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The role of clinical inertia in suboptimal management of gout

Punzi L
Swiss Med Wkly. 2020;150:w20334

Despite new recommendations and/or guidelines continually proposed by the scientific societies, the management of gout still remains suboptimal and patients with gout continue to be the least adherent to therapy among patients with chronic rheumatic diseases. Healthcare providers can have all the best tools for both the diagnosis and the treatment. But they should make the time to apply them.

Osteogenesis imperfecta: towards an individualised interdisciplinary care strategy to improve physical activity and quality of life

Original article
Aubry-Rozier B, Richard C, Unger S, Hans D, Campos-Xavier B, Schneider P, Paquier C, Pasche J, Bonafé L, Bregou A
Swiss Med Wkly. 2020;150:w20285

The interdisciplinary approach presented in this article aimed at offering the same thorough management for all patients from the French part of Switzerland, and at improving both the physical activity and the satisfaction of the patients and their family.

Gout management in Swiss primary care – a retrospective observational study

Original article
Meier R, di Gangi S, Valeri F, Rosemann T, Zechmann S
Swiss Med Wkly. 2020;150:w20209

Swiss gout patients receive comprehensive treatment, which is reflected in a high number of patients treated with urate-lowering therapy, laboratory tests per person and a high treatment success rate, although there is no systematic approach to the treatment of gout.

Should systemic sclerosis be recognised as an occupational disease in Switzerland?

Original article
Schmid M, Grolimund Berset D, Krief P, Zyska Cherix A, Danuser B, Rinaldo M
Swiss Med Wkly. 2020;150:w20193

Although the aetiology of systemic sclerosis is not yet completely understood, epidemiological studies have identified several occupational factors, such as exposure to silica, solvents or vibration, that contribute to its development.

A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint

Original article
Bouaicha S, Wieser K, Kriechling P, Scholz-Odermatt SM
Swiss Med Wkly. 2020;150:w20188

Frozen shoulder is a poorly understood pathological entity which is characterised by a painful and stiff shoulder. No current epidemiological data with respect to frozen shoulder-induced direct and indirect costs to the Swiss national healthcare system are available.

Importance of osteocyte-mediated regulation of bone remodelling in inflammatory bone disease

Review article: Biomedical intelligence
Intemann J, De Gorter DJJ, Naylor AJ, Dankbar B, Wehmeyer C
Swiss Med Wkly. 2020;150:w20187

Continuous bone remodelling is required to replace old bone tissue and to repair bone micro-cracks. In adults it has been estimated that 10% of bone is replaced every year and that this is crucial for maintenance of a healthy skeleton.

A simple guide to the interpretation of the significance of the association of a disease with a particular HLA allele

Review article: Biomedical intelligence
Winchester R
Swiss Med Wkly. 2019;149:w20128

The impressive survival advantage of the adaptive immune system comes at the cost of autoimmunity and autoimmune disease because of the self-selected character of the adaptive immune system’s T cell repertoires.

The target uric acid level in multimorbid patients with gout is difficult to achieve: data from a longitudinal Swiss single-centre cohort

Original article
Ankli B, Berger CT, Haeni N, Kyburz D, Hügle T, So AKL, Daikeler T
Swiss Med Wkly. 2019;149:w20121

Despite the huge impact of gout on health, its treatment remains unsatisfactory. Subsets of patients are paticularly difficult to treat, owing to existing comorbidities and polypharmacy.

Behçet’s syndrome: clinical presentation and prevalence in Switzerland

Original article
Villiger RA, Stefanski AL, Grobéty V, Adler S, Villiger PM
Swiss Med Wkly. 2019;149:w20072

Behçet’s syndrome is a rare systemic autoimmune/autoinflammatory disease. In Switzerland there are no published data regarding the prevalence of Behçet’s syndrome, its manifestations or its management.

Clinical outcomes in patients with systemic lupus erythematosus treated with belimumab in clinical practice settings: a retrospective analysis of results from the OBSErve study in Switzerland

Original article
von Kempis J, Duetsch S, Reuschling N, Villiger R, Villiger PM, Vallelian F, Schaer DJ, Mueller RB
Swiss Med Wkly. 2019;149:w20022

This study provides real-world insight into belimumab use in clinical practice in Switzerland. In line with findings from other countries, Swiss patients with SLE who received belimumab demonstrated clinical and serological improvements in SLE and a reduction in corticosteroid use after six months of treatment.

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