西澳大利亚风湿性关节炎患者的死亡率趋势
Khalid B Almutairi1,2, Charles A Inderjeeth3,4, David B Preen5
1School of Medicine, The University of Western Australia, 35 Stirling Highway, Perth, WA, 6009, Australia. khalid.almutairi@uwa.edu.au.
Rheumatology and therapy
|June 19, 2023
概括
西澳大利亚风湿性关节炎 (RA) 患者的死亡率有所下降,但仍然高于一般人群. 并发症是改善RA患者生存的关键因素.
科学领域:
- 流行病学 流行病学
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
背景情况:
- 关于澳大利亚类风湿性关节炎 (RA) 患者的死亡率的数据有限.
- 使用西澳大利亚人口数据从1980-2015年,研究了RA患者的时间死亡趋势.
研究的目的:
- 分析随着时间的推移,RA患者标准化死亡率的变化.
- 确定影响RA患者死亡率的因素.
主要方法:
- 包括17125名RA患者首次接触医院.
- 计算出与一般人口的标准化死亡率比率 (SMRRs).
- 使用死亡登记数据分析时间趋势.
主要成果:
- 在356,069个患者年中,RA队列中发生了8955例 (52%) 的死亡.
- 该SMRR从2.24 (男性) 和3.09 (女性) 下降到1.59 (2011-2015).
- 心血管疾病,癌症和类风湿性疾病是导致死亡的主要原因;并发病增加了死亡风险.
结论:
- 与一般人群相比,RA患者的死亡率有所下降,但仍然很高.
- 在RA患者的存活率可能有进一步的改善.
- 管理并发症对于降低RA患者的死亡率至关重要.
相关概念视频
Genome-wide Association Studies-GWAS
13.6K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.6K
Rheumatic Heart Disease III: Medical Management
22
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
22
Rheumatic Heart Disease I: Introduction
17
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
17
Rheumatic Heart Disease IV: Nursing Management
23
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
23
Actuarial Approach
101
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
101
Cancer Survival Analysis
402
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
402


