牛皮关节炎表型和疾病活动的种族和种族决定因素
Rebecca H Haberman1, Tasneem Ahmed1, Seungha Um2
1Division of Rheumatology, Department of Medicine, New York University Grossman School of Medicine, New York, NY, USA.
Rheumatology (Oxford, England)
|February 2, 2024
概括
在牛皮关节炎 (PsA) 护理中存在种族和民族差异. 非白人和西班牙裔患者经历了更敏感的关节和更高的疾病活动,突出了包容性研究和量身定制的临床方法的需要.
科学领域:
- 类风湿病学 类风湿病学
- 临床研究 临床研究
- 健康差异 在健康上的差异
背景情况:
- 牛皮关节炎 (PsA) 研究和临床试验往往低于不同种族和种族群体.
- 在PsA中,疾病的呈现,严重程度和进展可能因种族和民族不同而有所不同.
研究的目的:
- 调查种族,种族和社会经济因素如何影响牛皮关节炎 (PsA) 的特征.
- 描述不同类型的PsA队列中的疾病表现和结果.
主要方法:
- 使用了817名来自大都市地区的PsA患者的纵向观察注册.
- 收集的数据包括人口统计,病史,药物使用,以及牛皮病表型和活性.
主要成果:
- 该队列中有77.4%的非西班牙裔白人,其中22.6%的人认为自己是代表性不足的种族/族群 (主要是亚裔或西班牙裔).
- 西班牙裔和非白人个体表现出更高的柔软关节计数和更高的X光轴干涉的可能性.
- 与非西班牙裔白人患者相比,西班牙裔患者也显示出更高的RAPID3得分和更多的中度至重度牛皮.
结论:
- 这个PsA队列中的非白人个体比白人个体具有更敏感的关节和更高的疾病活动指标.
- 研究结果表明,PsA呈现和结果在种族和种族群体之间存在潜在的差异.
- 这些差异需要在临床护理和未来的研究设计中考虑公平的PsA管理.
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