风湿性关节炎诊断和监测 美国医生和先进实践提供者的测试模式,2012年至2024年
Min Kyung Lee1, Karis Lee1, David Alfego1
1Labcorp, Burlington, North Carolina.
ACR open rheumatology
|February 22, 2026
概括
先进实践提供者 (APP) 显著增加了类风湿关节炎 (RA) 测试订单,显示了诊断和监测贡献的大幅增加. 这一趋势反映了它们在类风湿病护理中的作用不断扩大.
科学领域:
- 类风湿病学 类风湿病学
- 临床诊断 临床诊断 临床诊断
- 医疗保健工作人员分析
背景情况:
- 风湿性关节炎 (RA) 的诊断和监测在很大程度上依赖于实验室检测.
- 医生和高级实践提供者 (APP) 在管理RA患者中发挥着至关重要的作用.
- 了解不同类型的提供者测试订单的纵向趋势对于优化RA护理途径至关重要.
研究的目的:
- 调查类风湿性关节炎 (RA) 诊断和监测测试的纵向趋势.
- 为了比较医生和APP在初级保健和风湿病学环境中的订单模式.
- 分析新兴诊断标记和面板测试对RA评估的影响.
主要方法:
- 通过Labcorp (2012-2024) 订购的RA相关实验室测试的回顾性审查.
- 分析包括来自7026名医生和2188名初级保健和类风湿病专业的APP的数据.
- 包括传统标记物 (RF,抗CCP),新兴标记物和用于诊断的面板测试,以及用于监测的Vectra测试.
主要成果:
- 风湿病学APP测试订单增加了411.8%,明显超过了风湿病学医生中58.5%的增长.
- 与医生相比,APP订购的常规标记物较少,但监测测试更多.
- 在RA小组测试量大幅增加,特别是在APP中 (2,948.5%的增长).
- 风湿病医生和APP之间诊断测试结果的差异显著缩小.
结论:
- 先进实践提供者 (APP) 证明了对类风湿关节炎 (RA) 诊断和监测测试的重要和不断增长的贡献.
- 观察到的趋势与APP在风湿病学工作人员中日益增长的存在和整合相一致.
- 这些发现突显了RA患者管理的不断变化以及APP在实验室测试利用中的作用.
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