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儿科风湿病学的结局评分。

Outcome Scores in Pediatric Rheumatology.

机构信息

Clinica Pediatrica e Reumatologia, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Dipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili (DiNOGMI), Università degli Studi di Genova, Genoa, Italy.

出版信息

Curr Rheumatol Rep. 2021 Mar 8;23(4):23. doi: 10.1007/s11926-021-00988-x.

DOI:10.1007/s11926-021-00988-x
PMID:33683471
Abstract

PURPOSE OF REVIEW

Providing a summary of the latest research on outcome measures in juvenile idiopathic arthritis, childhood -onset systemic lupus erythematosus, and juvenile dermatomyositis.

RECENT FINDINGS

A rational management of patients with pediatric rheumatic diseases requires the regular assessment of the level of disease activity and damage, as well as the evaluation of therapeutic response through validated and standardized outcome measures. Ideally, such tools should be simple, feasible, and easily applicable in routine care. Recently, there has been a great deal of effort to refine existing tools and devise novel outcome measures, aiming to address the various aspects of disease impact and to improve the reliability of research studies and clinical trials. The newest outcome tools in pediatric rheumatology have markedly enlarged the spectrum of health domains assessable in a standardized way, thus increasing the reliability of evaluation of clinical response and fostering future clinical trials.

摘要

目的综述

总结幼年特发性关节炎、儿童发病的系统性红斑狼疮和青少年皮肌炎的最新结局指标研究。

最近发现

儿童风湿性疾病患者的合理治疗需要定期评估疾病活动度和损害程度,以及通过经过验证和标准化的结局指标评估治疗反应。理想情况下,这些工具应该简单、可行,并且可以在常规护理中轻松应用。最近,人们付出了大量努力来改进现有工具并设计新的结局指标,旨在解决疾病影响的各个方面,并提高研究和临床试验的可靠性。儿科风湿病学中最新的结局工具显著扩大了可标准化评估的健康领域范围,从而提高了临床反应评估的可靠性,并促进了未来的临床试验。

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No evidence that genetic predictors of susceptibility predict changes in core outcomes in JIA.

本文引用的文献

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Two-Year, Randomized, Controlled Trial of Belimumab in Lupus Nephritis.两年随机对照试验研究贝利尤单抗治疗狼疮肾炎。
N Engl J Med. 2020 Sep 17;383(12):1117-1128. doi: 10.1056/NEJMoa2001180.
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Safety and efficacy of intravenous belimumab in children with systemic lupus erythematosus: results from a randomised, placebo-controlled trial.静脉注射贝利尤单抗治疗系统性红斑狼疮儿童的安全性和疗效:一项随机、安慰剂对照试验的结果。
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Establishing an Updated Core Domain Set for Studies in Juvenile Idiopathic Arthritis: A Report from the OMERACT 2018 JIA Workshop.
没有证据表明易感性的遗传预测因子可预测 JIA 核心结局的变化。
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Evaluation of the reliability and validity of the Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) in paediatric cutaneous lupus among paediatric dermatologists and rheumatologists.评估皮肤科医生和风湿病学家在儿科皮肤狼疮中使用皮肤狼疮红斑疾病面积和严重程度指数(CLASI)的可靠性和有效性。
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Treating juvenile idiopathic arthritis to target: recommendations of an international task force.靶向治疗幼年特发性关节炎:国际工作组的建议。
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Clinical Juvenile Arthritis Disease Activity Score proves to be a useful tool in treat-to-target therapy in juvenile idiopathic arthritis.临床幼年特发性关节炎疾病活动评分被证明是幼年特发性关节炎靶向治疗中的一种有用工具。
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Development of a consensus core dataset in juvenile dermatomyositis for clinical use to inform research.制定青少年皮肌炎临床应用共识核心数据集,以支持研究。
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Subcutaneous golimumab for children with active polyarticular-course juvenile idiopathic arthritis: results of a multicentre, double-blind, randomised-withdrawal trial.皮下注射戈利木单抗治疗多关节型幼年特发性关节炎患儿:一项多中心、双盲、随机撤药试验的结果
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