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荷兰面肩肱型肌营养不良症注册登记处:队列概况及患者报告的纵向结局

The Dutch registry for facioscapulohumeral muscular dystrophy: Cohort profile and longitudinal patient reported outcomes.

作者信息

Kools Joost, Deenen Johanna Cw, Blokhuis Anna M, Verbeek André Lm, Voermans Nicol C, van Engelen Baziel Gm

机构信息

Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud university medical center, Nijmegen, The Netherlands.

Sint Maartenskliniek, Department of Rehabilitation, Nijmegen, The Netherlands.

出版信息

Neuromuscul Disord. 2023 Dec;33(12):964-971. doi: 10.1016/j.nmd.2023.10.020. Epub 2023 Nov 4.

Abstract

Facioscapulohumeral dystrophy (FSHD) is the second most prevalent inherited muscular disorder and currently lacks a pharmaceutical treatment. The Dutch FSHD Registry was initiated in 2015 as a result of an international collaboration on trial readiness. This paper presents the cohort profile and six years of follow-up data of the registered FSHD patients. At the time of self-registration and every six months thereafter, participants were invited to complete a digital survey of patient and disease characteristics and the Dutch versions of the Checklist Individual Strength (CIS20R), the Individualised Neuromuscular Quality of Life Questionnaire (INQoL), the Beck Depression Index - Primary Care and the McGill Pain Questionnaire. From March 2015 to March 2021, 373 participants completed at least one survey. At baseline, fatigue and muscle weakness were the most frequently reported symptoms (median CIS20R sumscore 77 [IQR 60-92], median INQoL Fatigue score 58 [IQR 42-68] and median INQoL weakness score 58 [IQR 42-68]). Pain was experienced most often in the head and shoulder region (193, 52%). Nineteen of the 23 (sub)sections of questionnaires showed no significant changes over time. We conclude that the Dutch FSHD Registry was successfully set up, enabling collection of longitudinal data and facilitating recruitment in several studies.

摘要

面肩肱型肌营养不良症(FSHD)是第二常见的遗传性肌肉疾病,目前缺乏药物治疗。荷兰FSHD注册登记处于2015年启动,是国际上关于试验准备工作合作的成果。本文介绍了已注册FSHD患者的队列概况和六年的随访数据。在患者自行注册时以及此后每六个月,邀请参与者完成一项关于患者和疾病特征的数字调查,以及荷兰版的个人力量清单(CIS20R)、个性化神经肌肉生活质量问卷(INQoL)、贝克抑郁指数-初级保健版和麦吉尔疼痛问卷。从2015年3月到2021年3月,373名参与者至少完成了一项调查。在基线时,疲劳和肌肉无力是最常报告的症状(CIS20R总分中位数77 [四分位间距60 - 92],INQoL疲劳评分中位数58 [四分位间距42 - 68],INQoL无力评分中位数58 [四分位间距42 - 68])。疼痛最常出现在头部和肩部区域(193例,占52%)。问卷的23个(子)部分中有19个随时间没有显著变化。我们得出结论,荷兰FSHD注册登记处已成功设立,可以收集纵向数据并为多项研究的招募工作提供便利。

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