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Tu1891 THE REAL-WORLD USE OF FIVE-AMINOSALICYLATE (5ASA) TREATMENT FOR ULCERATIVE COLITIS IN AUSTRALIA AND NEW ZEALAND: CROHN'S COLITIS CURE (CCC) DATA INSIGHT'S PROGRAM
Tu1529 THE ROLE OF INPATIENT PALLIATIVE CARE CONSULTATION IN ENDSTAGE LIVER DISEASE: TOO LITTLE, TOO LATE?
Tu1530 INPATIENT PALLIATIVE CARE UTILIZATION AND END-STAGE LIVER DISEASE: A COST ANALYSIS
Tu1107 THE IMPACT OF PALLIATIVE CARE IN HOSPITALIZATION COSTS AND INTERVENTIONS IN PATIENTS WITH TERMINAL HEPATOCELLULAR CARCINOMA, A LARGE NATIONWIDE ANALYSIS
Mo1835 DOSE ESCALATED INFLIXIMAB IN INFLAMMATORY BOWEL DISEASE – CROHN'S COLITIS CURE (CCC) DATA INSIGHTS PROGRAM
Mo1833 DOSE ESCALATED USTEKINUMAB IN INFLAMMATORY BOWEL DISEASE – CROHN'S COLITIS CURE (CCC) DATA INSIGHTS PROGRAM
Sa1651 HEPATITIS C CURE WITH DIRECT ACTING ANTIVIRALS IN PERSONS WITH HIV LOWERS A METABOLITE-BASED PROGNOSTIC RISK SCORE BUT DOES NOT ALTER PLASMA METABOLITE PROFILES
Sa1606 SEVERE UNDERUTILIZATION OF PALLIATIVE/HOSPICE CARE AND DISCUSSION AMONG PATIENTS WITH CIRRHOSIS INCLUDING THOSE WITH DECOMPENSATION AND HCC: FINDINGS FROM A SINGLE-CENTER REAL-WORLD STUDY OF 15.876 PATIENTS
Sa1579 OUTPATIENT PALLIATIVE CARE CO-MANAGEMENT FOR PATIENTS WITH CIRRHOSIS: A MIXED METHODS PILOT STUDY
Sa1537 FACTORS THAT IMPACT THE LIKELIHOOD OF PALLIATIVE CARE SPECIALTY INVOLVEMENT FOR HOSPITALIZED PATIENTS WITH CIRRHOSIS
L’intelligenza artificiale prevede con precisione i risultati dei trattamenti
Gli scienziati dell’Ohio State University hanno progettato un nuovo modello di […]
How effective is topical miconazole or amorolfine for mild to moderately severe onychomycosis in primary care: the Onycho Trial – a randomised double-blind placebo-controlled trial
Objectives
To evaluate the efficacy of topical miconazole or amorolfine compared to placebo for mild to moderately severe onychomycosis.
Design
Randomised, double-blind, placebo-controlled trial, with computer-generated treatment allocation at a 1:1:1 ratio.
Setting
Primary care, recruitment from February 2020 to August 2022.
Participants
193 patients with suspected mild to moderately severe onychomycosis were recruited via general practices and from the general public, 111 of whom met the study criteria. The mean age of participants was 51 (SD 13.1), 51% were female and onychomycosis was moderately severe (mean OSI 12.1 (SD 8.0)).
Interventions
Once-daily miconazole 20 mg/g or once-weekly amorolfine 5% nail lacquer solution was compared with placebo (denatonium benzoate solution).
Main outcome measures
Complete, clinical and mycological cure at 6 months. Secondary outcomes were clinical improvement, symptom burden, quality of life, adverse effects, compliance, patient-perceived improvement and treatment acceptability.
Results
Based on intention-to-treat analysis, none of the participants receiving miconazole or amorolfine reached complete cure compared with two in the placebo group (OR not estimable (n.e.), p=0.493 and OR n.e., p=0.240, respectively). There was no evidence of a significant difference between groups regarding clinical cure (OR n.e., p=0.493 and OR 0.47, 95% CI 0.04 to 5.45, p=0.615) while miconazole and amorolfine were less effective than placebo at reaching both mycological cure (OR 0.25, 95% CI 0.06 to 0.98, p=0.037 and OR 0.23, 95% CI 0.06 to 0.92, p=0.029, respectively) and clinical improvement (OR 0.26, 95% CI 0.08 to 0.91, p=0.028 and OR 0.25, 95% CI 0.07 to 0.85, p=0.021, respectively). There was no evidence of a significant difference in disease burden, quality of life, adverse reactions, compliance, patient-perceived improvement or treatment acceptability.
Conclusions
Topical miconazole and amorolfine were not effective in achieving a complete, clinical or mycological cure of mild to moderately severe onychomycosis, nor did they significantly alleviate the severity or symptom burden. These treatments should, therefore, not be advised as monotherapy to treat onychomycosis.
Trial registration number
WHO ICTRP NL8193.
Diagnosi e trattamento della vescica iperattiva idiopatica: linea guida
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Assistenza di sopravvivenza per persone affette da cancro avanzato o metastatico: linea guida
Le persone con cancro avanzato o metastatico e i loro […]
Perdita dell’udito legata all’età: linea guida
La perdita dell’udito legata all’età (ARHL) è una condizione diffusa […]