导航过渡:对儿童炎症性肠病的多学科方法
A Raffaele1,2, C M Ferlini2, G Fusi2
1Department of Clinical, Surgical, Diagnostics and Pediatric Sciences, University of Pavia, Pavia, Italy.
Pediatric surgery international
|August 27, 2024
概括
多学科的方法改善了儿科炎性肠病 (IBD) 患者的治疗结果,降低了学率,并帮助他们过渡到成人护理. 这种策略在实现临床缓解和尽量减少治疗流失方面表现出有效性.
科学领域:
- 胃肠病学 胃肠病学
- 儿科医学 儿科医学
- 临床研究 临床研究
背景情况:
- 儿科患者的炎症性肠病 (IBD) 管理需要专门的护理.
- 多学科方法在改善结果和促进护理过渡方面表现有前途.
- 从儿科到成人IBD护理的过渡带来了独特的挑战.
研究的目的:
- 评估多学科方法对儿科IBD患者疾病活性的影响.
- 评估这种方法在过渡期对患者退学率的影响.
- 分析多学科策略如何影响整体过渡到成人护理的过程.
主要方法:
- 纵向观测研究的设计.
- 包括儿科-青少年IBD患者,至少12个月的随访.
- 终点评估包括治疗策略,手术干预需求和过渡特征.
主要成果:
- 包括19名患者:13名性结肠炎 (UC),6名克罗恩病 (CD).
- 两组中的50%以上接受了生物药物治疗;观察到良好遵守,学率低 (5-10%).
- 克罗恩氏病患者的手术需求显著增加 (16%与7.7%,p<0.01).
结论:
- 多学科方法对IBD过渡年龄患者有效.
- 这一策略显示了实现临床缓解的潜力.
- 这种方法可以显著减少IBD管理中的治疗学.
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