痛风中的健康差异
Lindsay N Helget1,2, Ted R Mikuls1,2
1Veterans Affairs Nebraska-Western Iowa Healthcare System.
Current opinion in rheumatology
|December 22, 2023
概括
痛风越来越多地影响少数群体和女性,她们往往接受不理想的治疗. 研究探讨了导致痛风管理中的这些健康差异的生物学和社会因素.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 痛风是全球最常见的炎症性关节炎.
- 在历史上被视为富有的白人男性的疾病,痛风现在不成比例地影响到代表性不足的群体.
- 痛风的特点是痛苦的发作和高尿血,痛风导致了显著的健康差异.
研究的目的:
- 审查关于痛风发病率和在种族/族裔少数群体,土著人口和女性的流行情况的当前文献.
- 检查这些人群中痛风爆发和慢性管理的低最佳治疗模式.
- 调查导致痛风差异的生物学和社会决定因素.
主要方法:
- 对当前关于痛风流行病学的研究进行文献综述.
- 对不同人群的治疗结果和医疗保健获取情况的分析.
- 检查影响痛风患病率和治疗的社会和生物因素.
主要成果:
- 种族/民族少数群体,土著人口和女性在痛风发病率和流行率上出现了不成比例的增加.
- 这些群体更有可能寻求急性护理,但不太可能接受最佳的长期尿酸降低疗法.
- 促成因素包括护理的社会决定因素和潜在的生物学差异 (年龄,性别,遗传学).
结论:
- 痛风患病率在少数群体和女性中正在上升,这突显出一个重要的公共卫生问题.
- 对这些人群来说,低于最佳的治疗和护理差异仍然存在.
- 包括社会和生物因素在内的多因素原因是这些观察到的痛风趋势的基础.
相关概念视频
Genome-wide Association Studies-GWAS
13.4K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.4K
Peptic Ulcer Disease I: Introduction
176
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
176
Gastritis III: Clinical Manifestations and Management
271
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
271
Gastritis-II: Pathophysiology
339
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
339
Diseases of the Liver and Gallbladder
555
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
555
Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K


