患者诊断旅程和诊断时间在轴性脊柱关节炎:使用美国索赔数据的回顾性队列研究
Maureen Dubreuil1, Marina Magrey2, Kathrin Haeffs3
1Section of Rheumatology, Boston University School of Medicine, Boston, MA, USA. mdubreui@bu.edu.
Rheumatology and therapy
|August 29, 2025
概括
在美国,轴性脊柱关节炎患者的诊断时间较长,平均为4. 5年,尽管他们多次去看医生和进行检查. 这突显了改善 axSpA 识别和更快诊断的迫切需要.
科学领域:
- 关节病学
- 健康经济学
- 患者旅程研究
背景情况:
- 轴性脊柱关节炎 (axSpA) 的延迟诊断与患者的治疗结果和医疗费用增加有关.
- 描述 axSpA 诊断过程对于确定需要改进的领域至关重要.
研究的目的:
- 分析美国 axSpA 的诊断过程.
- 在诊断期间量化医疗资源利用率 (HCRU) 和相关成本.
主要方法:
- 对美国MarketScan®索赔数据 (商业/医疗补助和医疗补助) 的回顾性分析.
- 包括在 axSpA 诊断之前出现背痛的成年患者.
- 诊断时间的评估,医疗专业咨询的数量,诊断测试,成像和药房索赔.
主要成果:
- 在97,469名患者中,显著比例 (29. 0%) 患有≥6年的诊断延迟,平均为4. 5年.
- 在 axSpA 诊断之前,患者平均每年接受 4. 57 次诊断,总共接受了超过 20 次诊断.
- 每年医疗费用中位数为883.19美元, 医疗费用为1127.57美元.
结论:
- 对于美国 axSpA 患者来说,诊断延迟仍然是一个重大挑战.
- 许多咨询和测试并不能保证及时诊断axSpA.
- 迫切需要策略来改善axSpA的识别和简化诊断途径.
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