Nom anglais: Polycystic Kidney, Autosomal Dominant
Descriptor UI:D016891
Tree Number:C16.320.184.625.500
Termes MeSH sélectionnés :
Predictive Value of Tests
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"name": "Diagnostic",
"headline": "Diagnostic sur Polykystose rénale autosomique dominante",
"description": "Comment diagnostiquer la polykystose rénale autosomique dominante ?\nQuels tests génétiques sont utilisés pour le diagnostic ?\nQuels signes cliniques indiquent cette maladie ?\nÀ quel âge se manifeste généralement la maladie ?\nL'échographie est-elle suffisante pour le diagnostic ?",
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"description": "Quels sont les symptômes courants de la maladie ?\nLa polykystose rénale cause-t-elle des problèmes urinaires ?\nPeut-on avoir des symptômes sans kystes visibles ?\nLes symptômes varient-ils d'une personne à l'autre ?\nLa fatigue est-elle un symptôme associé ?",
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"headline": "Prévention sur Polykystose rénale autosomique dominante",
"description": "Peut-on prévenir la polykystose rénale autosomique dominante ?\nComment surveiller la maladie chez les membres de la famille ?\nL'alimentation peut-elle influencer la maladie ?\nLe contrôle de la pression artérielle est-il important ?\nLes examens réguliers sont-ils nécessaires ?",
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"headline": "Traitements sur Polykystose rénale autosomique dominante",
"description": "Quels traitements sont disponibles pour cette maladie ?\nLes médicaments peuvent-ils ralentir la progression ?\nLa dialyse est-elle nécessaire pour tous les patients ?\nY a-t-il des traitements expérimentaux disponibles ?\nComment gérer les douleurs associées à la maladie ?",
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"headline": "Complications sur Polykystose rénale autosomique dominante",
"description": "Quelles sont les complications possibles de la maladie ?\nLa polykystose rénale augmente-t-elle le risque de maladies cardiovasculaires ?\nLes kystes peuvent-ils se développer dans d'autres organes ?\nComment l'insuffisance rénale affecte-t-elle la qualité de vie ?\nLes complications peuvent-elles être évitées ?",
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"headline": "Facteurs de risque sur Polykystose rénale autosomique dominante",
"description": "Quels sont les facteurs de risque de la polykystose rénale ?\nL'âge influence-t-il le risque de développer la maladie ?\nLes hommes sont-ils plus à risque que les femmes ?\nLes personnes ayant des antécédents de maladies rénales sont-elles à risque ?\nLe mode de vie influence-t-il le risque ?",
"url": "https://questionsmedicales.fr/mesh/D016891?mesh_terms=Predictive+Value+of+Tests&page=2#section-facteurs de risque"
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"@type": "Question",
"name": "Comment diagnostiquer la polykystose rénale autosomique dominante ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic repose sur l'imagerie, comme l'échographie ou l'IRM, et l'historique familial."
}
},
{
"@type": "Question",
"name": "Quels tests génétiques sont utilisés pour le diagnostic ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests génétiques peuvent identifier des mutations dans les gènes PKD1 ou PKD2."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent cette maladie ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent hypertension, douleurs abdominales et hématurie."
}
},
{
"@type": "Question",
"name": "À quel âge se manifeste généralement la maladie ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes apparaissent souvent entre 30 et 40 ans, mais peuvent survenir plus tôt."
}
},
{
"@type": "Question",
"name": "L'échographie est-elle suffisante pour le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'échographie est souvent suffisante pour visualiser les kystes rénaux."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants de la maladie ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent douleurs lombaires, hypertension, et infections urinaires fréquentes."
}
},
{
"@type": "Question",
"name": "La polykystose rénale cause-t-elle des problèmes urinaires ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut entraîner des infections urinaires et des calculs rénaux."
}
},
{
"@type": "Question",
"name": "Peut-on avoir des symptômes sans kystes visibles ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains patients peuvent ne pas avoir de kystes visibles mais présenter des symptômes."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils d'une personne à l'autre ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'intensité et la nature des symptômes peuvent varier considérablement entre les individus."
}
},
{
"@type": "Question",
"name": "La fatigue est-elle un symptôme associé ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la fatigue peut être un symptôme en raison de l'insuffisance rénale progressive."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir la polykystose rénale autosomique dominante ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La maladie étant génétique, il n'existe pas de prévention, mais un suivi régulier est conseillé."
}
},
{
"@type": "Question",
"name": "Comment surveiller la maladie chez les membres de la famille ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des échographies régulières et des consultations médicales sont recommandées pour les membres à risque."
}
},
{
"@type": "Question",
"name": "L'alimentation peut-elle influencer la maladie ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée et une bonne hydratation peuvent aider à maintenir la santé rénale."
}
},
{
"@type": "Question",
"name": "Le contrôle de la pression artérielle est-il important ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, maintenir une pression artérielle normale est crucial pour ralentir la progression de la maladie."
}
},
{
"@type": "Question",
"name": "Les examens réguliers sont-ils nécessaires ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des examens réguliers permettent de détecter précocement des complications potentielles."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour cette maladie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement inclut la gestion de l'hypertension et, dans les cas avancés, la dialyse ou la transplantation."
}
},
{
"@type": "Question",
"name": "Les médicaments peuvent-ils ralentir la progression ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des médicaments comme les inhibiteurs de l'angiotensine peuvent aider à contrôler la pression artérielle."
}
},
{
"@type": "Question",
"name": "La dialyse est-elle nécessaire pour tous les patients ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, la dialyse est nécessaire uniquement lorsque la fonction rénale est gravement altérée."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements expérimentaux disponibles ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des traitements expérimentaux, comme les médicaments ciblant la croissance des kystes, sont en cours d'étude."
}
},
{
"@type": "Question",
"name": "Comment gérer les douleurs associées à la maladie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des traitements non médicamenteux peuvent aider à gérer la douleur."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de la maladie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'insuffisance rénale, les infections urinaires et les kystes hépatiques."
}
},
{
"@type": "Question",
"name": "La polykystose rénale augmente-t-elle le risque de maladies cardiovasculaires ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les patients ont un risque accru de maladies cardiovasculaires en raison de l'hypertension."
}
},
{
"@type": "Question",
"name": "Les kystes peuvent-ils se développer dans d'autres organes ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des kystes peuvent également se former dans le foie, le pancréas et d'autres organes."
}
},
{
"@type": "Question",
"name": "Comment l'insuffisance rénale affecte-t-elle la qualité de vie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'insuffisance rénale peut entraîner fatigue, limitations physiques et besoin de dialyse, affectant la qualité de vie."
}
},
{
"@type": "Question",
"name": "Les complications peuvent-elles être évitées ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines complications peuvent être évitées par un suivi médical régulier et un bon contrôle de la pression artérielle."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de la polykystose rénale ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents familiaux de la maladie sont le principal facteur de risque."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque de développer la maladie ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque augmente avec l'âge, surtout après 30 ans."
}
},
{
"@type": "Question",
"name": "Les hommes sont-ils plus à risque que les femmes ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, la polykystose rénale touche les hommes et les femmes de manière égale."
}
},
{
"@type": "Question",
"name": "Les personnes ayant des antécédents de maladies rénales sont-elles à risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les antécédents de maladies rénales peuvent augmenter le risque de complications."
}
},
{
"@type": "Question",
"name": "Le mode de vie influence-t-il le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un mode de vie sain peut réduire le risque de complications, mais pas le risque de la maladie elle-même."
}
}
]
}
]
}
The predictive value of immunological fecal occult blood (iFOB) testing for the screening of colorectal cancer has been well described in the Western world. However, its relevance in Sub-Saharan Afric...
We conducted an analytical cross-sectional study in two digestive endoscopic centers of Yaoundé (Cameroon) from the 1...
We included 103 patients during the study period with a male predominance and a sex ratio of 1.7. The median age [IQR] was 52 [38-65] years (range 1 - 84 years). The most common colonoscopic lesions w...
The iFOB test has a good NPV, but a poor PPV for the diagnosis of CRC in our study....
Medical students and professionals often struggle to understand medical test results, which can lead to poor medical decisions. Natural frequency tree-based training (NF-TT) has been suggested to help...
We conducted a parallel group randomized controlled trial of NF-TT vs. CP-FT in two medical schools in South Korea (a 1:1 allocation ratio). Participants were randomly assigned to watch either NF-TT o...
Overall, NF-TT was not more effective than CP-FT in improving the predictive value estimation accuracy at post-intervention (NF-TT: 87.13%, CP-FT: 86.03%, p = .86) and follow-up (NF-TT: 72.39%, CP-FT:...
Introducing NF-TT early in the medical school curriculum, before students are exposed to a pervasive conditional probability formula-based approach, would offer the greatest benefit....
Korea Disease Control and Prevention Agency Clinical Research Information Service KCT0004246 (the date of first trial registration: 27/08/2019). The full trial protocol can be accessed at https://cris...
Cardiopulmonary exercise testing (CPET) has an important prognostic value in adults with different congenital heart defects (CHDs) and is a useful tool for risk stratification and clinical decision-ma...
411 CPET performed by paediatric patients with different CHDs were evaluated in this retrospective study. Medical records were reviewed to determine the presence of cardiac events. Participants were c...
411 patients with a median age at test of 12 years, 51 patients with simple CHD, 170 patients with moderate complexity CHD and 190 with high complexity CHD underwent CPET. Overall, CPET parameters wer...
Reduced exercise capacity at young age is related to a higher probability of future cardiovascular events in paediatric patients with CHD. Submaximal exercise variables can be used instead when maxima...
Based on the upper airway anatomy and joint function parameters examined by ultrasound, a multiparameter ultrasound model for difficult airway assessment (ultrasound model) was established, and we eva...
A prospective case-cohort study of difficult airway prediction in adult patients undergoing elective surgery with endotracheal intubation under general anesthesia, and ultrasound phantom examination f...
We successfully enrolled 1000 patients, including 51 with difficult laryngoscopy (DL) and 26 with difficult tracheal intubation (DTI). The area under the ROC curve (AUC) for the ultrasound model to pr...
The ultrasound model has good predictive performance for difficult airways....
This study is registered on chictr.org.cn (ChiCTR-ROC-17013258); principal investigator: Jianling Xu; registration date: 06/11/2017)....
BACKGROUND : Advanced serrated polyps (ASPs) have a comparable risk to advanced adenomas for progression to colorectal cancer (CRC). The yield of most CRC screening programs, however, is based on adva...
To determine if the sensitivity of the lateral flow test is dependent on the viral load and on the location of swabbing in the respiratory tract in children....
Phase 1: Routinely performed reverse transcriptase PCR (RT-PCR) using nose and throat (NT) swabs or endotracheal (ET) aspirates were compared with Innova lateral flow tests (LFTs) using anterior nasal...
Tertiary paediatric hospitals....
Children under the age of 18 years. Phase 1: undergoing routine testing, phase 2: known SARS-CoV-2 positive....
Phase 1: 435 paired swabs taken in 431 asymptomatic patients resulted in 8 positive RT-PCRs, 9 PCR test failures and 418 negative RT-PCRs from NT or ET swabs. The test performance of AN LFT demonstrat...
The NPV, PPV and specificity of LFTs are excellent. The sensitivity of LFTs compared with RT-PCR is good when the samples are colocated but may be reduced when the LFT swab is taken from the AN. Bucca...
NCT04629157....
New-onset atrial fibrillation (NOAF) is a common adverse outcome in acute ST-segment elevation myocardial infarction (STEMI) patients following percutaneous coronary intervention (PCI) and is associat...
445 elderly STEMI patients without a history of atrial fibrillation (AF) who underwent PCI were consecutively enrolled in this study. Multivariate logistic regression analysis was used to identify ind...
50 patients (11.2%) developed NOAF after PCI. Multivariate logistic regression analysis revealed that heart rate (HR), systemic immune-inflammation index (SII), uric acid (UA), PAR, and C...
The combination of PAR and the C...
Identifying patients presenting with nonspecific abdominal symptoms who have underlying cancer is a challenge. Common blood tests are widely used to investigate these symptoms in primary care, but the...
Using data from the UK Clinical Practice Research Datalink (CPRD) linked to the National Cancer Registry, Hospital Episode Statistics and Index of Multiple Deprivation, we conducted a population-based...
In patients consulting with nonspecific abdominal symptoms, the assessment of cancer risk based on symptoms, age and sex alone can be substantially enhanced by considering additional information from ...
To determine the positive predictive value (PPV) of a sepsis-screening protocol in patients with cervical spinal cord injury (SCI)....
Retrospective review of all patients with cervical SCI who screened positive for two or more systemic inflammatory response syndrome (SIRS) criteria while hospitalized in acute care or inpatient rehab...
A total of 134 patients screened positive for two or more SIRS criteria. Of these, 36 patients (26.9%) were diagnosed with sepsis. Factors associated with a true-positive SIRS screen on multivariable ...
Sepsis screening using SIRS criteria in hospitalized patients with tetraplegia has a PPV of 26.9%; it is significantly higher in patients with AIS A-C versus D injuries. AMS, when combined with a posi...
Exploring the predictive value of NLR, PLR, MLR, and SII for the severity of cervical cancer screening abnormalities in patients....
A retrospective analysis was conducted on the data of 324 patients suspected of cervical lesions due to abnormal TCT and/or HPV in our hospital from January 2023 to December 2023, who underwent colpos...
The levels of NLR, PLR, and SII in the group without cervical lesions were lower than those in the group with cervical lesions (p < 0.05), and there was no statistically significant difference in MLR ...
Although the peripheral blood NLR, PLR, and SII of the cervical lesions patients were higher than those without cervical lesions in cervical cancer screening abnormal patients, the predictive ROC curv...