患有类风湿性关节炎的患者的并发症集群识别出具有有利预后的患者表型
Cynthia S Crowson1,2, Elizabeth J Atkinson3, Vanessa L Kronzer2
1Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA crowson@mayo.edu.
Annals of the rheumatic diseases
|February 8, 2024
概括
基于并发症的患者集群显示了各种类风湿性关节炎 (RA) 预后. 一些RA患者的死亡率与一般人群相似,而另一些患者则面临更糟糕的结果.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 类风湿性关节炎 (RA) 的管理往往忽略了并发症异质性.
- 了解并发症模式对于个性化RA预后至关重要.
研究的目的:
- 根据他们的并发症概况,对患有类风湿性关节炎 (RA) 的患者进行分组.
- 调查确定集群与RA疾病活动和死亡率之间的关联.
主要方法:
- 来自八个县地区的流行RA患者的基于人口的研究.
- 潜在类分析用于根据55种已定义的并发症对1643名患者进行分组.
- 标准化死亡率比率评估了随访期间的死亡结果.
主要成果:
- 根据共患病模式,出现了四个不同的患者群.
- 集群1 (少数并发症) 显示了更多的缓解和一般人口死亡率.
- 第4组 (老年人,10岁以上的并发症) 和第2组 (抑郁症,肥胖症) 的预后较差.
结论:
- 超过40%的RA患者的死亡率与一般人群相美.
- 一个特定的集群的特点是年龄较大,多种并发症和较低的药物使用,预后最差.
- 共发病概况提供了一条超越对RA预后的统一方法的途径.
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