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对当前处方实践和国际多中心分析和共享决策在牛皮关节炎

Lily Watson¹, Conor Coyle², Caroline Whately-Smith³

¹Department of Cellular and Molecular Medicine, University of Bristol, Bristol, UK.

Rheumatology (Oxford, England)

|November 27, 2023

概括

在牛皮关节炎 (PsA) 咨询中,共享决策 (SDM) 在欧洲很高. 在面对面的预约期间的有效合作可能会改善轻度疾病活动的患者的治疗升级.

科学领域:

类风湿病学类风湿病学
患者为中心的护理
药物经济学药物经济学

背景情况:

牛皮关节炎 (PsA) 管理受益于共享决策 (SDM).
目前的处方模式和欧洲PsA患者的SDM程度需要分析.
在ASSIST研究 (NCT05171270) 调查了这些方面.

研究的目的:

分析欧洲当前的牛皮关节炎 (PsA) 处方做法.
评估PsA患者咨询中共享决策 (SDM) 的程度.
探索SDM和治疗升级之间的关系.

主要方法:

在24个欧洲中心对503名PsA患者 (≥18岁) 进行横截面观察研究 (ASSIST).
收集关于人口统计,当前治疗和治疗决定的数据.
使用CollaboRATE和PEPPI-5工具评估SDM;通过PsAID-12评估疾病活动.

主要成果:

与欧洲大陆相比,英国患者的疾病活性和治疗升级率更高.
传统的合成DMARD在英国更为普遍,而生物DMARD在欧洲大陆更为普遍.
高的CollaboRATE和PEPPI-5得分表明有效的SDM,特别是在轻度疾病活动和高协作患者的治疗升级方面.

结论:

在英国,更高的治疗升级可能与疾病活动和患者人口统计学有关.
在面对面的PSA商中,高度的协作水平表明了有效的SDM实施.
需要进一步的前性研究来确认SDM对PsA患者结局的影响.

关键词:

合作合作合作合作规范实践的规定.牛皮关节炎牛皮关节炎分享决策的决策.

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