牛皮关节炎的综合结果测量:OMERACT和3和4视觉模拟尺度在2023年取得进展
Ying Ying Leung1, Dafna D Gladman2, Ana-Maria Orbai3
1Y.Y. Leung, MBChB, MD, Duke-NUS Medical School, Department of Rheumatology and Immunology, Singapore General Hospital, Singapore; katyccc@hotmail.com.
The Journal of rheumatology
|July 15, 2024
概括
GRAPPA-OMERACT牛皮关节炎工作组正在评估牛皮关节炎 (PsA) 的综合结果措施. 由于其有效性和实用性,四视觉模拟尺度 (4VAS) 显示出作为常规临床护理的可行工具的希望.
科学领域:
- 类风湿病学 类风湿病学
- 结果测量 结果测量
- 牛皮关节炎研究研究
背景情况:
- 牛皮和牛皮关节炎研究和评估小组 (GRAPPA) 和风湿病学结果测量 (OMERACT) 在牛皮关节炎 (PsA) 结果测量方面合作.
- 评估复合结果措施对于评估PsA疾病活性和治疗反应至关重要.
研究的目的:
- 提供关于PSA复合结果措施评估的最新信息.
- 评估候选措施的心理测量特性和临床性能,包括视觉模拟尺度 (VAS).
主要方法:
- 持续的系统文献审查使用OMERACT过器 2.2 评估候选复合结果措施.
- 关于临床实践中3视觉模拟尺度 (3VAS) 和4视觉模拟尺度 (4VAS) 的性能新数据的介绍和综合.
- 测试VAS的数值评级尺度 (NRS) 版本.
主要成果:
- 评估的候选措施包括最小疾病活性 (MDA),DAPSA,ACR反应标准,PASDAS,CPDAI,3VAS和4VAS.
- 介绍了关于VAS尺度最小临床重要差异,含义值,歧视和构造有效性的新数据.
- 汽车系统尺度的性能特征和心理特征与ASSESS研究相似.
结论:
- 3VAS和4VAS证明了在PsA的常规临床护理中可行的性能.
- 与3VAS相比,4VAS是首选的,因为它具有优越的面部有效性和临床实用性.
- 对复合结果指标的持续评估对于推进PsA管理至关重要.
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