Arthritis Res Ther. 2009;11(6):138. doi: 10.1186/ar2872. Epub 2009 Dec 21.
Work by Lee and colleagues has shown that decreased sleep quality and increased psychiatric distress increase pain sensitivity at both articular and nonarticular sites in rheumatoid arthritis (RA) patients. This work is consistent with prior studies showing that factors independent of RA disease activity can influence RA outcome measures. Owing to increasing pressure on rheumatologists to use outcome measures to inform treatment decisions, the work by Lee and colleagues highlights the need for comprehensive RA management strategies to understand and address the human factors that influence outcomes measures. Such strategies will ensure appropriate use of increasingly expensive therapies while maximizing patient satisfaction and reimbursement.
李等人的研究表明，睡眠质量下降和精神疾病困扰增加会增加类风湿关节炎（RA）患者关节和非关节部位的疼痛敏感性。这项工作与先前的研究一致，表明独立于 RA 疾病活动的因素会影响 RA 的结果测量。由于风湿病学家面临越来越大的使用结果测量来指导治疗决策的压力，李等人的工作强调了需要全面的 RA 管理策略来理解和解决影响结果测量的人为因素。这些策略将确保在最大限度地提高患者满意度和报销的同时，合理使用日益昂贵的治疗方法。
