RheuMetric定量0到10医生估计的炎症,损伤和痛苦在类风湿性关节炎:与参考措施的验证
Nicholas Rodwell1, Geraldine Hassett1, Paul Bird2
1Liverpool Hospital and Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia, and University of New South Wales, Medicine and Health, Sydney, New South Wales, Australia.
ACR open rheumatology
|August 23, 2023
概括
该RheuMetric检查清单有效地测量了类风湿性关节炎 (RA) 疾病活动,损伤和痛苦. 它的得分与已确立的临床和患者报告的结果有显著的相关性,验证了其在RA患者护理中的使用.
科学领域:
- 类风湿病学 类风湿病学
- 临床评估工具 临床评估工具
- 疾病监测 疾病监测
背景情况:
- 评估类风湿性关节炎 (RA) 需要可靠的疾病活动,损伤和患者痛苦的测量.
- 该RheuMetric检查清单提供了一个新的,由医生管理的工具,具有4个0-10分:DOCGL,炎症 (DOCINF),损伤 (DOCDAM) 和痛苦 (DOCSTR).
研究的目的:
- 评估RheuMetric检查清单与RA患者的标准参考措施的标准和区分有效性.
- 确定RheuMetric的炎症,损伤和痛苦得分是否与相关的临床和患者报告的结果相关.
主要方法:
- 澳大利亚悉尼利物浦医院的一项前性横截面研究涉及173名RA患者.
- 风湿病学家记录了RheuMetric得分 (DOCGL,DOCINF,DOCDAM,DOCSTR),关节计数 (SJC,TJC,DJC),以及患者填写的问卷 (MDHAQ,RAPID3,FAST4,MDS2).这些都是在患者的体内进行的.
- 还收集了实验室测试和放射性得分以进行比较.
主要成果:
- RheuMetric炎症 (DOCINF) 与胀 (SJC) 有显著的相关性,与疾病持续时间相反.
- 雷奥测量损伤 (DOCDAM) 与关节形 (DJC),放射性得分和身体功能有显著的关联.
- RheuMetric痛苦 (DOCSTR) 显示与纤维肌痛和抑郁症评估有显著的相关性.
结论:
- RheuMetric检查清单的炎症,损伤和痛苦得分与已建立的参考措施显示了显著和特定的相关性.
- 这些发现证实了RheuMetric检查清单用于评估RA的关键方面的标准和区分有效性.
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