinese version of the International Classification of Functioning, Disability, and Health Measure of Participation and Activities Screener in people with stroke.

Clinicians need a validated measure to assess the activity and participation of Chinese people with stroke.... To culturally adapt and psychometrically test the Chinese (Cantonese) version of the International Classification of Functioning, Disability and Health Measure of Participation and Activities (C-IMPAC... We followed the standard translation procedures to culturally adapt the C-IMPACT-S. Then we administered the C-IMPACT-S to 100 people with stroke and 50 healthy counterparts for psychometric testing, ... The C-IMPACT-S has no floor effects but ceiling effects in item 5. It has poor to excellent (Cronbach's α = 0.56-95) internal consistency and fair to excellent (Intraclass correlation coefficients = 0... C-IMPACT-S is a reliable and valid measure for assessing the levels of activity and participation of people with chronic stroke....

Predictors of the social participation of adults with Down syndrome: an analysis based on the biopsychosocial model of the International Classification of Functioning, Disability, and Health.

Identify the predictors of social participation in Down Syndrome (DS) adults from the biopsychosocial model of the International Classification of Functioning, Disability, and Health (ICF).... An exploratory, analytical, cross-sectional study was conducted with DS adults. The social participation was assessed using the Life Habits Assessment (LIFE-H 3.1). The independent variables were dete... The total LIFE-H score indicates that individuals show moderate restriction in social participation, with major restriction in the education, employment, and responsibilities domains. The 8-FUGT was t... It was concluded that individuals with DS present the most restrictions to social participation in activities that involve social roles. The predictors influencing social participation are functional ...

Effect of pain on activity and participation in individuals with unilateral lower-extremity amputation based on the International Classification of Functioning, Disability, and Health.

Amputation is a major life-changing event and is regarded as one of the loading causes of permanent disability. However, amputation often causes changes in painful and nonpainful sensory experiences. ... This study aimed to examine the effect of pain on activity and participation in individuals with unilateral below-knee amputations according to the International Classification of Functioning, Disabil... Cross-sectional study.... In the study, 64 individuals were divided into 2 groups: those who experienced pain and those who did not. Group 1 included 33 below-knee amputees who experienced pain (27 males, mean age 43.9 ± 12.6 ... Demographic characteristics of the 2 groups were statistically insignificant (P > 0.05). The nonpainful group had significantly higher activity and participation scores than the painful group (P < 0.0... It was found that phantom pain and stump pain in below-knee amputees limited activity and participation. It was also shown that phantom pain has a more negative effect on the activity level of individ...

Assessment of Cochlear Implant Rehabilitation Success by Speech-Language Therapists Using International Classification of Functioning, Disability and Health Criteria.

This study aims to introduce an assessment questionnaire based on the International Classification of Functioning, Disability and Health (ICF) to enable quantifiable clinical documentation. The questi... Six SLTs were recruited to evaluate the effectiveness of CI care using ICF criteria. We carefully selected 20 pertinent ICF criteria, and SLTs received thorough training in how to apply them uniformly... A total of 144 complete datasets were scrutinized using a two-factor analysis of variance for ranks. Following CI care, patients exhibited substantial improvements in auditory perception, characterize... The data extracted from the ICF-based assessments underscore the vital significance of incorporating speech therapy-based metrics to evaluate both non-audiological and audiological factors in assessin...

Mapping information regarding the work-related disability of depression and long-term musculoskeletal pain to the International Classification of Functioning, Disability and Health and ICF Core Sets.

The International Classification of Functioning, Disability and Health is the WHO coding scheme for functioning-related data. Clear and unambiguous information regarding patients' work-related disabil... An ICF-linking study following the ICF-linking rules. A random sample of sick leave certificates issued in primary care for either depression (... The results of the ICF linking consisted of codings for (1) ICF categories and (2) other health information not possible to link to ICF. The ICF categories were compared to ICF Core Sets for coverage.... The results indicates that ICF is a feasible code scheme for categorising information on work-related disability in sick leave certificates for depression and long-term musculoskeletal pain. As expect...

Graph modeling of relational structures among functioning variables with low back pain: an exploratory analysis based on international classification of functioning, disability and health.

Given the complex etiology, multidimensional impact, and widespread prevalence of low back pain (LBP), it is crucial to prioritize intervention targets based on understanding the relationships between... The aim of this study was establishing a graphical model of functioning variables for LBP based on the International Classification of Functioning, Disability, and Health (ICF) to identify the most in... Cross-sectional survey.... Nine hospitals in Jiangsu Province, China.... Three hundred and six persons with LBP aged ≥18 years.... All patients were assessed using the Comprehensive ICF Core Sets for LBP. The scoring system was converted to dichotomous data, with 1 indicating dysfunction and 0 indicating no dysfunction. In the gr... 1) A total of 56 ICF items were located in the backbone structure of LBP, among which d430 (Lifting and carrying objects) occupied the most central position, followed by b126 (Temperament and personal... d430 and b126 significantly impact the physical and mental well-being of LBP patients. To improve d430, maintaining exercise habits, reducing working hours, enhancing lumbar stability, and overcoming ... Through the identification of crucial functioning variables and the associated dysfunctional correlation relationships, graphical model of Comprehensive ICF Core Set for LBP can offer healthcare decis...

Linking Prioritized Occupational Performance in Patients Undergoing Spasticity-Correcting Upper Limb Surgery to the International Classification of Functioning, Disability, and Health.

Spasticity is generally caused by damage to the spinal cord or the areas of the brain that controls movements, which poses significant limitations in occupational tasks.... The aims of the study were to (I) describe prioritized occupational performance problems (POPP) among patients who underwent upper limb spasticity-correcting surgery and map them to the International ... In this retrospective study, assessments occurred pre- and postsurgery, including the Canadian Occupational Performance Measure (COPM), grip strength, and grasp ability. POPP were transformed to prior... 60 patients with a history of spinal cord injury (SCI) (... Patients who underwent spasticity-correcting upper limb surgery identified difficulties with a wide range of occupational tasks that they considered as important to regain. Treatment-induced gains in ...

Methodological considerations in cross-sectional studies validating the International Classification of Functioning, Disability and Health (ICF) Core-Sets: a systematic review.

To describe and analyze the methodological characteristics and quality of cross-sectional studies that have validated an ICF-CS.... A systematic review was conducted to identify empirical studies published in English that validated any ICF-CS using a cross-sectional design. Databases searched included Web of Science, Scopus, CINAH... 87 articles validating 24 ICF-CSs were analyzed. Most articles showed strengths in consistency between study objectives and the outcome variables measured. However, a large majority did not report sam... The quality of cross-sectional studies validating ICF-CSs was satisfactory, although several articles did not describe aspects such as sample size calculation. Validity evidence for ICF-CS studies cou...

Development of the assessment standards of the International Classification of Functioning, Disability, and Health (ICF) Geriatric Core Set through a modified Delphi method.

There is currently a lack of functional assessment tools based on the International Classification of Functioning, Disability, and Health (ICF) theoretical framework that are specific for older adults... The aim of the present study was to develop Chinese assessment standards of the ICF Geriatric Core Set for functional evaluation of older adults.... A two-stage study process was conducted to develop the assessment standards of the ICF Geriatric Core Set: establishment of candidate assessment standards, and a modified Delphi consensus process incl... Thirty-three candidate assessment standards belonging to 17 categories were generated. A total of 26 and 24 experts in the field of ICF and geriatric rehabilitation participated in the two-round surve... Using the modified Delphi method, the assessment standards of the ICF Geriatric Core Set have been developed.Future work should focus on the reliability and validity of the the assessment standards an...