痛风临床特征中的性别差异:全国性的回顾性队列研究
Hyunsue Do1, Kwanyoung Choe2, Min Jung Kim3
1Division of Rheumatology, Department of Internal Medicine, Kangwon National University School of Medicine, 156 Baengnyeong-ro, Chuncheon-si 24289, Republic of Korea.
Journal of clinical medicine
|December 17, 2024
概括
痛风患者的痛风患者.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 痛风与影响患者死亡率的并发症有关.
- 了解痛风患者的性别差异对于有效的治疗至关重要.
- 韩国国家健康保险服务数据提供了对痛风患者群体的见解.
研究的目的:
- 分析韩国痛风患者的临床表现.
- 为了比较男性和女性痛风患者之间的死亡原因.
- 鉴定痛风中所有原因死亡率的性别特异性风险因素.
主要方法:
- 使用韩国国家医疗保险服务-国家样本队列数据 (2002-2019) 进行的回顾性队列研究.
- 包括接受尿酸降低疗法 (ULT) 的成年痛风患者.
- 根据性别对临床特征和死亡原因进行比较;用于风险因素分析的多变量考克斯回归.
主要成果:
- 女性痛风患者在ULT开始时年龄较大,并患有更多的并发症.
- 慢性病 (CKD) 是总体死亡的主要原因;男性肺癌,女性CKD.
- 显著的死亡风险因素包括ULT开始时的年龄,低BMI,吸烟,糖尿病,CKD,脑血管疾病,恶性瘤和低血红蛋白,性别之间存在差异.
结论:
- 在痛风患者的临床表现和死亡原因中存在显著的基于性别的差异.
- 针对痛风的量身定制治疗策略应考虑性别特异性因素.
- 需要进一步研究以性别为特征的痛风并发症的治疗方法.
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