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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
1991-8-15
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pubmed:abstractText |
The effect of intra-articular (i-a) steroid injection on ESR and C-reactive protein (CRP) in rheumatoid arthritis (RA) was investigated. One week following injection of 1 or 2 knees there was a significant fall in ESR (p less than 0.0001) and CRP (p less than 0.01) in a cohort of 20 RA patients. The mean drop for both ESR and CRP was 46%. This effect lasted over a variable period up to 6 months. A survey of 50 published drug efficacy studies in RA revealed that, while 44 used ESR and 20 CRP as efficacy measures, 37 neither excluded nor recorded i-a steroid injections during the study. Steroid injections were excluded in 8 studies and recorded in 5, being used as an outcome measure in 2 of these. It is recommended that the frequency with which i-a injections are used in drug efficacy studies is reported and that they are avoided in the 3 months preceding an outcome measurement if ESR or CRP are being used as outcome measures.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Mar
|
pubmed:issn |
0770-3198
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
10
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
38-42
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2065506-Aged,
pubmed-meshheading:2065506-Arthritis, Rheumatoid,
pubmed-meshheading:2065506-Blood Sedimentation,
pubmed-meshheading:2065506-C-Reactive Protein,
pubmed-meshheading:2065506-Cohort Studies,
pubmed-meshheading:2065506-Dose-Response Relationship, Drug,
pubmed-meshheading:2065506-Double-Blind Method,
pubmed-meshheading:2065506-Female,
pubmed-meshheading:2065506-Humans,
pubmed-meshheading:2065506-Injections, Intra-Articular,
pubmed-meshheading:2065506-Male,
pubmed-meshheading:2065506-Pilot Projects,
pubmed-meshheading:2065506-Steroids
|
pubmed:year |
1991
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pubmed:articleTitle |
Intra-articular steroids: confounder of clinical trials.
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pubmed:affiliation |
Staffordshire Rheumatology Centre, Haywood Hospital, Stoke-on-Trent, UK.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
|