多药与风湿性关节炎和全身性红斑狼疾病控制之间的关联:一个队列研究
William Berthelot1,2,3, Caroline Sirois4, Anne-Sophie Julien5
1Division of Rheumatology, Department of Medicine, Université Laval, Québec, Canada. william.berthelot.1@ulaval.ca.
Rheumatology international
|February 8, 2025
概括
多药性,即使用5种以上的药物,在类风湿性关节炎 (RA) 和全身性红斑狼 (SLE) 中非常普遍. 在RA中,多药最初与更好的疾病控制相关,但随着时间的推移,这种关联减少了.
科学领域:
- 类风湿病学 类风湿病学
- 临床药理学 临床药理学
背景情况:
- 多药与慢性疾病管理中的不良结果有关.
- 了解多药在类风湿性关节炎 (RA) 和全身性红斑狼 (SLE) 的患病率和影响对于患者的护理至关重要.
研究的目的:
- 评估RA和SLE患者中多药物的患病率.
- 确定这些人群中多药与疾病控制之间的关联.
主要方法:
- 一项观察性研究利用了SARD数据库,包括新诊断出RA或SLE的患者.
- 收集的数据包括药物计数,查尔森并发症指数和药物坚持.
- 多药性被定义为同时使用5种或更多种药物. 统计分析包括多变量逻辑和线性回归.
主要成果:
- 在RA和SLE队列中,药物计数和多药制药的患病率在两年内显著增加.
- 在这两组中,平均药物坚持超过了85%.
- 在RA中,多药与一年后更好的疾病控制有关 (DAS28CRP),但这种效果在两年后没有持续. 对于SLE (SLEDAI-2K) 没有发现显著的关联.
结论:
- 多药在RA和SLE患者中非常普遍.
- 在RA中观察到多药与疾病控制之间的初始积极关联,突出显示了慢性自身免疫性疾病中药物管理的复杂性.
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