类风湿性关节炎多病症:文献综述和未来方向
Jonathan Katz1, Christie M Bartels2
1Department of Medicine, Rheumatology Division, University of Wisconsin School of Medicine and Public Health, 1685 Highland Ave #4132, Madison, WI, 53705, USA.
Current rheumatology reports
|November 23, 2023
概括
类风湿性关节炎患者经常有多种健康状况,导致结果更差. 研究强调需要更好地管理这些复杂的案件.
科学领域:
- 类风湿病学 类风湿病学
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 类风湿性关节炎 (RA) 与多种疾病的患病率比一般人群更高.
- 患有RA的患者经历了随着时间的推移,并发症的积累更快.
- 在RA多病症显著恶化患者的结果,包括增加的死亡率和住院治疗.
研究的目的:
- 提供关于类风湿性关节炎多病症研究的叙事文献评论.
- 在过去五年中更新RA多病症的最新发现.
- 概述这一领域的未来研究方向.
主要方法:
- 这项研究对现有文献进行了叙事审查.
- 审查的重点是过去五年内发表的研究.
- 分析综合了关于RA,多病症和相关结果的发现.
主要成果:
- RA 患者的患病率更高 (31-86%) 和并发症的累积更快.
- 与非RA多病症患者相比,多病症RA患者面临更糟糕的结果,包括死亡率和心脏事件,与非RA多病症患者相比.
- 常见的并发症集群包括心肺,心脏代谢和与疼痛相关的疾病,高频率的并发症包括ILD,CVD和骨质疏松症.
结论:
- 类风湿性关节炎患者的多病症负担显著更高,结果更差.
- 矛盾的是,RA患者的多重发病率增加了RA疾病的活性,但降低了生物治疗的成功.
- 进一步的研究对于理解和解决类风湿性关节炎多病症的复杂性至关重要.
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