非放射性轴性脊椎关节炎的病程:来自长期回顾性观察队列的数据
Oh Chan Kwon1, Yong-Gil Kim2,3, Min-Chan Park1
1Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea.
PloS one
|June 30, 2023
概括
亚洲一半的非放射性轴性脊柱关节炎 (axSpA) 患者在8年内进展到放射性axSpA. 综合症和活跃的圣炎增加了进展风险,而长时间使用瘤缩因子抑制剂则降低了其.
科学领域:
- 类风湿病学 类风湿病学
- 脊椎关节炎研究研究
- 亚洲的健康结果.
背景情况:
- 非放射性轴性脊柱关节炎 (axSpA) 病程在亚洲人群中未得到充分研究.
- 关于亚洲患者axSpA长期进展的数据有限.
研究的目的:
- 为了评估韩国患者非放射性axSpA的长期疾病过程.
- 在这个队列中,确定与从非放射性向放射性 axSpA 的进展相关的因素.
主要方法:
- 在56名被诊断为非放射性 axSpA 的韩国患者进行了回顾性观察队列研究 (2006-2015).
- 基于过渡到放射性 axSpA 标准的疾病进展的评估.
- 多变量考克斯比例危险回归分析以确定进展的风险因素.
主要成果:
- 50%的患者在平均8.4年的随访期间进展到放射性axSpA.
- 诊断时在MRI上出现综合细胞和活性神经炎显著增加了进展风险 (HRs分别为4.50和5.88).
- 长时间暴露于瘤亡因子抑制剂 (TNFis) 与进展风险降低有关 (HR 0.89).
结论:
- 亚洲患者中很大一部分患有非放射性 axSpA 的患者,过渡到放射性 axSpA.
- 早期的症状,如MRI上的综合细胞和活性神经炎,预示着更高的进展风险.
- 延长TNFi治疗可能会提供对axSpA进展的保护作用.
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