对于急性酸晶体关节炎的研究的核心领域:OMERACT delphi调查以建立共识共识
Yiling Zhang1, Sara K Tedeschi2, Abhishek Abhishek3
1University of Auckland, Auckland, New Zealand.
Seminars in arthritis and rheumatism
|March 4, 2025
概括
这项研究确定了评估急性酸盐 (CPP) 晶体关节炎爆发的关键领域. 核心领域包括关节疼痛,胀,疼痛,功能和患者的整体评估,以更好地评估治疗.
科学领域:
- 类风湿病学 类风湿病学
- 结晶关节病 结晶关节病
- 结果测量 结果测量
背景情况:
- 急性氧化 (CPP) 晶体关节炎是一种炎症性关节炎,需要标准化的结果测量.
- 风湿病学的结果测量 (OMERACT) 计划旨在开发各种类风湿病的核心领域集.
- 确定CPP晶体关节炎爆发的核心域集对于一致和可比的研究至关重要.
研究的目的:
- 确定和建立对评估酸盐 (CPP) 晶体关节炎急性爆发的基本领域的共识.
- 为开发CPP晶体关节炎临床试验和观察性研究的核心领域集提供信息.
主要方法:
- 与患者研究合作伙伴 (PRP) 和其他利益相关者 (临床医生,研究人员) 合作,采用了涉及三轮调查的Delphi方法.
- 共识被定义为PRP和其他参与者群体在一个领域的关键重要性上的至少70%的协议.
- 随后的排名练习进一步优先考虑在核心集合中包含的领域.
主要成果:
- 十四个领域达成共识,认为这些领域至关重要.
- 确定的关键领域包括关节疼痛,疼痛,胀,成像证实的炎症,爆发时间,整体功能,日常任务能力,工作能力,生活质量,患者全球评估,医生全球评估和救援药物使用.
- 关节疼痛,关节疼痛,关节胀,整体功能和完成日常任务的能力排名最高.
结论:
- 关节疼痛,关节胀,关节敏感,发作持续时间,整体功能,完成日常任务的能力,以及患者对疾病活动的整体评估都得到了强烈支持,将其纳入OMERACT核心领域.
- 这些领域代表了急性CPP水晶关节炎爆发患者体验和疾病活动的关键方面.
相关概念视频
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Acute Coronary Syndrome III: Diagnostic Studies
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Acute Kidney Injury V: Interprofessional Care
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...


