在风湿病学中难以治疗的疾病的概念:下一步是什么?
György Nagy1, Lilla Gunkl-Tóth2, András M Dorgó3
1National Institute of Locomotor Diseases and Disabilities, Budapest, Hungary; Department of Rheumatology and Clinical Immunology, Semmelweis University, Budapest, Hungary; Department of Internal Medicine and Oncology and Department of Genetics, Cell- and Immunobiology, Semmelweis University, Budapest, Hungary; Heart and Vascular Center, Semmelweis University, Budapest, Hungary.
许多患有慢性疾病的患者,包括风湿病患者,对标准治疗反应不佳. 难以治疗的方法需要个性化,多学科的护理,以获得更好的患者结果.
科学领域:
- 类风湿病学 类风湿病学
- 内部医学 内部医学
背景情况:
- 基于病变的治疗方法和基于证据的指导方针的进步改善了慢性疾病的结果.
- 然而,一些患者对干预的反应不佳,这给医疗保健带来了重大挑战.
研究的目的:
- 在风湿病学中定义"难以治疗"疾病的概念.
- 突出这一概念的优势,并倡导将其纳入类风湿病治疗策略.
主要方法:
- 医学中"难以治疗"状态的文献综述和概念分析.
- 该概念的应用在风湿病学领域.
主要成果:
- "难以治疗"状态不仅包括不耐治疗的疾病,还包括诸如有限的治疗选择,误诊和心理社会影响等因素.
- 综合,整体和多学科的方法对于管理这些患者至关重要.
结论:
- "难以治疗"的概念为治疗复杂的类风湿病患者病例提供了一个框架.
- 这一概念的更广泛采用可以提高个性化和有效的类风湿病治疗策略的设计.
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