在肌痛性骨髓灰质炎中,达到患者可以接受的症状状态的时间
Rodrigo Martinez-Harms1,2, Carolina Barnett1,2, Vera Bril1,2
1Ellen & Martin Prosserman Centre for Neuromuscular Diseases, Toronto General Hospital, Toronto, ON, Canada.
Frontiers in neurology
|July 3, 2023
概括
肌痛性骨髓灰质炎 (MG) 患者达到可接受的症状状态 (PASS"是") 的中位时间为15个月. 仅用普雷尼松治疗和非常晚发的MG与更快地实现PASS"Yes"有关.
科学领域:
- 神经学 神经学
- 临床医学 临床医学
- 患者报告的结果
背景情况:
- 患者可接受的症状状态 (PASS) 是评估患者对MG疾病状况的满意度的一个关键指标.
- 关于MG患者达到可接受的症状状态的时间框架的数据有限.
研究的目的:
- 为了确定在新诊断的MG患者中,在PASS上获得第一个"是"反应的时间.
- 确定影响MG患者达到可接受症状状态的时间的因素.
主要方法:
- 一项回顾性研究分析了86名MG患者的初始PASS"不"反应.
- 使用Kaplan-Meier分析来确定第一个PASS"是"响应的时间.
- 研究人员检查了人口统计,临床因素,治疗和疾病严重程度 (MGII,SSQ) 之间的相关性.
主要成果:
- 实现PASS"Yes"的中位时间为15个月 (95%CI 11-18).
- 91%的患者在25个月内实现了PASS"是".
- 仅接受普得尼松治疗的患者 (中位数为5.5个月) 和非常晚发的MG患者的PASS"Yes"时间显著缩短 (分别为p=0.01和p=0.001).
结论:
- 大多数MG患者在诊断后25个月内达到可接受的症状状态.
- 普雷尼松单一治疗和非常晚发的MG与更快地达到患者可以接受的症状状态有关.
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