Comment diagnostiquer la présence d'ANCA ?

Un test sanguin spécifique détecte les ANCA dans le sérum du patient.

Quels tests sont utilisés pour les ANCA ?

Les tests ELISA et indirect immunofluorescence sont couramment utilisés.

Les ANCA sont-ils toujours présents dans les maladies ?

Non, leur présence varie selon la maladie et le stade de l'inflammation.

Quel rôle joue l'historique médical dans le diagnostic ?

L'historique aide à identifier les symptômes et les antécédents de maladies auto-immunes.

Les ANCA peuvent-ils être détectés chez des personnes saines ?

Oui, des ANCA peuvent être présents à faible niveau chez des individus sains.

Quels sont les symptômes associés aux ANCA ?

Les symptômes incluent fatigue, fièvre, perte de poids et douleurs articulaires.

Les ANCA provoquent-ils des symptômes respiratoires ?

Oui, ils peuvent causer des symptômes respiratoires comme la toux et l'essoufflement.

Y a-t-il des symptômes cutanés liés aux ANCA ?

Des éruptions cutanées et des lésions peuvent apparaître chez certains patients.

Les ANCA affectent-ils les reins ?

Oui, ils peuvent entraîner des atteintes rénales, comme la glomérulonéphrite.

Les symptômes des ANCA sont-ils similaires à d'autres maladies ?

Oui, ils peuvent être confondus avec d'autres maladies auto-immunes ou inflammatoires.

Peut-on prévenir les maladies liées aux ANCA ?

Il n'existe pas de méthode de prévention spécifique, mais un mode de vie sain aide.

Les vaccinations sont-elles recommandées pour les patients ANCA ?

Oui, les vaccinations peuvent être recommandées pour prévenir les infections.

Comment réduire le risque de complications ?

Un suivi médical régulier et une gestion proactive des symptômes sont essentiels.

L'évitement de certains médicaments est-il conseillé ?

Oui, certains médicaments peuvent aggraver les symptômes et doivent être évités.

Le stress influence-t-il les maladies ANCA ?

Oui, le stress peut aggraver les symptômes et doit être géré efficacement.

Quels traitements sont utilisés pour les ANCA ?

Les corticostéroïdes et les immunosuppresseurs sont souvent prescrits.

Les traitements sont-ils personnalisés pour chaque patient ?

Oui, le traitement est adapté en fonction de la gravité et des symptômes du patient.

Les ANCA nécessitent-ils un suivi régulier ?

Oui, un suivi régulier est essentiel pour ajuster le traitement et surveiller l'évolution.

Y a-t-il des effets secondaires aux traitements ?

Oui, les traitements peuvent avoir des effets secondaires comme l'infection ou l'ostéoporose.

Les traitements peuvent-ils guérir les ANCA ?

Il n'existe pas de cure, mais les traitements peuvent contrôler les symptômes et la progression.

Quelles sont les complications possibles des ANCA ?

Les complications incluent des atteintes rénales, pulmonaires et cardiovasculaires.

Les ANCA peuvent-ils entraîner des infections ?

Oui, les traitements immunosuppresseurs augmentent le risque d'infections.

Y a-t-il un risque de cancer associé aux ANCA ?

Certaines études suggèrent un risque accru de certains cancers chez les patients ANCA.

Les complications sont-elles réversibles ?

Certaines complications peuvent être réversibles avec un traitement approprié.

Comment surveiller les complications des ANCA ?

Des examens réguliers et des tests sanguins aident à surveiller les complications.

Quels sont les facteurs de risque des ANCA ?

Les facteurs incluent des antécédents familiaux, le tabagisme et certaines infections.

Le sexe influence-t-il le risque d'ANCA ?

Oui, les femmes sont plus souvent touchées par les maladies associées aux ANCA.

L'âge joue-t-il un rôle dans le développement des ANCA ?

Oui, les ANCA apparaissent généralement chez les adultes jeunes à moyens d'âge.

Certaines professions augmentent-elles le risque d'ANCA ?

Oui, les professions exposant à des produits chimiques peuvent augmenter le risque.

Les infections antérieures sont-elles un facteur de risque ?

Oui, certaines infections peuvent déclencher la production d'ANCA chez des individus prédisposés.

Anticorps anti-cytoplasme des polynucléaires neutrophiles

Specialization Reduces Costs Associated With Colon Cancer Care: A Cost Analysis.

01 09 2023

DOI: 10.1097/DCR.0000000000002370 PMID: 35522784

Colorectal surgeons have been reported to have superior outcomes to general surgeons in the management of colon cancer, but it is unclear whether this leads to a difference in costs associated with ca... This study aimed to investigate whether colorectal surgeons versus general surgeons performing elective colectomies for colon cancer resulted in cost savings.... A decision analysis model was built to evaluate the cost of care. One-way and Monte Carlo sensitivity analyses were performed to test the assumptions of the model.... Data for the model were taken from previously published studies.... This study included a simulated cohort of patients undergoing elective colectomy for colon cancer.... Total cost of care from the societal and health care system perspectives.... In the base case scenario, from the societal perspective, colectomy performed by a colorectal surgeon costs $38,798 during the 5-year window versus $46,571 when performed by a general surgeon (net sav... The limitation of this study was reliance on published data, some of which included rectal cancer cases.... In our decision analysis model, elective colectomies for colon cancer had lower associated costs when performed by colorectal versus general surgeons. See Video Abstract at http://links.lww.com/DCR/B9... ANTECEDENTES: Se ha informado que los cirujanos colorrectales obtienen mejores resultados que los cirujanos generales en el tratamiento del cáncer de colon, pero no está claro si esto conduce a una di...

Humans Colonic Neoplasms Colectomy Rectal Neoplasms Costs and Cost Analysis +1 autres

Minimizing Costs for Dorsal Wrist Ganglion Treatment: A Cost-Minimization Analysis.

01 2023

DOI: 10.1016/j.jhsa.2022.09.002 PMID: 36402604

Dorsal wrist ganglions are treated commonly with aspiration, or open or arthroscopic excision in operating room (OR) or procedure room (PR) settings. As it remains unclear which treatment strategy is ... A microsimulation decision analytic model evaluating 5 treatment strategies for dorsal wrist ganglions was developed, ending in either resolution or a single failed open revision surgical excision. St... The most cost-minimal strategy was 2 aspiration attempts before open surgical excision in the PR setting ($1,603 ± 1,595 per resolved case), followed by 2 aspirations before open excision in the OR ($... From the societal perspective, performing 2 aspirations before surgical excision in the PR setting was the most cost-minimal treatment strategy, although in reference to surgeons who do not perform th... Economic Decision Analysis II....

Humans Wrist Arthroscopy Treatment Outcome Ganglion Cysts +1 autres

Cost Drivers of Endothelial Keratoplasty: A Time-Driven Activity-Based Costing Analysis.

10 2023

DOI: 10.1016/j.ophtha.2023.05.032 PMID: 37279859

To determine cost drivers of endothelial keratoplasty (EK) through evaluation of surgical costs and procedure length based on type of EK, use of preloaded grafts, and performance of simultaneous catar... This study was an economic analysis of EKs at a single academic institution using time-driven activity-based costing (TDABC) methodology.... Endothelial keratoplasty surgical cases, including Descemet membrane endothelial keratoplasty (DMEK) and Descemet stripping automated endothelial keratoplasty (DSAEK), at the University of Michigan Ke... Data and inputs were obtained via the electronic health record (EHR) and from prior literature. Simultaneous cataract surgeries were included and separately categorized for analysis. Endothelial kerat... Main outcome measures included surgery length (in minutes) and day-of-surgery costs.... There were 559 EKs included: 355 DMEKs and 204 DSAEKs. Fewer DSAEKs had simultaneous cataract extraction (47; 23%) than DMEK (169; 48%). Of the DMEKs, 196 (55%) used preloaded corneal grafts. Descemet... Cost analysis of TDABC identified a day-of-surgery cost and surgical time reduction associated with the use of preloaded grafts for DMEK, DMEK compared with DSAEK, and isolated EK compared with EK com... Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article....

Humans Fuchs' Endothelial Dystrophy Descemet Membrane Descemet Stripping Endothelial Keratoplasty Visual Acuity +4 autres

Cost analysis and cost effectiveness of a subsidized community supported agriculture intervention for low-income families.

10 07 2023

DOI: 10.1186/s12966-023-01481-7 PMID: 37430305

The food system has a dynamic influence on disparities in food security and diet-related chronic disease. Community supported agriculture (CSA) programs, in which households receive weekly shares of p... Using data from the Farm Fresh Foods for Healthy Kids (F3HK) randomized controlled trial in New York, North Carolina, Vermont, and Washington (n = 305; 2016-2018), we estimated programmatic and partic... F3HK cost $2,439 per household annually ($1,884 in implementation-related expenses and $555 in participant-incurred costs). ICERs ranged from $1,507 to $2,439 per cup increase in caregiver's FV intake... Given the known public health, healthcare, and economic consequences of insufficient FV intake and living in a food insecure household, the costs incurred to support these positive shifts in individua... ClinicalTrials.gov. NCT02770196. Registered 5 April 2016. Retrospectively registered. https://www.... gov/ct2/show/NCT02770196 ....

Humans Agriculture Carotenoids Cost-Effectiveness Analysis Costs and Cost Analysis +2 autres

Cost of postoperative ileus following colorectal surgery: A cost analysis in the Australian public hospital setting.

11 2022

DOI: 10.1111/codi.16235 PMID: 35737846

Postoperative ileus (POI) following surgery results in significant morbidity, drastically increasing hospital costs. As there are no specific Australian data, this study aimed to measure the cost of P... A cost analysis was performed, for major elective colorectal surgical cases between 2018 and 2021 at the Royal Adelaide Hospital. POI was defined as not achieving GI-2, the validated composite measure... Of the 415 patients included, 34.9% (n = 145) developed POI. POI was more prevalent in males, smokers, previous intra-abdominal surgery, and converted laparoscopic surgery (p < 0.05). POI was associat... In Australia, POI is significantly associated with increased complications and higher costs due to prolonged hospital stay and increased healthcare resource utilisation. Efforts to reduce POI rates co...

Male Humans Aged Colorectal Surgery Retrospective Studies +6 autres

Cost minimization analysis of a hexavalent vaccine in Argentina.

06 Oct 2023

DOI: 10.1186/s12913-023-10038-0 PMID: 37803345

Argentina currently uses a pentavalent vaccine containing diphtheria, tetanus, pertussis (whole cell), Haemophilus influenza type b and hepatitis B antigens, administered concomitantly with the inacti... The study population was infants ≤ 1 year of age born in Argentina from 2015 to 2019. The analysis considered adverse events, programmatic, logistic, and vaccine costs of both schemes from the societa... Although the cost of vaccines with the alternative scheme would be US$39.8 million (M) more than with the current scheme, these additional costs are in large part offset by fewer adverse event-associa... The switch to an alternative scheme with the hexavalent vaccine in Argentina would result in marginally higher vaccine costs, which are mostly offset by the lower costs associated with improved logist...

Infant Humans Vaccines, Combined Whooping Cough Argentina +5 autres

A cost analysis of Machado-Joseph's disease (MJD).

2024

DOI: 10.1371/journal.pone.0307885 PMID: 39240831

A rare disease is that with a low prevalence in the population. However, it is estimated that there are between 6,000 and 8,000 different types of rare diseases in the world and, generally, they are i...

Machado-Joseph Disease Humans Male Female Adult +5 autres

Assessing cost and cost savings of teleconsultation in long-term care facilities: a time-driven activity-based costing analysis within a value-based healthcare framework.

13 Sep 2024

DOI: 10.1186/s12913-024-11578-9 PMID: 39272121

Quebec's healthcare system faces significant challenges due to labour shortage, particularly in long-term care facilities (CHSLDs). The aging population and increasing demand for services compound thi... This study focuses on CHSLDs with fewer than 50 beds in remote regions of Quebec, where teleconsultation for nighttime nursing care was implemented. Time and cost data were collected from three CHSLDs... Teleconsultation increased the cost per minute for nursing care compared to traditional care, attributed to additional tasks during remote consultations and potential technical challenges. However, co... This study contributes both theoretically and practically by demonstrating the application of TDABC within the VBHC framework in CHSLDs. The findings support the cost savings from the use of teleconsu...

Humans Remote Consultation Cost Savings Long-Term Care Quebec +3 autres

Cost Implications of Left Atrial Appendage Occlusion During Cardiac Surgery: A Cost Analysis of the LAAOS III Trial.

16 05 2023

DOI: 10.1161/JAHA.122.028716 PMID: 37183832

Background The LAAOS III (Left Atrial Appendage Occlusion Study) clinical trial demonstrated that concomitant left atrial appendage (LAA) occlusion leads to a lower risk of ischemic stroke or systemic...

United States Humans Aged Atrial Fibrillation Atrial Appendage +5 autres

Costs in conservation: Common costly mistakes and how to avoid them.

Jun 2024

DOI: 10.1371/journal.pbio.3002676 PMID: 38857192

There has been an increasingly prevalent message that data regarding costs must be included in conservation planning activities to make cost-efficient decisions. Despite the growing acceptance that so...

Conservation of Natural Resources Biodiversity Decision Making Humans Costs and Cost Analysis +1 autres

Anticorps anti-cytoplasme des polynucléaires neutrophiles : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Auteurs principaux

Sources (10000 au total)