在阿根廷的真实世界环境中,狼炎脏反应
Alvaro Andres Reyes Torres1, Valeria Scaglioni, Enrique R Soriano
1From the Rheumatology Section, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
概括
这项研究发现,狼性炎患者在两年内实现了高反应率 (PERR) 和完全反应率 (CRR). 在现实世界的临床实践中,这些结果超过了许多临床试验中的结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 免疫学 免疫学 免疫学
- 内部医学 内部医学
背景情况:
- 狼性炎是系统性红斑狼的严重并发症,影响功能.
- 评估狼性炎的治疗疗效对于患者的治疗结果至关重要.
研究的目的:
- 在狼性炎患者两年后确定初级疗效反应 (PERR) 和完整反应 (CRR) 的比率.
- 将这些结果与临床试验和其他观察性研究的数据进行比较.
主要方法:
- 在2000年至2018年期间对狼性炎患者 (III,IV,V类) 进行初始活检的观察性研究.
- 在阿根廷一所大学医院进行了超过两年的随访.
- 在一年和两年内计算PERR,CRR和救援治疗率.
主要成果:
- 分析了75名患者,主要是女性 (85.3%),平均年龄为36.5岁.
- 两年后,患者的PERR达到76.0%,CRR达到58.7%.
- 20%的患者需要在前两年内进行救援治疗.
结论:
- 这个队列中的狼性炎患者在两年内显示出较高的PERR和CRR率,与许多随机试验相比.
- 观察到的结果与其他观察性研究中报告的结果相似,表明现实世界治疗的有效性.
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