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探讨风湿性多肌痛患者的体验。

Exploring the patient experience in polymyalgia rheumatica.

机构信息

Department of Rheumatology, Austin Health, Heidelberg, VIC, Australia.

Department of Medicine, The University of Melbourne, Parkville, VIC, Australia.

出版信息

Clin Rheumatol. 2023 Dec;42(12):3421-3422. doi: 10.1007/s10067-023-06794-3. Epub 2023 Oct 20.

Abstract

Despite being the most common inflammatory rheumatic disease in the elderly (Partington et al., Ann Rheum Dis 77(12):1750-175, 2018), few studies to date have examined the patient experience of polymyalgia rheumatica (PMR). Our study explored patient perspectives in PMR by means of a survey and semi-structured group interviews. The results from this study highlight key aspects of the patient experience in PMR, including delays to diagnosis, complex attitudes toward glucocorticoid therapy, and a desire for alternate treatment strategies. Future trials should look to include physical function as a measured outcome. Finally, our results call attention to the chronicity of PMR symptoms, challenging the paradigm of PMR as a self-limiting condition.

摘要

尽管多发性肌痛症(PMR)是老年人中最常见的炎症性风湿性疾病(Partington 等人,《风湿病学年鉴》77(12):1750-175,2018 年),但迄今为止,很少有研究探讨 PMR 患者的体验。我们的研究通过调查和半结构化小组访谈探索了 PMR 患者的观点。本研究的结果突出了 PMR 患者体验的关键方面,包括诊断延迟、对糖皮质激素治疗的复杂态度以及对替代治疗策略的需求。未来的试验应考虑将身体功能作为测量结果。最后,我们的结果引起了对 PMR 症状的慢性化的关注,挑战了 PMR 作为自限性疾病的范式。

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