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Prognosis in the Rheumatic Diseases. Prognosis in the Rheumatic Diseases. Edited by Nicholas Bellamy. Boston Kluwer Academic Publishers 199.r. 502pp. Illustrated. Indexed. 1 75.00

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anachronism-the comprehensive single-author text. It is
worth having, both to read and for reference purposes,
particularly for those who have had limited encounters with
its topics and want a single, more comprehensive exposure.
Mark R. Boothby, MD, PhD
Hurvard School of Public Health
Brigham and Women's Hospital
Boston, MA
Prognosis in the Rheumatic Diseases. Edited by Nicholas
Bellamy. Boston, Kluwer Academic Publishers, 199.r. 502
pp. Illustrated. Indexed. $1 75.00.
This multiauthored work is devoted to gathering and
interpreting the available information on prognosis in various rheumatic diseases. The editor, Nicholas Bellamy. quite
correctly states that standard texts seldom emphasize the
prediction of meaningful outcomes, defined as death, disability. discomfort, iatrogenic effects, and economic impact.
The authors of each chapter, each of whom is a recognized
expert on a particular rheumatic disease, summarize the
epidemiology, natural history, immunogenetics, pathogenesis, and treatment before turning to the complex issues of
prognosis. Most of the chapters adhere successfully lo this
format, providing a readable overview of current knowledge,
and pointing out gaps where further work is required.
Clinical descriptions focus mainly on the identification of
disease subsets and variables affecting outcomes. In some
disorders not much is known about prognosis and functional
outcomes, whereas in others, such as gout, the end result is
heavily influenced by early diagnosis, treatment, and compliance.
The book's length and style are conducive to reading
it cover-to-cover, but it should also serve as a convenient
reference, since each chapter has an abundant bibliography.
Chapters on the prediction of efficacy and toxicity of antirheumatic drugs and on the interactions between rheumatic
disease and pregnancy should be particularly valuable for
reference purposes. Most sections include tables and figures
from pertinent publications.
This is a thoughtful and critical compendium of
current information about prediction of outcomes in the
rheumatic diseases. Many clinical rheumatologists and allied
health professionals will find it useful, and it should be a
worthwhile addition to academic libraries.
Robert S. Pinals, MD
The Medical Center at Princeton
Princeton, NJ
UMDNJ-Robert Wood Johnson Medical School
Piscataway, NJ
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kluwer, illustrated, disease, 502pp, academic, prognosis, nicholas, 199, rheumatic, edited, indexes, bellamy, boston, publisher
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