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1000 Titel
  • Versorgungsrealität der stationären vasoaktiven Therapie mit Prostazyklinderivaten bei Patienten mit akralen Durchblutungsstörungen bei systemischer Sklerose in Deutschland
1000 Titelzusatz
  • Reality of inpatient vasoactive treatment with prostacyclin derivatives in patients with acral circulation disorders due to systemic sclerosis in Germany
1000 Autor/in
  1. Juche, A. |
  2. Siegert, E. |
  3. Mueller-Ladner, U. |
  4. Riemekasten, G. |
  5. Günther, C. |
  6. Kötter, I. |
  7. Henes, J. |
  8. Blank, N. |
  9. Voll, R. E. |
  10. Ehrchen, J. |
  11. Schmalzing, M. |
  12. Susok, L. |
  13. Schmeiser, T. |
  14. Sunderkoetter, C. |
  15. Distler, J. |
  16. Worm, M. |
  17. Kreuter, A. |
  18. Horváth, O. N. |
  19. Schön, M. P. |
  20. Korsten, P. |
  21. Zeidler, G. |
  22. Pfeiffer, C. |
  23. Krieg, T. |
  24. Hunzelmann, N. |
  25. Moinzadeh, P. |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-02-10
1000 Erschienen in
1000 Quellenangabe
  • 79(10):1057-1066
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00393-019-00743-9 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7708340/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Raynaud's phenomenon and the frequently ensuing digital ulcerations represent an early and very distressing symptom in patients with systemic sclerosis (scleroderma, SSc) causing significant limitations in the ability to work and quality of life. The use of vasoactive drugs (especially intravenous prostacyclin derivatives) is recommended to reduce the risk of hypoxic tissue damage up to the loss of fingers.!##!Methods!#!In order to obtain information about the current state of treatment of patients with prostacyclin derivatives in routine clinical life in Germany, a survey was conducted among the centers affiliated to the German Network for Systemic Scleroderma (DNSS). In addition, a separate patient survey was conducted by the schleroderma self-help group (Sklerodermie Selbsthilfe e. V.), which only covered the symptoms Raynaud's syndrome, digital ulcers and the use of intravenous prostacyclin derivatives.!##!Results!#!Of the 433 patients surveyed 56% stated that they had already been treated with prostacyclin derivatives (iloprost/alprostadil) because of their illness and symptoms. A total of 61% received the treatment for severe Raynaud's phenomenon and 39% for digital ulcerations. Most respondents not only experienced an improvement in Raynaud's phenomenon and digital ulcers but also a significant improvement of limitations in everyday life. They also needed significantly less outside help and absenteeism from work was much lower.!##!Conclusion!#!Patients consistently reported a positive effect of treatment with prostacyclin derivatives on Raynaud's phenomenon, acral ulcerations, pain and daily restrictions and felt well and safely cared for during inpatient treatment. These positive effects in the patients' perceptions provide crucial information supporting and confirming the current European and international treatment recommendations.
1000 Sacherschließung
lokal Digital ulceration
lokal Raynaud
lokal Humans [MeSH]
lokal Raynaud Disease/diagnosis [MeSH]
lokal SSc
lokal Digitale Ulzera
lokal Scleroderma, Systemic/diagnosis [MeSH]
lokal Epoprostenol/therapeutic use [MeSH]
lokal Raynaud Disease/drug therapy [MeSH]
lokal Skin/blood supply [MeSH]
lokal Scleroderma, Systemic/complications [MeSH]
lokal Originalien
lokal Systemic sclerosis
lokal Iloprost
lokal Scleroderma
lokal Quality of Life [MeSH]
lokal Raynaud Disease/epidemiology [MeSH]
lokal Germany [MeSH]
lokal Scleroderma, Systemic/drug therapy [MeSH]
lokal Raynaud’s phenomenon
lokal Fingers/blood supply [MeSH]
lokal Epoprostenol/analogs
lokal Inpatients [MeSH]
lokal Sklerodermie
1000 Liste der Beteiligten
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1000 Hinweis
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1000 Erstellt am 2023-11-18T03:12:11.375+0100
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1000 Zuletzt bearbeitet Fri Dec 01 10:57:39 CET 2023
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