Health-Related Quality of Life Is Severely Affected in Primary Orthostatic Tremor

International audience; Background: Primary orthostatic tremor (POT) is a movement disorder characterized by unsteadiness upon standing still due to a tremor affecting the legs. It is a gradually progressive condition with limited treatment options. Impairments in health-related quality of life (HQoL) seem to far exceed the physical disability associated with the condition.Methods: A multi-center, mixed-methodology study was undertaken to investigate 40 consecutive patients presenting with POT to four movement disorder centers in France. HQoL was investigated using eight quantitative scales and a qualitative study which employed semi-structured interviews. Qualitative data were analyzed wit…

Test–retest reliability and responsiveness of centre of pressure measurements in patients with hip osteoarthritis

International audience; Objective: The aim of this study was to determine a set of measures for the evaluation of balance in patients suffering from hip osteoarthritis (OA) that were both reliable and responsive to change.Design: Three groups of subjects; Healthy, hip OA patients without surgery, and hip OA with surgery (pre and post-surgery) were included in this study. Subjects had to perform balance tests in two positions: standard and narrowed stance. CoP-based measures test-retest reliability was assessed in hip OA without surgery group, responsiveness were assessed between all groups and between pre and postsurgery.Results: Intraclass Correlation Coefficient (ICC) values from hip OA w…

Asthma exacerbations and socio-economic status in French adults with persistent asthma: A prospective cohort study.

Adults disadvantaged by poor socio-economic status (SES) are more severely affected by asthma compared to those with better SES. We aimed to determine whether the frequency of asthma exacerbations (AEx), as well as aspects related to AEx management, differed based on SES in patients treated with daily treatments.This study, part of the prospective observational cohort ASTRO-LAB, included French adult patients with persistent asthma. Patients were considered as low SES if they benefited from publicly funded special health insurance and/or were perceived as low SES by their general practitioner. AEx was defined as at least one of the following: asthma-related oral corticosteroid course, medic…

Crises, précarité et fragilité : Introduction

National audience

Validity of ambulatory blood pressure monitoring in daily primary healthcare practice in France

IF 1.194; International audience; ObjectiveThe objective of the study was to assess 24-h ambulatory blood pressure monitoring (ABPM) validity in daily primary healthcare practice in France.Patients and methodsAn observational, longitudinal, prospective, multicenter study was performed in the Burgundy region, France. Participants were patients who had been prescribed ABPM by their general practitioner (GP), whatever its indication. ABPM was performed by employees of the healthcare providers group, which is publicly funded. The validity of ABPM was established according to the European Society of Cardiology (ESC) criteria. GPs interpretation of the ABPM results was collected and compared with…

Introduction

Le repérage des patients en situation de précarité par les médecins généralistes

Cette étude se propose d’étudier la concordance entre un repérage de la précarité effectué spontanément par les médecins généralistes et un repérage effectué par le score EPICES (évaluation de la précarité et des inégalités de santé dans les centres d’examens de santé), développé et validé dans les centres d’examens de santé.Les 32 médecins généralistes ont permis d’inclure 207 patients dans l’étude. Le coefficient de concordance Kappa de Cohen était de 0,404, soit une corrélation faible à modérée.L’étude des variables associées à la concordance de ce repérage n’a permis de dégager aucune variable significativement associée à la concordance après une analyse multivariée.Pour conclure, le re…