Makris Una E, Misra Devyani, Yung Raymond
Division of Rheumatic Diseases, Department of Internal Medicine, UT Southwestern Medical Center and the VA North Texas Health Care System, 5323 Harry Hines Boulevard, Dallas, TX 75390-9169, USA.
Section of Clinical Epidemiology, Department of Medicine, Boston University School of Medicine, 650 Albany Street, Suite X-200, Boston, MA 02118, USA.
Clin Geriatr Med. 2017 Feb;33(1):119-133. doi: 10.1016/j.cger.2016.08.009. Epub 2016 Oct 18.
The incidence and prevalence of rheumatologic conditions are increasing and the rheumatology workforce must be aware of aging-specific issues. This article reviews specific barriers to understanding the biology of aging and aging-related mechanisms that may underlie development of rheumatologic diseases in older adults. It summarizes gaps in the assessment, outcomes measurement, and treatment of these diseases in this unique population. It also highlights potential solutions to these barriers and suggests possible ways to bridge the gap, from a research and education standpoint, so that clinicians can be better prepared to effectively manage older adults with rheumatologic conditions.
风湿性疾病的发病率和患病率正在上升,风湿病专业人员必须了解与衰老相关的特定问题。本文回顾了理解衰老生物学和可能是老年人风湿性疾病发病基础的衰老相关机制的具体障碍。总结了在这一独特人群中这些疾病在评估、结果测量和治疗方面的差距。它还强调了这些障碍的潜在解决方案,并从研究和教育的角度提出了弥合差距的可能方法,以便临床医生能够更好地准备有效管理患有风湿性疾病的老年人。