Risk factors for cervical instability in rheumatoid arthritis: a meta-analysis.

IF 3 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Archives of Medical Science Pub Date : 2024-03-05 eCollection Date: 2024-01-01 DOI:10.5114/aoms/173494
Min Wang, Jinhua Shen, Jianghong Tan, Xiaoling Zhu, Hongxia Ma, Zhenhua Wen, Yanzhen Tian, Weimin Jiang
{"title":"Risk factors for cervical instability in rheumatoid arthritis: a meta-analysis.","authors":"Min Wang, Jinhua Shen, Jianghong Tan, Xiaoling Zhu, Hongxia Ma, Zhenhua Wen, Yanzhen Tian, Weimin Jiang","doi":"10.5114/aoms/173494","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the study was to evaluate the risk factors for cervical instability in rheumatoid arthritis (RA).</p><p><strong>Material and methods: </strong>Computer searches were conducted in PubMed, Embase, Cochrane Library, the China National Knowledge Infrastructure (CNKI) database, the Wan Fang database, the Chinese Scientific Journal Databases (VIP) database, and the Chinese Biomedical Literature database (CBM) from their establishment until November 2022.</p><p><strong>Results: </strong>A total of 8 articles were included in this study, including 1 cross-sectional study, 5 case-control studies, and 2 cohort study, including 3078 patients with RA. Meta-analysis results showed that: male sex (OR = 1.70, 95% CI: 1.19-2.42), course of disease (OR = 1.72, 95% CI: 1.29-2.28), long-term glucocorticosteroid use (OR = 2.84, 95% CI: 1.97-2.40), Steinbrocker staging (OR = 2.30, 95% CI: 1.61-3.28), disability at baseline (OR = 24.57, 95% CI: 5.51-109.60), peripheral joint destruction (OR = 2.24, 95% CI: 1.56-3.21), Steinbrocker stage I-IV progression to disability (OR = 20.08, 95% CI: 4.18-96.53), and previous joint surgery (OR = 1.54, 95% CI: 1.06-2.26) are the main risk factors for cervical instability in RA.</p><p><strong>Conclusions: </strong>There are many risk factors for cervical instability in RA. In clinical practice, special attention should be paid to patients who are male, have a longer course of disease, have long-term glucocorticosteroid use, have previous joint surgery, have peripheral joint damage, and develop disability in Steinbrocker stage I-IV. Attention should be paid to the high-risk groups mentioned above, and effective measures such as early screening and full monitoring should be taken to prevent the occurrence of cervical instability in RA.</p>","PeriodicalId":8278,"journal":{"name":"Archives of Medical Science","volume":"20 2","pages":"375-383"},"PeriodicalIF":3.0000,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11094836/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Medical Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5114/aoms/173494","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: The aim of the study was to evaluate the risk factors for cervical instability in rheumatoid arthritis (RA).

Material and methods: Computer searches were conducted in PubMed, Embase, Cochrane Library, the China National Knowledge Infrastructure (CNKI) database, the Wan Fang database, the Chinese Scientific Journal Databases (VIP) database, and the Chinese Biomedical Literature database (CBM) from their establishment until November 2022.

Results: A total of 8 articles were included in this study, including 1 cross-sectional study, 5 case-control studies, and 2 cohort study, including 3078 patients with RA. Meta-analysis results showed that: male sex (OR = 1.70, 95% CI: 1.19-2.42), course of disease (OR = 1.72, 95% CI: 1.29-2.28), long-term glucocorticosteroid use (OR = 2.84, 95% CI: 1.97-2.40), Steinbrocker staging (OR = 2.30, 95% CI: 1.61-3.28), disability at baseline (OR = 24.57, 95% CI: 5.51-109.60), peripheral joint destruction (OR = 2.24, 95% CI: 1.56-3.21), Steinbrocker stage I-IV progression to disability (OR = 20.08, 95% CI: 4.18-96.53), and previous joint surgery (OR = 1.54, 95% CI: 1.06-2.26) are the main risk factors for cervical instability in RA.

Conclusions: There are many risk factors for cervical instability in RA. In clinical practice, special attention should be paid to patients who are male, have a longer course of disease, have long-term glucocorticosteroid use, have previous joint surgery, have peripheral joint damage, and develop disability in Steinbrocker stage I-IV. Attention should be paid to the high-risk groups mentioned above, and effective measures such as early screening and full monitoring should be taken to prevent the occurrence of cervical instability in RA.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
类风湿性关节炎颈椎不稳的风险因素:一项荟萃分析。
导言该研究旨在评估类风湿关节炎(RA)颈椎不稳的风险因素:在PubMed、Embase、Cochrane图书馆、中国知网(CNKI)数据库、万方数据库、中文科技期刊数据库(VIP)和中国生物医学文献数据库(CBM)中进行计算机检索:本研究共纳入8篇文章,包括1项横断面研究、5项病例对照研究和2项队列研究,共纳入3078名RA患者。Meta分析结果显示:男性(OR=1.70,95% CI:1.19-2.42)、病程(OR=1.72,95% CI:1.29-2.28)、长期使用糖皮质激素(OR=2.84,95% CI:1.97-2.40)、Steinbrocker分期(OR=2.30,95% CI:1.61-3.28)、基线残疾(OR=24.57,95% CI:5.51-109.60)、外周关节破坏(OR=2.24,95% CI:1.56-3.21)、Steinbrocker分期I-IV进展至残疾(OR=20.08,95% CI:4.18-96.53)和既往关节手术(OR=1.54,95% CI:1.06-2.26)是RA颈椎不稳的主要危险因素:结论:RA 颈椎不稳的危险因素很多。在临床实践中,应特别注意男性、病程较长、长期使用糖皮质激素、既往接受过关节手术、有外周关节损伤、出现 Steinbrocker I-IV 期残疾的患者。应关注上述高危人群,采取早期筛查、全程监测等有效措施,预防RA颈椎不稳的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Archives of Medical Science
Archives of Medical Science 医学-医学:内科
CiteScore
4.90
自引率
7.90%
发文量
139
审稿时长
1.7 months
期刊介绍: Archives of Medical Science (AMS) publishes high quality original articles and reviews of recognized scientists that deal with all scientific medicine. AMS opens the possibilities for young, capable scientists. The journal would like to give them a chance to have a publication following matter-of-fact, professional review by outstanding, famous medical scientists. Thanks to that they will have an opportunity to present their study results and/or receive useful advice about the mistakes they have made so far. The second equally important aim is a presentation of review manuscripts of recognized scientists about the educational capacity, in order that young scientists, often at the beginning of their scientific carrier, could constantly deepen their medical knowledge and be up-to-date with current guidelines and trends in world-wide medicine. The fact that our educational articles are written by world-famous scientists determines their innovation and the highest quality.
期刊最新文献
Synergistic therapeutic approach for hemorrhoids: integrating mesenchymal stem cells with diosmin-hesperidin to target tissue edema and inflammation. The role of the STING inflammatory pathway in hepatic damage in psoriasis with type 2 diabetes mellitus. Withdrawn: Long non-coding RNA SNHG1 promotes cell proliferation and invasion of hepatocellular carcinoma by acting as a molecular sponge to modulate miR-195. Analysis of the causal relationship between hyperlipidaemia and exercise intensity: based on two-sample Mendelian randomisation. Causal associations of ambient particulate matter 10 and Alzheimer's disease: result from a two-sample multivariable Mendelian randomization study.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1