根据SDAI和CDAI的风湿性关节炎爆发的定义
Victoria Konzett1, Andreas Kerschbaumer1, Josef S Smolen1
1Department of Medicine III, Division of Rheumatology, Medical University of Vienna, Vienna, Austria.
Annals of the rheumatic diseases
|October 27, 2023
概括
使用简化和临床疾病活动指数 (SDAI,CDAI) 开发了类风湿性关节炎 (RA) 爆发的新定义. 这些验证的标准有助于临床决策和RA管理的试验设计.
科学领域:
- 类风湿病学 类风湿病学
- 临床流行病学临床流行病学
背景情况:
- 风湿性关节炎 (RA) 管理受益于精确的疾病活动监测.
- 像SDAI和CDAI这样的定量指数对于评估RA活动至关重要.
- 对于疾病爆发的标准化定义是需要的一致的临床实践和研究.
研究的目的:
- 开发和验证RA疾病爆发的新定义.
- 将这些定义基于简化和临床疾病活动指数 (SDAI,CDAI) 的绝对变化.
主要方法:
- 来自NOR-DMARD注册表和维也纳RA队列的RA治疗疗程的分析.
- 接收器操作曲线分析以确定使用患者的发烧定义.
- 在培训,测试和独立的外部队伍中验证.
主要成果:
- 起火的初步定义:SDAI增加4.7,CDAI增加4.5.
- 定义在验证队列中表现强.
- 耀斑显著影响了功能 (HAQ) 和结构 (mSS) 的结果,证实了有效性.
结论:
- 建立了使用SDAI和CDAI对RA火焰的新,经过验证的定义.
- 这些定义适用于来自大型队列的真实世界数据.
- 这些定义将支持RA管理中的临床决策和临床试验设计.
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