患者在早期类风湿关节炎诊断前的旅程有助于疾病的活动水平:现实生活研究
Guillermo A Guaracha-Basáñez1, Irazú Contreras-Yáñez, Ana B Ortiz Haro
1From the Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador-Zubirán, Mexico City, Mexico.
概括
在风湿性关节炎 (RA) 诊断之前的患者旅程会影响疾病活动. 了解这种途径有助于预测早期的RA结果和治疗需求.
科学领域:
- 类风湿病学 类风湿病学
- 临床研究 临床研究
- 患者旅程分析 患者旅程分析
背景情况:
- 患有类风湿性关节炎 (RA) 的患者寻求帮助是复杂的,特别是在拉丁美洲.
- 关于该地区RA患者的诊断前旅程的研究有限.
- 这项研究检查了在早期关节炎诊所 (EAC) 注册之前的真实世界患者旅程.
研究的目的:
- 描述患者从症状出现到EAC评估的过程.
- 评估这种旅程对基线和1年疾病活动的影响.
- 为了确定影响早期RA疾病活动的因素.
主要方法:
- 一个问卷评估了患者从症状发作到EAC的路径.
- 使用DAS28-ESR得分 (>5.1表示高活性) 测量疾病活性.
- 逻辑和线性回归分析了与疾病活动和治疗相关的因素.
主要成果:
- 在241名RA患者中,209人填写了旅行问卷.
- 一般医生是76.6%的首位顾问;只有12.4%的人接受DMARDs.
- 医生首次咨询和使用DMARD的时间与更高的基线疾病活性有关.
结论:
- 患者在RA诊断前的旅程是第一年疾病活动的重要预测因素.
- 早期干预和优化的转诊途径可能会改善RA的结果.
- 需要在拉丁美洲进行进一步的研究,以了解RA患者的旅程.
相关概念视频
The JAK-STAT Signaling Pathway
8.8K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
8.8K
Autoimmune Disorders
412
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
412
Classification of Illness
7.4K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.4K
Assessment of the Cardiovascular System I: Subjective Data
315
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
315
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
T Cell Types and Functions
998
When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
998


