Department of Rheumatology, Austin Health, Heidelberg, VIC, Australia.
Department of Medicine, The University of Melbourne, Parkville, VIC, Australia.
Clin Rheumatol. 2023 Dec;42(12):3421-3422. doi: 10.1007/s10067-023-06794-3. Epub 2023 Oct 20.
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.
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。