诊断炎症性肠病相关的外周关节炎:一个系统性审查
Katherine Falloon1, Zahra Dossaji2, Pooja Mude3
1Department of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland OH, USA.
Inflammatory bowel diseases
|June 5, 2024
概括
由于缺乏明确的标准,诊断与炎症性肠道疾病相关的外周脊髓关节炎 (IBD-pSpA) 是一个挑战. 需要进一步的研究来标准化对这种疾病的评估和诊断.
科学领域:
- 类风湿病学 类风湿病学
- 胃肠病学 胃肠病学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 与炎症性肠病 (IBD) 相关的外周脊椎关节炎 (pSpA) 显著影响患者的生活质量.
- 目前对IBD-pSpA的理解和诊断策略是不够的.
- 对于IBD-pSpA.有必要建立基于证据的定义和诊断工具.
研究的目的:
- 系统地审查有关IBD相关的pSpA的现有数据.
- 总结用于开发和验证诊断,患者报告的结果和成像指数的证据.
- 发现IBD-pSpA目前的诊断方法中的差距.
主要方法:
- 进行了全面的文献搜索.
- 包括共识标准,分类标准,病例系列,横截面研究,队列研究和随机对照试验.
- 专注于与IBD-pSpA诊断相关的研究.
主要成果:
- 分析了44项涉及大约1500名患者的研究;数据质量相当好.
- 高异质性排除了元分析.
- 尽管对查工具和标准进行了一些验证,但没有发现任何实验室测试或成像方法足够准确或强大以进行最终诊断.
结论:
- 目前IBD-pSpA的诊断方法不一致,缺乏清晰度.
- 在缺乏基于证据的指导方针的情况下,建议结合现有标准和临床判断.
- 为了规范IBD-pSpA的评估和诊断,必须采用多学科的方法.
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