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《重症肌无力患者登记研究的横断面分析:残疾与治疗》

Cross-sectional analysis of the Myasthenia Gravis Patient Registry: Disability and treatment.

机构信息

Department of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama.

Department of Neurology, University of Virginia, Charlottesville, Virginia.

出版信息

Muscle Nerve. 2019 Dec;60(6):707-715. doi: 10.1002/mus.26695. Epub 2019 Oct 9.

Abstract

INTRODUCTION

The Myasthenia Gravis Patient Registry (MGR) is a voluntary, patient-submitted database dedicated to improve understanding of care/burden of myasthenia gravis (MG).

METHODS

In this study we present analyses of baseline records through July 2017 (n = 1140) containing data on the MG-Activities of Daily Living (MG-ADL) and the MG 15-item Quality of Life (MG-QOL15) instruments, two validated scales assessing quality of life in MG patients at sign-up into the MGR.

RESULTS

Most registrants reported moderate to severe impairment of health-related quality of life, with a median MG-ADL score of 6 and a median MG-QOL15 score of 21. Seventy-one percent of the patients had received pyridostigmine. Corticosteroids, mycophenolate mofetil, and azathioprine were the most common immunomodulators/immunosuppressants, with 85% of participants having ever using one of these agents. Forty-seven registrants reported receiving intravenous immunoglobulin, and 30% received plasma exchange. Twelve percent reported other treatments, and 40% were unsure whether they received less common therapies. Forty percent had undergone thymectomy.

DISCUSSION

The MGR data correlate well with other MG cohorts. Many MG patients remain negatively impacted despite treatment.

摘要

简介

重症肌无力患者注册(MGR)是一个自愿的、由患者提交的数据库,致力于提高对重症肌无力(MG)护理/负担的理解。

方法

在这项研究中,我们分析了截至 2017 年 7 月的基线记录(n=1140),其中包含关于 MG 日常生活活动(MG-ADL)和 MG 15 项生活质量(MG-QOL15)工具的数据,这两个工具是评估 MG 患者在注册 MGR 时生活质量的经过验证的量表。

结果

大多数登记患者报告健康相关生活质量有中度至重度受损,MG-ADL 评分中位数为 6,MG-QOL15 评分中位数为 21。71%的患者接受了吡啶斯的明治疗。皮质类固醇、吗替麦考酚酯和硫唑嘌呤是最常用的免疫调节剂/免疫抑制剂,85%的参与者曾使用过这些药物中的一种。47 名登记患者报告接受了静脉注射免疫球蛋白治疗,30%接受了血浆置换。12%的患者报告接受了其他治疗,40%的患者不确定是否接受了不太常见的治疗方法。40%的患者接受了胸腺切除术。

讨论

MGR 数据与其他 MG 队列相关性良好。尽管进行了治疗,但许多 MG 患者仍然受到负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ef/6899582/77e65437f3e8/MUS-60-707-g001.jpg

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