Ann Rheum Dis:COVID-19大流行对风湿病患者病程的影响

2020-09-24 xiangting MedSci原创

按照患者报告的结局进行评估,治疗的短暂减少对axSpA、RA和PsA患者的病程没有明显影响。

疫情流行期间,由于采取了一系列的病毒隔离管控措施,慢性病患者的就医、配药等存在困难。这项研究探讨了新冠肺炎流行期间,中轴型脊柱关节炎(axSpA)、类风湿性关节炎(RA)或银屑病关节炎(PsA)患者治疗的短暂减少是否与疾病恶化相关。

研究纳入瑞士临床质量管理队列的666名axSpA、RA和PsA患者,比较了2020年1月至2020年6月共三个阶段的患者报告疾病活动性,(COVID-19流行前、流行期间和流行后)。

结果发现,咨询数量下降了52%,而远程评估数量则增加了129%。大流行期间药物不依从的患者比例略有增加,在axSpA患者中这种差异达到了统计学显著性(流行前为13.2%,流行期间为19.9%,p=0.003)。疾病急性发作的患者比例保持稳定(<15%)。axSpA、RA和PsA患者的巴斯强直性脊柱炎疾病活动度指数、类风湿性关节炎疾病活动指数-5和患者总体评估的平均值没有升高。

由此可见,按照患者报告的结局进行评估,治疗的短暂减少对axSpA、RA和PsA患者的病程没有明显影响。

原始出处:

Adrian Ciurea. Impact of the COVID-19 pandemic on the disease course of patients with inflammatory rheumatic diseases: results from the Swiss Clinical Quality Management cohort. Ann Rheum Dis. September 2020.

 

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    2021-06-27 cmj8wellington
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    2020-09-25 lovetcm

    按照患者报告的结局进行评估,治疗的短暂减少对axSpA、RA和PsA患者的病程没有明显影响。#风湿科#

    0

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    2020-09-25 1464f43bm88暂无昵称

    学习

    0

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    2020-09-24 飞翔的乌龟

    学习

    0

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    2020-09-24 医鸣惊人

    学习

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