Brown Geraint A, Cotton Alice, Guinto Jesusa, Sharma Arti, Ciurtin Coziana
Registrar, Department of Rheumatology, University College London Hospital NHS Trust, London.
Clinical Research Nurse, Department of Rheumatology, University College London Hospital NHS Trust, London.
Br J Hosp Med (Lond). 2017 Aug 2;78(8):432-437. doi: 10.12968/hmed.2017.78.8.432.
The most common types of chronic inflammatory arthritis are rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis. In order to assess the activity of these diseases and tailor therapy, several outcome measures have been developed. They include composite scores based on clinical findings, biochemical markers and patient questionnaires. This article discusses the most commonly used outcome measures and looks at their limitations in quantifying the complex clinical features of different types of inflammatory arthritis, focusing in particular on rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis.
最常见的慢性炎症性关节炎类型包括类风湿关节炎、银屑病关节炎和强直性脊柱炎。为了评估这些疾病的活动情况并调整治疗方案,已经开发了几种疗效指标。它们包括基于临床发现、生化标志物和患者问卷的综合评分。本文讨论了最常用的疗效指标,并探讨了它们在量化不同类型炎症性关节炎复杂临床特征方面的局限性,尤其聚焦于类风湿关节炎、银屑病关节炎和强直性脊柱炎。