在1970-2010年诊断的多发性硬化症队列中稳定过度死亡率
M-L Sumelahti1, A Verkko1, V Kytö2
1Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
European journal of neurology
|September 11, 2024
概括
疾病修饰治疗 (DMT) 改善了多发性硬化症 (pwMS) 患者的生存率. 然而,pwMS的相对预期寿命在过去的五十年中没有改善,男性性别是死亡的危险因素.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 临床研究 临床研究
背景情况:
- 多发性硬化症 (MS) 与增加的死亡率有关.
- 疾病修饰疗法 (DMT) 显示出改善多发性硬化症患者的生存率的潜力.
研究的目的:
- 调查与诊断十年和DMT使用有关的MS (pwMS) 患者的长期生存趋势.
- 确定影响pwMS死亡率的因素.
主要方法:
- 一个区域MS数据库与国家注册表进行了链接,以获得全面的数据.
- 在1971-2010年间诊断的1795个pwMS被跟踪到2019年,每个患者有五个匹配的对照.
- 干扰素和glatiramer乙酸盐是分析的DMT.
主要成果:
- 在几十年的诊断期间,生存率没有显著差异.
- 男性的性别,更高的诊断年龄和初级渐进性多发性硬化症的过程与较差的生存率有关.
- 使用DMT显著与更好的生存率相关 (p < 0.0001).
结论:
- 尽管有DMT的好处,但在芬兰西部,pwMS的相对预期寿命在过去五十年中没有改善.
- 男性性别是死亡的独立风险因素,尽管女性的过度死亡率更高.
- 需要进一步的研究和改进的方法来提高pwMS的生存率.
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