评论文章:将STRIDE-II转化为临床现实 - 机遇和挑战
Axel Dignass1, Stefan Rath2, Thomas Kleindienst2
1Department of Medicine I, Agaplesion Markus Hospital, Frankfurt/Main, Germany.
Alimentary pharmacology & therapeutics
|June 29, 2023
概括
STRIDE-II指导方针为炎症性肠病 (IBD) 提供了一种治疗目标的方法. 该策略旨在通过设定雄心勃勃的治疗目标,如粘膜愈合等来个性化患者管理和改善治疗结果.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 内部医学 内部医学
- 临床治疗学 临床治疗学
背景情况:
- 炎症性肠病 (IBD) 的新疗法需要先进的治疗策略.
- "治疗到目标"的方法正在获得引力,以提高IBD患者的治疗结果.
- 个性化管理是改善IBD患者短期和长期结果的关键.
研究的目的:
- 评估IBD治疗目标治疗方法的机遇和挑战.
- 讨论STRIDE-II共识建议对临床实践的影响.
主要方法:
- "在炎症性肠病中选择治疗点" (STRIDE-II) 共识的2021年更新的审查.
- 分析了13个基于证据和共识的治疗到目标策略的建议.
- 评估临床应用的潜在影响和局限性.
主要成果:
- STRIDE-II指南为个性化IBD管理提供了有价值的指导.
- 这些建议反映了科学进步和越来越多的证据支持雄心勃勃的治疗目标.
- 实现诸如粘膜愈合之类的目标与改善患者的治疗结果有关.
结论:
- STRIDE-II共识为优化IBD治疗提供了一个框架.
- 需要进一步的研究来完善"治疗到目标"策略.
- 前性研究,客观风险分层和更好的反应预测因素对于未来的疗效至关重要.
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