痛风患者的患者坚持和治疗目标之间的关联:一个横截面研究
Shasha Hu1,2, Sihui He2, Jianyong Zhang1,3
1The Department of Rheumatology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
Medicine
|February 23, 2024
概括
对痛风的治疗到标 (T2T) 方法在中国未得到充分利用,实施率较低. 药物不良服药严重影响治疗结果,突出了有效治疗痛风的关键障碍.
科学领域:
- 类风湿病学 类风湿病学
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 治疗到目标 (T2T) 策略是基于证据的,用于最佳的痛风管理.
- 在中国有效实施T2T的障碍仍然不太清楚.
- 了解这些障碍对于改善痛风患者的治疗结果至关重要.
研究的目的:
- 调查中国T2T痛风管理中与治疗失败相关的因素.
- 为了确定血清尿酸升高,疾病控制不良和药物坚持低的预测因素.
主要方法:
- 一项采用电子问卷的横截面,多中心研究.
- 这项研究涉及425名门诊患者,他们接受了6个多月的尿酸降低疗法.
- 分析了人口统计,疾病,并发症和管理数据.
主要成果:
- 只有26.82%的患者使用T2T策略.
- 药物坚持不佳 (55.29%) 是不受控制的痛风和尿酸升高的重要预测因素.
- 托菲存在和患者对痛风的不良感知等因素也与疾病控制不良相关.
结论:
- 在中国,对痛风的T2T实施率很低,而药物坚持是关键因素.
- 改善药物坚持对于成功的T2T痛风管理至关重要.
- 进一步的研究应该探索有针对性的干预措施,以加强T2T的采用和遵守.
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