Maini R N
Kennedy Institute of Rheumatology Division, Imperial College, London.
Ann Rheum Dis. 2005 Nov;64 Suppl 4(Suppl 4):iv106-8. doi: 10.1136/ard.2005.042408.
This essay summarises a personal perspective on where we have got to in the five years since the turn of the last century. The focus is on advances in knowledge of antitumour necrosis factor (anti-TNF) therapy of rheumatoid arthritis and other chronic immune-inflammatory rheumatic diseases. The accumulating knowledge is clarifying the scope and limitations of efficacy, safety, and durability of these agents. It is defining the unmet needs of patients and communities worldwide for the future. The call is for progress in providing more cost-effective advances in therapeutics that not only interrupt the disease process long term but also reverse the anatomical and functional consequences of disease and the impairment in quality of life.
本文总结了自上世纪之交以来的五年里我们所处状况的个人观点。重点是类风湿关节炎及其他慢性免疫炎症性风湿疾病的抗肿瘤坏死因子(抗TNF)治疗方面的知识进展。不断积累的知识正在阐明这些药物在疗效、安全性和持久性方面的范围及局限性。它正在明确全球患者和群体未来未满足的需求。呼吁在提供更具成本效益的治疗进展方面取得进步,这些进展不仅要长期中断疾病进程,还要逆转疾病的解剖学和功能后果以及生活质量受损的情况。