初级渐进性多发性硬化症中的疾病活性:系统性审查和元分析
Katelijn M Blok1,2, Joost van Rosmalen3,4, Nura Tebayna1
1Department of Neurology, Albert Schweitzer Hospital, Dordrecht, Netherlands.
Frontiers in neurology
|November 29, 2023
概括
在初级渐进性多发性硬化症 (PPMS) 中,炎症性疾病活动很常见,影响超过四分之一的患者. 纳入时的年轻年龄和更长的随访预测疾病活动,建议长时间监测潜在的治疗益处.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 放射学 放射学是一门学科.
背景情况:
- 多发性硬化症 (MS) 的疾病活动是由复发和MRI病变定义的.
- 了解初级渐进性多发性硬化症 (PPMS) 的疾病活性对于治疗疗效至关重要.
- 缺乏关于PPMS疾病活动流行率的当代数据.
研究的目的:
- 在初级进展性多发性硬化症 (PPMS) 队列中审查疾病活动.
- 为了确定PPMS中疾病活动的预测因素.
主要方法:
- 在主要数据库 (EMBASE,MEDLINE,Web of Science,Cochrane) 进行系统的文献搜索.
- 包含原始研究和关于队列特征和疾病活性预定义数据的原始研究.
- 进行元回归分析以确定疾病活动的预测因素.
主要成果:
- 分析了34篇文章和7109名患有PPMS的个人.
- 在患有PPMS (pwPPMS) 的人群中,整体疾病活性估计为26.8%.
- 放射性活动 (31.9%) 比复发 (9.2%) 更常见;年轻的年龄和更长的随访预测活动.
结论:
- 在PPMS中,炎症性疾病活动是普遍且稳定的.
- 纳入时的年龄较小和随访时间较长预测疾病活动.
- 建议对患有PPMS的年轻人进行长期监测,以评估治疗效益.
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