A systematic review to identify the effects of biologics in the feet of patients with rheumatoid arthritis

Ramos-Petersen, L ORCID: https://orcid.org/0000-0002-9349-7751, Nester, CJ ORCID: https://orcid.org/0000-0003-1688-320X, Reinoso-Cobo, A, Nieto-Gil, P ORCID: https://orcid.org/0000-0002-4629-3094, Ortega-Avila, AB ORCID: https://orcid.org/0000-0001-5738-5691 and Gijon-Nogueron, G ORCID: https://orcid.org/0000-0003-4558-3548 2021, 'A systematic review to identify the effects of biologics in the feet of patients with rheumatoid arthritis' , Medicina, 57 (1) , e23.

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Abstract

Background and objective: Ninety percent of patients with rheumatoid arthritis (RA) feel foot pain during the disease process. Pharmacological treatment of RA has a systematic effect on the body and includes: Nonsteroidal anti-inflammatory drugs, disease-modifying antirheumatic drugs (DMARDs) and biologics. The objective of our review was to examine the impact of biologics on patients with RA ‘foot. Methods and material: A systematic review of randomized control trials and observational studies that evaluated the efficacy of biologics against other pharmacological treatment, and included a foot outcome measure. The search covered MEDLINE Ovid, Pubmed, CINAHL, Cochrane Library, Evidence Search, and Web of Science. Risk of bias was evaluated using Cochrane guidance and the Newcastle Ottawa Scale adapted version. Results: A total of eight studies fully met the inclusion criteria: Three randomized control trials, and five observational studies were the basis of our review. A total sample of 1856 RA patients with RA treatment participated. The use of biologics was not associated as a risk factor for post-operative surgical site infection or delayed wound healing. The benefits of biologics, in terms of the disease evolution, were assessed using X-ray. Conclusion: Evidence suggests that the use of biologics is not a risk factor for post-operative surgical site infection or delayed wound healing. The use of biologics presents benefits in terms of the disease evolution assessed through X-ray.

Item Type: Article
Additional Information: ** From MDPI via Jisc Publications Router ** Licence for this article: https://creativecommons.org/licenses/by/4.0/ **Journal IDs: eissn 1010-660X **History: published 29-12-2020; accepted 26-12-2020
Schools: Schools > School of Health and Society
Journal or Publication Title: Medicina
Publisher: MDPI
ISSN: 1010-660X
Related URLs:
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 05 Jan 2021 15:08
Last Modified: 28 Aug 2021 11:18
URI: http://usir.salford.ac.uk/id/eprint/59230

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