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2021年回顾:类风湿关节炎治疗的新进展

One year in review 2021: novelties in the treatment of rheumatoid arthritis.

作者信息

Silvagni Ettore, Sakellariou Garifallia, Bortoluzzi Alessandra, Giollo Alessandro, Ughi Nicola, Vultaggio Licia, Scirè Carlo Alberto

机构信息

Rheumatology Unit, Department of Medical Sciences, University of Ferrara and Azienda Ospedaliero-Universitaria S. Anna, Cona, Ferrara, Italy.

University of Pavia, Istituti Clinici Scientifici Maugeri IRCCS Pavia, Italy.

出版信息

Clin Exp Rheumatol. 2021 Jul-Aug;39(4):705-720. doi: 10.55563/clinexprheumatol/beucf1. Epub 2021 Jul 5.

Abstract

Management of rheumatoid arthritis (RA) has evolved over the years as a result of better understanding of the role of different therapeutic strategies, as well as following an increasing availability of new disease-modifying antirheumatic drugs. However, the role of patients in sharing decisions, as well as the rules informing precision medicine or the principles to follow in case of specific comorbidities or extra-articular manifestations are still areas for improvement. Moreover, in 2020, the novel Coronavirus disease-19 outbreak has completely changed many attitudes in terms of assessment and treatment paradigms in most clinical diseases, including RA. In this narrative review, the authors report their specific point of view on the management of RA, based on a critical revision of literature published in 2020, focusing on relevant novelties and future research directions.

摘要

多年来,由于对不同治疗策略的作用有了更深入的了解,以及新型抗风湿药物的供应不断增加,类风湿关节炎(RA)的管理方式得到了发展。然而,患者在共同决策中的作用,以及指导精准医学的规则或在特定合并症或关节外表现情况下应遵循的原则,仍有改进空间。此外,2020年,新型冠状病毒病(COVID-19)疫情彻底改变了包括RA在内的大多数临床疾病在评估和治疗模式方面的许多观念。在这篇叙述性综述中,作者基于对2020年发表的文献的批判性回顾,报告了他们对RA管理的具体观点,重点关注相关的新进展和未来的研究方向。

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