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  1. Article ; Online: Identifying and Managing Nociplastic Pain in Individuals With Rheumatic Diseases: A Narrative Review.

    Murphy, Anne E / Minhas, Deeba / Clauw, Daniel J / Lee, Yvonne C

    Arthritis care & research

    2023  Volume 75, Issue 10, Page(s) 2215–2222

    Abstract: Chronic pain is a burdensome and prevalent symptom in individuals with rheumatic disease. The International Association for the Study of Pain classifies pain into 3 descriptive categories: nociceptive, neuropathic, and nociplastic. These categories are ... ...

    Abstract Chronic pain is a burdensome and prevalent symptom in individuals with rheumatic disease. The International Association for the Study of Pain classifies pain into 3 descriptive categories: nociceptive, neuropathic, and nociplastic. These categories are intended to provide information about the mechanisms underlying the pain, which can then serve as targets for drug or non-drug treatments. This review describes the 3 types of pain as they relate to patients seen by rheumatology health care providers. The focus is on identifying individuals with nociplastic pain, which can either occur in isolation as in fibromyalgia, or as a comorbidity in individuals with primary autoimmune conditions, such as rheumatoid arthritis and systemic lupus erythematosus. Practical information about how rheumatology health care providers can approach and manage chronic pain is also provided.
    MeSH term(s) Humans ; Chronic Pain/diagnosis ; Chronic Pain/epidemiology ; Chronic Pain/etiology ; Rheumatic Diseases/complications ; Rheumatic Diseases/diagnosis ; Rheumatic Diseases/epidemiology ; Fibromyalgia/diagnosis ; Fibromyalgia/epidemiology ; Fibromyalgia/therapy ; Arthritis, Rheumatoid ; Comorbidity
    Language English
    Publishing date 2023-03-16
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645059-3
    ISSN 2151-4658 ; 0893-7524 ; 2151-464X
    ISSN (online) 2151-4658
    ISSN 0893-7524 ; 2151-464X
    DOI 10.1002/acr.25104
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Efficacy and safety of gemcitabine, carboplatin, dexamethasone, and rituximab in patients with relapsed/refractory lymphoma: a prospective multi-center phase II study by the Puget Sound Oncology Consortium.

    Gopal, Ajay K / Press, Oliver W / Shustov, Andrei R / Petersdorf, Stephen H / Gooley, Ted A / Daniels, Jasmine T / Garrison, Mitchell A / Gjerset, George F / Lonergan, Matthew / Murphy, Anne E / Smith, Julie C / Pagel, John M

    Leukemia & lymphoma

    2010  Volume 51, Issue 8, Page(s) 1523–1529

    Abstract: We conducted a multi-center phase II trial of gemcitabine (G), carboplatin (C), dexamethasone (D), and rituximab (R) in order to examine its safety and efficacy as an outpatient salvage regimen for lymphoma. Fifty-one patients received 2-4 21-day cycles ... ...

    Abstract We conducted a multi-center phase II trial of gemcitabine (G), carboplatin (C), dexamethasone (D), and rituximab (R) in order to examine its safety and efficacy as an outpatient salvage regimen for lymphoma. Fifty-one patients received 2-4 21-day cycles of G (1000 mg/m(2), days 1 and 8), C (AUC = 5, day 1), D (40 mg, daily days 1-4), and R (375 mg/m(2), day 8 for CD20-positive disease) and were evaluable for response. Characteristics included: median age 58 years (19-79 years), stage III/IV 88%, elevated LDH 33%, median prior therapies 2, prior stem cell transplant 12%, chemoresistant 62%, median prior remission duration 2.5 months. The overall and complete response rates were 67% (95% confidence interval [CI] 54-80%) and 31% (95% CI 19-44%), respectively, with activity seen in a broad variety of histologies. Responses occurred in 16 of 17 (94%, 95% CI 83-100%) transplant-eligible patients and 15 of 28 (54%, 95% CI 34-71%) with chemoresistant disease. The median CD34 yield in patients attempting peripheral blood stem cell (PBSC) collection following this regimen was 10.9 x 10(6) CD34+ cells/kg (range 5.0-24.1 x 10(6)). Hematologic toxicity was common, but febrile neutropenia (2.5%) and grade 4 non-hematologic adverse events (n = 2) were rare, with no treatment-related deaths. GCD(R) is a safe and effective outpatient regimen for relapsed lymphoma, and successfully mobilizes PBSCs.
    MeSH term(s) Adult ; Aged ; Antibodies, Monoclonal/administration & dosage ; Antibodies, Monoclonal, Murine-Derived ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Carboplatin/administration & dosage ; Combined Modality Therapy ; Deoxycytidine/administration & dosage ; Deoxycytidine/analogs & derivatives ; Dexamethasone/administration & dosage ; Drug Resistance, Neoplasm ; Female ; Hematopoietic Stem Cell Mobilization ; Humans ; Lymphoma/pathology ; Lymphoma/therapy ; Male ; Middle Aged ; Neoplasm Recurrence, Local/pathology ; Neoplasm Recurrence, Local/therapy ; Peripheral Blood Stem Cell Transplantation ; Prospective Studies ; Remission Induction ; Rituximab ; Salvage Therapy ; Survival Rate ; Treatment Outcome ; Young Adult
    Chemical Substances Antibodies, Monoclonal ; Antibodies, Monoclonal, Murine-Derived ; Deoxycytidine (0W860991D6) ; Rituximab (4F4X42SYQ6) ; Dexamethasone (7S5I7G3JQL) ; gemcitabine (B76N6SBZ8R) ; Carboplatin (BG3F62OND5)
    Language English
    Publishing date 2010-06-24
    Publishing country United States
    Document type Clinical Trial, Phase II ; Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1042374-6
    ISSN 1029-2403 ; 1042-8194
    ISSN (online) 1029-2403
    ISSN 1042-8194
    DOI 10.3109/10428194.2010.491137
    Database MEDical Literature Analysis and Retrieval System OnLINE

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