基于互联网的肌肉炎患者队列的注册 - 一个国家经验
Raisa Lomanto Silva1, Shiri Keret2, Tanya Chandra3
1Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Clinical rheumatology
|August 26, 2024
概括
包括社交媒体和患者组织在内的在线招聘策略,有效地为特异性炎症肌肉病 (IIM) 研究接触了多元的人群,克服了稀有性的挑战.
科学领域:
- 类风湿病学 类风湿病学
- 临床研究 临床研究
- 数字健康数字健康
背景情况:
- 由于疾病的稀有性和有限的专业中心,招募异形性炎症性肌肉病 (IIM) 是一个挑战.
- 在线招聘为吸引罕见病患者群体提供了一个可行的策略.
- 这项研究评估了大量IIM队列的各种在线招聘方法.
研究的目的:
- 评估各种在线招聘策略对特异性炎症性肌肉病 (IIM) 的有效性.
- 为了在一个大,纵向的IIM队列中比较招聘和招生方法.
- 描述远程招募的IIM患者的人口特征.
主要方法:
- 肌肉炎患者中心的远程研究 (My Pacer) 研究前性地在6个月内招募了IIM患者.
- 招聘利用医生推,社交媒体,网站,电子邮件和患者支持组织.
- 参与者自行在线注册,通过研究应用程序或网站完成电子选,电子同意和数据发布.
主要成果:
- 841名参与者完成了预先选,其中353人 (86.5%) 通过远程招募.
- 电子邮件 (49.26%) 和社交媒体 (18.87%) 是主要的招聘道.
- 患者支持组织向75.46%的参与者传播了这项研究.
- 65.72%的参与者使用研究应用程序进行注册.
- 招募的队列主要是女性 (77.76%),白人 (80.42%) 和非西班牙裔 (92.65%),覆盖美国所有地区.
结论:
- 社交媒体和患者支持组织的合作伙伴关系对于IIM招聘非常有效.
- 这些方法促进了广泛的覆盖范围,并产生了相当多样化的患者群体.
- 在线招聘是克服罕见病研究挑战的可行方法.
相关概念视频
Myasthenia Gravis: Overview and Treatment
3.7K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
3.7K
Myasthenia Gravis: Diagnostic Tests
3.3K
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
3.3K
Myocarditis I: Introduction
647
Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
647
Myocarditis II: Clinical Features and Diagnostic Tests
496
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
496
Myocarditis III: Medical Management
344
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
344
Myocarditis IV: Nursing Management
400
Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
400


