医生对青少年异常性关节炎疾病活动的全球评估:国际特别工作组的基于共识的建议
Veronika Rypdal1, Hermine I Brunner2, Brian M Feldman3
1Department of Pediatrics, University Hospital of North Norway, Tromsø, Norway; Department of Clinical Medicine, UIT the Arctic University of Norway, Tromsø, Norway.
制定了共识性建议,以标准化医生.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 临床实践指南 临床实践指南
背景情况:
- 青少年异常性关节炎 (JIA) 疾病活动评估缺乏标准化的定义.
- 医生的全球评估 (PhGA) 评分需要一致的方法.
研究的目的:
- 在JIA中建立基于共识的PhGA评分建议.
- 在JIA中标准化疾病活动的定义和评估.
主要方法:
- 召集了一个由34名专家组成的国际特别工作组.
- 采用了三个阶段的方法,包括调查,文献审查,视频会议和面对面的共识会议.
- 达成共识被定义为工作组成员之间≥78%的同意.
主要成果:
- 在JIA中对PhGA评分达成共识的十八点.
- 建议涵盖疾病活动定义,系统性和非系统性JIA的评估因素,成像,实验室测试,关节外表现,治疗评估和评分时间.
- 所有陈述都达到了高度共识 (≥78%) 与强烈的同意 (≥9.2).
结论:
- 在非系统和系统JIA中为PhGA评分制定了基于共识的建议.
- 这些指南旨在提高JIA患者疾病活性评分的可靠性.
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