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在美国患有炎症性肠道疾病的患者中,脊椎关节炎症状的频率:一个跨部门的多中心研究
Joerg Ermann1, Simon J Hong2, Andrew Stahly3
1Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Arthritis care & research
|January 3, 2025
概括
许多炎症性肠病 (IBD) 患者表现出脊椎关节炎 (SpA) 的症状. 像IBIS-Q这样的查工具可以识别潜在的未被诊断的SPA,帮助IBD患者早期诊断和治疗.
科学领域:
- 类风湿病学 类风湿病学
- 胃肠病学 胃肠病学
- 临床医学 临床医学
背景情况:
- 脊椎关节炎 (SpA) 是患有炎症性肠病 (IBD) 的患者常见的肠外表现.
- 在IBD患者中早期发现SpA可以影响管理策略.
研究的目的:
- 评估两种SPA查问卷 (DETAIL和IBIS-Q) 在识别IBD患者潜在的SPA时的有用性.
- 为了确定IBD队列中的SpA症状和未诊断的SpA的患病率.
主要方法:
- 通过使用DETAIL和IBIS-Q问卷对六个美国学术医疗中心的IBD患者进行了联合方法.
- 通过图表审查收集了患者人口统计数据,IBD病史和风湿病学咨询.
主要成果:
- 在669名IBD患者中,27%的IBIS-DETAIL和40%的IBIS-Q查结果呈阳性;41%的IBIS-Q查结果呈阳性.
- 轴心症状比外围症状更常见.
- 显著数量的查阳性患者 (69%) 缺乏先前的诊断或最近的风湿病学访问,这表明潜在的未被诊断的SPA.
结论:
- 相当数量的IBD患者表现出SpA症状,许多可能仍未被诊断出来.
- 与DETAIL.相比,IBIS-Q问卷在识别潜在的SPA病例方面显示出更高的收益率.
- 制定战略,优先考虑高风险IBD患者的风湿学转诊至关重要.
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