Managing Long-Term Corticosteroids

Introduction and presentation outline: patient and steroid relationship, most concerning side effects, how to prevent/limit side effects.	00:28
What is long-term steroid use (duration, doses)?	01:16
Relationship between patients and steroids.	01:25
Patient perceptions: hope, relief, and uncertainty.	02:55
Side effects from steroids are common: number of advertise events per patient that occurred in the cohort.	03:46
Steroids have a long list of side effects but a few are most concerning to patients.	04:59
There is a general agreement on the most important side effects between patients and rheumatologists.	05:17
Patient perspective: weight gain.	05:56
Steroid induced weight gain is the top concern for patients.	06:39
Preventing weight gain: start from day one.	07:11
Steroids can worsen preexisting diabetes and cause new diabetes.	08:22
Long-term steroid use weakens bone.	09:06
Measures can be taken to reduce bone loss.	11:41
Steroids can worsen blood pressure and heart disease.	14:07
Steroids enhance risk infection.	14:47
Vaccination uptake is low: adult vaccination rates for common vaccine-preventable diseases.	15:18
Vaccinations are very important to prevent infections.	15:48
Patient perspective: skin damage.	16:37
Images: Steroids have multiple skin side effects and slow wound healing.	16:49
The lower of the dose, the less the side effects: the actual level of harm is patient-specific.	17:17
General principles to manage steroid side effects.	18:12
Patient perspective: a compromise.	18:59
Audience questions.	19:39

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