Publications by authors named "H Rabijns"

Article Synopsis
  • The objective of the study was to systematically review the effectiveness and safety of pharmacological treatments for adult-onset Still disease (AOSD) by analyzing data from various sources over an 11-year period.
  • A total of 44 studies were examined, highlighting treatments such as NSAIDs, corticosteroids, and biologic DMARDs, with tocilizumab (TCZ), anakinra (ANK), and canakinumab (CNK) showing significant remission rates and corticosteroid (CS) discontinuation.
  • While evidence supports the use of TCZ, ANK, and CNK for AOSD, findings indicate variability in treatment effectiveness and uncertainty about the comparative effectiveness of these therapies.
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Adult-onset Still's disease (AOSD) poses a not well estimated burden on patients and healthcare systems. To assess this burden, a systematic review (SR) was undertaken to identify health-related quality of life (HRQoL), utilities, costs and healthcare resource use data. Searches of twelve databases, four conferences, and three key technology assessment and regulatory agency websites were conducted in August 2022.

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Introduction: Adult-onset Still's disease (AOSD) is a rare systemic inflammatory disease of unknown etiology. Published AOSD data are limited, and clinical guidelines were lacking until recently. Managing AOSD remains largely empirical with uncertainties and high variability about the optimal care pathway.

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This systematic review (SR) describes the efficacy and safety of biologic disease modifying anti-rheumatic drugs (bDMARDs) for patients with adult-onset Still's disease (AOSD). Three randomised controlled trials (RCTs), one retrospective case series of multiple interventions, and 17 case series of single interventions met the inclusion criteria for this SR. Comparisons of biologic therapy in AOSD were only available against conventional DMARDs in one RCT and against placebo in two RCTs.

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Background: Chronic spontaneous urticaria (CSU) is characterized by the repeated occurrence of persistent hives and/or angioedema for ≥6 weeks, without specific external stimuli. H -antihistamines have long been the standard of care of CSU, but many patients remain uncontrolled even at 4× the approved dose. Add-on therapy with omalizumab has proven effective in clinical trials, but little is known about omalizumab treatment in Belgium.

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