类风湿性关节炎和功能下降的疾病活性:一项大型前性注册研究
Sho Fukui1, Wolfgang C Winkelmayer2, Sara K Tedeschi3
1Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA; Department of Emergency and General Medicine, Kyorin University, Tokyo, Japan; Immuno-Rheumatology Center, St. Luke's International Hospital, Tokyo, Japan.
Annals of the rheumatic diseases
|February 7, 2025
概括
较高的类风湿性关节炎 (RA) 疾病活性加速功能下降. 管理RA活动对于预防慢性病 (CKD) 进展和保持健康至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 类风湿病学 类风湿病学
- 临床流行病学 临床流行病学
背景情况:
- 类风湿性关节炎 (RA) 经常与慢性病 (CKD) 一起发生.
- 长期影响的RA疾病活动对功能仍然不清楚.
研究的目的:
- 为了研究纵向类风湿性关节炎疾病活动与估计的淋巴细胞过率 (eGFR) 降低之间的关联.
- 评估与RA疾病活动相关的G3a和G3b阶段CKD发展的风险.
主要方法:
- 一个多中心的潜在RA注册 (2001-2022) 分析,超过31,000名患者.
- 暴露量以时间平均临床疾病活动指数 (TA-CDAI) 类别来定义.
- 主要结局:纵向eGFR变化;次要结局:CKD阶段G3a和G3b发展,调整为共变量.
主要成果:
- 与缓解相比,较高的RA疾病活性与较快的年度eGFR下降相关.
- 患有高RA疾病活性的患者显示,患有CKDG3a和G3b阶段的调整后危险比率增加.
- 在低,中等和高TA-CDAI类别中观察到显著的关联.
结论:
- 较高的类风湿性关节炎疾病活性与加速的功能衰退有关.
- 较高的RA活性增加了临床显著功能障碍的风险.
- 进一步的研究应该探索针对RA疾病活动的干预措施,以保护脏健康.
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