牛皮关节炎的管理:专家风湿病学家的共识意见
Salvatore D'Angelo1, Fabiola Atzeni2, Maurizio Benucci3
1Rheumatology Department of Lucania, San Carlo Hospital of Potenza, Potenza, Italy.
Frontiers in medicine
|December 15, 2023
概括
这项研究提供了专家的共识陈述,用于管理牛皮关节炎 (PsA),解决早期诊断,轴性参与,并发症和治疗目标,以改善患者护理.
科学领域:
- 类风湿病学 类风湿病学
- 肌肉骨疾病 肌肉骨疾病
- 炎症条件 炎症条件
背景情况:
- 牛皮关节炎 (PsA) 是一种复杂的慢性炎症疾病,影响关节和关节外结构.
- 尽管取得了进展,但在全面管理PsA方面仍然存在重大挑战.
- 在解决这种状况的多面性质方面,仍然存在未得到满足的需求.
研究的目的:
- 为治疗牛皮关节炎 (PsA) 制定一套专家共识陈述.
- 提供关键领域的指导,包括早期诊断,轴性疾病,并发症和治疗目标.
- 解决 PsA 患者护理中未解决的问题和未满足的需求.
主要方法:
- 一个由38名意大利风湿病学家组成的小组,具有PsA专业知识,确定了关键的管理主题.
- 使用PubMed进行了从2016-2022年的文献审查,以选择相关的文章.
- 针对四个核心主题制定了陈述:早期的PsA,轴性PsA,关节外表现/并发症和治疗目标.
主要成果:
- 选择并评估了94篇文章,形成了49篇共识声明的基础.
- 关键主题包括早期诊断策略 (成像与标准),轴性PsA与脊髓关节炎,以及并发症的影响.
- 治疗策略侧重于治疗到目标的方法和成像的作用.
结论:
- 开发的陈述提供了有关PsA管理的关键方面的专家意见.
- 这种共识为解决复杂的PSA病例中未得到满足的需求提供了宝贵的指导.
- 这些声明旨在加强牛皮关节炎的临床管理.
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