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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