特尔综合征,一个真正的现象,在肌缩侧面硬化症 (ALS)?
Saioa Fernández Soberón1, Tatiana Gómez Escobar2, Alejandro Caravaca Puchades3
1Neurology Service, Hospital Galdakao-Usansolo, Vizcaya, Spain.
概括
男人始终主导肌缩侧面硬化症 (ALS) 临床试验,占参与者的60%以上. 这种持续的男性占主导地位,被称为Yentl.
科学领域:
- 神经科学是一个神经科学.
- 临床试验 临床试验
- 流行病学 流行病学
背景情况:
- 肌缩侧面硬化症 (ALS) 的发病率和患病率各不相同.
- 在ALS中,男性对女性的比例往往在年轻人群中更高.
- 在ALS临床试验中潜在的男性偏见可能会阻碍对基于性别的差异的理解.
研究的目的:
- 在西班牙国家参考中心分析过去8年ALS临床试验参与者的人口统计数据.
- 专门调查ALS临床试验中的女性参与率.
- 将发现与现有的ALS临床试验数据进行比较,例如PRO-ACT数据库.
主要方法:
- 回顾性和描述性观察性研究设计.
- 利用了来自西班牙四个神经学参考中心的数据库.
- 分析了8年来ALS临床试验中的426名受试者的数据.
主要成果:
- 在分析的ALS临床试验中,男性占426名受试者的64.55%.
- 这种男性占主导地位在8年的研究期间保持一致.
- 这些发现与PRO-ACT的数据一致,其中男性占参与者的60%.
结论:
- 在ALS临床试验中男性的持续过度代表是一个公认的现象 (Yentl综合征).
- 这种不平衡可能会损害医学中立原则.
- 它导致对ALS及其治疗的性别特异性方面缺乏完整的知识.
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