在患有青少年异常性关节炎的患者队列中,与过渡相关的结果
Laura De Nardi1, Serena Pastore2, Hajar Benaly1
1University of Trieste, Trieste, Italy.
Clinical rheumatology
|January 17, 2025
概括
观察到青少年异常性关节炎 (JIA) 患者从儿科到成人护理的成功过渡. 这项研究发现,随访没有损失,并且在过渡后的疾病活性得分显著下降.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 成人类风湿病理学
- 医疗保健的转型 医疗保健的转型
背景情况:
- 青少年无形性关节炎 (JIA) 需要长期管理,重点是成功过渡到成人护理.
- 有效的过渡战略对于维持疾病控制和患者健康至成年至关重要.
研究的目的:
- 评估JIA患者在一个中心从儿科转向成人类风湿病治疗的结果.
- 在过渡过程中评估临床数据,疾病活性和患者满意度.
主要方法:
- 一项横截面研究招募了36名在2017-2022年期间过渡的JIA患者.
- 收集了临床和实验室数据,并进行了满意度调查.
- 统计分析包括学生的t测试,曼-惠特尼测试和费舍尔的精确测试.
主要成果:
- 过渡时期的平均年龄为18.6岁.
- 青少年关节炎疾病活动评分 (JADAS-27) 在过渡后显著下降 (平均差异2.6,p=0.014).
- 没有患者失去随访;22.2%需要在12个月内调整治疗,与JIA亚型或其他变量没有相关性. 50%的受访患者表示满意.
结论:
- 这项研究证明了JIA患者在现实生活中从儿科转向成人类风湿病治疗的成功过渡.
- 关键的结果包括持续的患者参与和改善过渡后的疾病控制.
- 这些发现支持在儿科风湿病学中实施结构化过渡计划.
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