Titre : Résultat thérapeutique

Résultat thérapeutique : Questions médicales fréquentes

Termes MeSH sélectionnés :

Cataract Extraction
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facteurs de risque influencent les résultats ?\nComment les comorbidités affectent-elles les résultats ?\nLe mode de vie influence-t-il les résultats ?\nComment l'âge impacte-t-il les résultats ?\nLes facteurs psychologiques influencent-ils les résultats ?", "url": "https://questionsmedicales.fr/mesh/D016896?mesh_terms=Cataract+Extraction&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment évaluer l'efficacité d'un traitement ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "L'efficacité se mesure par l'amélioration des symptômes et des résultats cliniques." } }, { "@type": "Question", "name": "Quels outils mesurent les résultats thérapeutiques ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des échelles de mesure, des questionnaires et des biomarqueurs sont utilisés." } }, { "@type": "Question", "name": "Qu'est-ce qu'un critère de jugement ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "C'est un indicateur utilisé pour évaluer l'efficacité d'un traitement dans les études cliniques." } }, { "@type": "Question", "name": "Comment les résultats sont-ils rapportés ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Les résultats sont souvent rapportés sous forme de pourcentages d'amélioration ou de scores." } }, { "@type": "Question", "name": "Quelle est l'importance des études de suivi ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Elles permettent d'évaluer la durabilité des résultats thérapeutiques sur le long terme." } }, { "@type": "Question", "name": "Quels symptômes indiquent un bon résultat thérapeutique ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Une réduction des symptômes, comme la douleur ou la fatigue, indique un bon résultat." } }, { "@type": "Question", "name": "Comment les symptômes peuvent-ils masquer les résultats ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes persistants peuvent donner l'impression d'un traitement inefficace, même si des améliorations sont présentes." } }, { "@type": "Question", "name": "Les symptômes peuvent-ils réapparaître après un traitement ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains symptômes peuvent réapparaître, nécessitant une réévaluation du traitement." } }, { "@type": "Question", "name": "Comment les symptômes influencent-ils le traitement ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes guident les ajustements de traitement pour optimiser les résultats." } }, { "@type": "Question", "name": "Quels sont les symptômes d'une réponse négative au traitement ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Une aggravation des symptômes ou l'apparition de nouveaux symptômes peuvent indiquer une réponse négative." } }, { "@type": "Question", "name": "Comment prévenir les échecs thérapeutiques ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une évaluation régulière et des ajustements de traitement peuvent prévenir les échecs." } }, { "@type": "Question", "name": "Quel rôle joue l'éducation du patient ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "L'éducation aide les patients à comprendre leur traitement et à améliorer leur adhésion." } }, { "@type": "Question", "name": "Les vaccinations influencent-elles les résultats ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines vaccinations peuvent prévenir des complications et améliorer les résultats globaux." } }, { "@type": "Question", "name": "Comment le mode de vie affecte-t-il les résultats ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Un mode de vie sain peut améliorer les résultats thérapeutiques en renforçant la santé globale." } }, { "@type": "Question", "name": "Quelles sont les stratégies de prévention des complications ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Les stratégies incluent le suivi régulier, l'éducation et l'adaptation des traitements." } }, { "@type": "Question", "name": "Quels traitements montrent de bons résultats ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements basés sur des preuves, comme les médicaments et la thérapie physique, montrent souvent de bons résultats." } }, { "@type": "Question", "name": "Comment personnaliser un traitement pour de meilleurs résultats ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "La personnalisation se fait en tenant compte des caractéristiques individuelles du patient et de sa réponse au traitement." } }, { "@type": "Question", "name": "Quel rôle joue l'adhésion au traitement ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne adhésion au traitement est cruciale pour atteindre des résultats thérapeutiques optimaux." } }, { "@type": "Question", "name": "Les traitements alternatifs sont-ils efficaces ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Certains traitements alternatifs peuvent être efficaces, mais leur efficacité doit être évaluée scientifiquement." } }, { "@type": "Question", "name": "Comment évaluer les effets secondaires des traitements ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Les effets secondaires sont évalués par des rapports de patients et des études cliniques." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après un traitement ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Des complications comme des infections ou des effets secondaires peuvent survenir après un traitement." } }, { "@type": "Question", "name": "Comment évaluer les complications d'un traitement ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Les complications sont évaluées par des examens cliniques et des rapports de patients." } }, { "@type": "Question", "name": "Les complications affectent-elles les résultats ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les complications peuvent altérer les résultats thérapeutiques et nécessiter des ajustements." } }, { "@type": "Question", "name": "Comment prévenir les complications liées au traitement ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "La prévention passe par un suivi régulier et une gestion proactive des effets secondaires." } }, { "@type": "Question", "name": "Quelles sont les complications à long terme des traitements ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Certaines complications peuvent persister, comme des douleurs chroniques ou des troubles fonctionnels." } }, { "@type": "Question", "name": "Quels facteurs de risque influencent les résultats ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Des facteurs comme l'âge, le sexe et les comorbidités peuvent influencer les résultats thérapeutiques." } }, { "@type": "Question", "name": "Comment les comorbidités affectent-elles les résultats ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Les comorbidités peuvent compliquer le traitement et altérer les résultats globaux." } }, { "@type": "Question", "name": "Le mode de vie influence-t-il les résultats ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des habitudes de vie saines peuvent améliorer les résultats thérapeutiques." } }, { "@type": "Question", "name": "Comment l'âge impacte-t-il les résultats ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "L'âge peut affecter la réponse au traitement et la tolérance aux effets secondaires." } }, { "@type": "Question", "name": "Les facteurs psychologiques influencent-ils les résultats ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des facteurs comme le stress et l'anxiété peuvent affecter l'adhésion et les résultats thérapeutiques." } } ] } ] }

Sources (10000 au total)

Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery.

Cataract is the leading cause of blindness in the world and, as such, cataract surgery is one of the most commonly performed operations globally. Surgical techniques have changed dramatically over the... To compare the effectiveness and safety of FLACS with standard ultrasound phacoemulsification cataract surgery (PCS) by gathering evidence from randomised controlled trials (RCTs).... We searched the Cochrane Central Register of Controlled Trials (CENTRAL; which contains the Cochrane Eyes and Vision Trials Register; 2022, Issue 5); Ovid MEDLINE; Ovid Embase; LILACS; the ISRCTN regi... We included RCTs where FLACS was compared to PCS.... Three review authors independently screened the search results, assessed risk of bias and extracted data using the standard methodological procedures expected by Cochrane. The primary outcome for this... We included 42 RCTs conducted in Europe, North America, South America and Asia, which enrolled a total of 7298 eyes of 5831 adult participants. Overall, the studies were at unclear or high risk of bia...

Cataract surgery in patients with uveitis: Data from the Swedish National Cataract Register.

To investigate the surgical and pharmacological management and outcomes of patients with cataract and concurrent uveitis.... Data from the Swedish National Cataract Register, 2018-2019, were collected and analysed. Uveitic eyes were identified and eyes without uveitis were used as controls. Generalized estimating equations ... The study included 719 eyes with and 256 360 without uveitis. The mean age was 66.0 ± 13.5 (standard deviation [SD]) years in the uveitis group and 74.3 ± 8.7 years in the control group (p < 0.001). S... In this large registry-based Swedish cohort study, the findings demonstrate that cataract surgery in patients with uveitis poses more challenges and requires special surgical precautions. Eyes with co...

Assessing the cataract surgical rate and gender equity in cataract services in south-east Nigeria.

In 2020, almost 100 million people were blind or visually impaired from cataract. Cataract surgery is a cost-effective treatment for cataracts. In Nigeria, twice as many women are cataract blind as me... A retrospective review of cataract surgery undertaken in all eye health facilities in Imo State in 2019. Data collected included the type and location of facilities, patient demographics and the numbe... The CSR overall was 330/million and was slightly higher in women (347/million) than in men (315/million) (p<0.001). More elderly women (≥65 years) accessed cataract surgery through outreach than men a... The overall CSR in Imo state was approximately one-third of that recommended for sub-Saharan Africa. Although the CSR was higher in women than in men, considerably higher CSRs are needed in women to a...

Risk communication in cataract surgery.

Risk communication is an integral aspect of shared decision-making and evidence-based patient choice. There is currently no recommended way of communicating risks and benefits of cataract surgery to p... Two-arm parallel randomised study and patients referred for cataract surgery were assigned to receive information framed either positively (99% chance of no adverse effects) or negatively (1% chance o... This study included 100 patients, 50 in each study group. Median (IQR) risk perception was 2 (1-2) in the positive framing group and 3 (1-3) in the negative framing group (p<0.0001). Risk framing was ... Patients who received positive framing reported lower risk scores for cataract surgery than patients who received negative framing. Patient factors were not identified as significant determinants in p...

Intraoperative challenges and complications of cataract surgery between cataract surgery alone and phacovitrectomy in eyes with diabetic retinopathy: efficacy of illuminated chopper-assisted cataract surgery.

To compare the intraoperative challenges, complications, and operation time of illuminated chopper-assisted cataract surgery between cataract surgery only and phacovitrectomy in eyes with diabetic ret... One university hospital, retrospective case series. Two hundred ninety-five eyes of 295 consecutive patients with diabetic retinopathy who underwent cataract surgery only or phacovitrectomy were retro... Of the 295 eyes, 211 underwent cataract surgery only, and 84 underwent phacovitrectomy. Intraoperative challenges such as small pupil, miosis, or poor red reflex occurred more frequently (46 [21.8%] v... The use of an illuminated chopper is a potential solution for diabetic cataract surgery, particularly in phacovitrectomy, by decreasing the use of supplemental devices, operation time, and posterior c... Retrospectively registered....

Comparison of ultrasound energy consumption between low-energy femtosecond laser-assisted cataract surgery and conventional phacoemulsification cataract surgery in patients with different cataract densities.

Femtosecond laser-assisted cataract surgery (FLACS)'s effect on reducing ultrasound energy, accumulated with cumulative dispersed energy (CDE) units, still remains controversial. This study aims to ev... It was a retrospective case-control study. Total 629 eyes receiving either low-energy FLACS (performed with Ziemer LDV Z8 platform) or CPS were divided into two groups according to preoperative gradin... We found overall CDE had no significant difference between two surgeries. However, low-energy FLACS led to a significantly lower CDE in patients with harder cataracts than CPS (18.47 ± 4.32 vs. 12.96 ... The reduced energy consumption was observed by using low-energy FLACS irrespective of surgeons' experience or the approaches adopted in patients with harder cataracts. Therefore, we can have more conf...

Analysis of age at detection and outcomes of dense unilateral congenital cataract surgery for children on the paediatric cataract register.

Analysis of age at time of detection and surgery of dense unilateral cataract and investigation of best-corrected visual acuity (BCVA) in a nationwide register-based cohort study, based on the routine... Data were derived from the Paediatric Cataract Register (PECARE). All children (n = 54) diagnosed with dense congenital unilateral cataract between January 2007 and September 2014 who had surgery befo... The majority, 35/54 (65%), were detected and operated on before age 6 weeks and 30/35 (86%) were referred from maternity wards. Visual acuity (VA) ≥ 0.5 (decimal, 0.3 logMAR) was found in 7/53 (13%) o... A total of 90% of the children were detected with cataract within 100 days of birth and 80% were operated on within this period. This study showed better visual acuity in those treated for dense unila...

The carbon footprint of cataract surgery in Spain.

Climate change is one of the most important threats to human health nowadays. The healthcare industry produces a significant part of greenhouse gases (GHG) emissions. The aim of this study is to asses... This observational case series study estimates and analyses the carbon footprint of a single cataract surgery using phacoemulsification in Ávila Hospital. ISO standard 14064 was applied.... The carbon footprint of a single cataract surgery in Ávila Hospital was 86.62kg CO... Collaboration between pharmaceuticals and ophthalmologists is important to improve the environmental impact of cataract surgery. Future research is needed to introduce changes that do not compromise p...