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Rheumatology

Palliation   

Questions discussed in this category

What are magic mouthwash alternatives that you would recommend?
There was a recall on viscous lidocaine and many of our patients cannot find it. What would you recommend as alternatives?
9 Answers available
Does your practice currently use low-dose radiation in the treatment of osteoarthritis?
In patients with bone metastases and osteoarthritis, if it is unclear if the pain is from cancer or OA, how do you decide on the radiation dose/fracti...
1 Answer available
Would you offer palliative radiation for painful bone metastases in a patient with scleroderma?
1 Answer available
Would you resume biologic treatments such as TNF blockers in patients with symptomatic autoimmune conditions who are in remission from their cancers?
How about those with metastatic disease eager to maintain quality of life? Do you risk progression of disease if the TNF blocker is re-started?
2 Answers available


Papers discussed in this category

Expert Opin Drug Saf,
Risk of malignancies using anti-TNF agents in rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis: a systematic review and meta-analysis.
Int J Radiat Oncol Biol Phys, 2022 Apr 30
The Use of Low-Dose Radiotherapy in Osteoarthritis: A Review.
JAMA, 2019 Apr 16
Effect of Doxepin Mouthwash or Diphenhydramine-Lidocaine-Antacid Mouthwash vs Placebo on Radiotherapy-Related Oral Mucositis Pain: The Alliance A221304 Randomized Clinical Trial.
Head Neck, 2016 Mar 29
Effectiveness of honey on radiation-induced oral mucositis, time to mucositis, weight loss, and treatment interruptions among patients with head and neck malignancies: A meta-analysis and systematic review of literature.
The Lancet. Oncology, 2017-05
Prevention of everolimus-related stomatitis in women with hormone receptor-positive, HER2-negative metastatic breast cancer using dexamethasone mouthwash (SWISH): a single-arm, phase 2 trial.

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