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GRAPPA 2020 Research Award Recipients. GRAPPA 2020 研究奖获得者。
Q2 Medicine Pub Date : 2022-06-01 Epub Date: 2022-03-15 DOI: 10.3899/jrheum.211335
Rochelle L Castillo, Di Yan, Anneliese S Ashhurst, Ashley Elliott, Maria Maddalena Angioni, Jose U Scher, Shruti Naik, Andrea Neimann, Scott N Byrne, Richard J Payne, Oliver FitzGerald, Stephen R Pennington, Alberto Cauli, Vinod Chandran

At the 2021 Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) annual meeting, a summary of the research conducted by the recipients of the 2020 GRAPPA Research Awards was presented by the awardees. The summary of the 4 presentations is provided here.

在 2021 年银屑病和银屑病关节炎研究与评估小组(GRAPPA)年会上,获奖者对 2020 年 GRAPPA 研究奖获得者所做的研究进行了总结。这里提供了 4 个演讲的摘要。
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引用次数: 0
Time Since Rituximab Treatment Is Essential for Developing a Humoral Response to COVID-19 mRNA Vaccines in Patients With Rheumatic Diseases. 利妥昔单抗治疗时间对风湿病患者对 COVID-19 mRNA 疫苗产生体液反应至关重要
Q2 Medicine Pub Date : 2022-06-01 Epub Date: 2022-03-01 DOI: 10.3899/jrheum.211152
Anne Troldborg, Marianne Kragh Thomsen, Lars Erik Bartels, Jakob Bøgh Andersen, Signe Risbøl Vils, Clara Elbæk Mistegaard, Anders Dahl Johannsen, Marie-Louise From Hermansen, Susan Mikkelsen, Christian Erikstrup, Ellen-Margrethe Hauge, Christian Ammitzbøll

Objective: We aimed to investigate (1) whether patients with rheumatic disease (RD) treated with rituximab (RTX) raise a serological response toward the coronavirus disease 2019 (COVID-19) mRNA vaccines, and (2) to elucidate the influence of time since the last RTX dose before vaccination on this response.

Methods: We identified and included 201 patients with RDs followed at the outpatient clinic at the Department of Rheumatology, Aarhus University Hospital, who had been treated with RTX in the period 2017-2021 and who had completed their 2-dose vaccination series with a COVID-19 mRNA vaccine. Total antibodies against the SARS-CoV-2 spike protein were measured on all patients and 44 blood donors as reference.

Results: We observed a time-dependent increase in antibody response as the interval from the last RTX treatment to vaccination increased. Only 17.3% of patients developed a detectable antibody response after receiving their vaccination ≤ 6 months after their previous RTX treatment. Positive antibody response increased to 66.7% in patients who had RTX 9-12 months before vaccination. All blood donors (100%) had detectable antibodies after vaccination.

Conclusion: Patients with RDs treated with RTX have a severely impaired serological response toward COVID-19 mRNA vaccines. Our data suggest that the current recommendations of a 6-month interval between RTX treatment and vaccination should be reevaluated.

研究目的我们旨在研究:(1)接受利妥昔单抗(RTX)治疗的风湿病(RD)患者是否会对冠状病毒病2019(COVID-19)mRNA疫苗产生血清学反应;(2)阐明接种疫苗前最后一次RTX剂量后的时间对这种反应的影响:我们确定并纳入了在奥胡斯大学医院风湿病学部门诊就诊的 201 名 RDs 患者,他们在 2017-2021 年期间接受过 RTX 治疗,并完成了 COVID-19 mRNA 疫苗的 2 剂系列接种。对所有患者和作为参考的 44 名献血者进行了 SARS-CoV-2 尖峰蛋白总抗体测定:我们观察到,从最后一次 RTX 治疗到接种疫苗的时间间隔延长,抗体反应的增加与时间有关。只有 17.3% 的患者在上次 RTX 治疗后 6 个月内接种疫苗后产生了可检测到的抗体反应。在接种前 9-12 个月接受 RTX 治疗的患者中,阳性抗体反应增至 66.7%。所有献血者(100%)在接种后都能检测到抗体:结论:接受 RTX 治疗的 RD 患者对 COVID-19 mRNA 疫苗的血清反应严重受损。我们的数据表明,目前建议的 RTX 治疗与疫苗接种之间的 6 个月间隔应重新评估。
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引用次数: 16
Patient Acceptable Symptom State for Burden From Appearance Changes in People With Systemic Sclerosis: A Cross-sectional Survey 系统性硬化症患者可接受的外观变化负担症状状态:一项横断面调查
Q2 Medicine Pub Date : 2022-06-01 DOI: 10.3899/jrheum.210889
M. Le Ralle, C. Daste, F. Rannou, L. Kwakkenbos, M. Carrier, M. Lefèvre-Colau, A. Roren, B. Thombs, L. Mouthon, C. Nguyen
Objective People with systemic sclerosis (SSc) often report substantial burden from appearance changes. We aimed to estimate the patient acceptable symptom state (PASS) for burden from appearance changes in people with SSc. Methods We conducted a secondary analysis of the SCISCIF II study, a cross-sectional survey of 113 patients with SSc from France enrolled in the Scleroderma Patient-centered Intervention Network Cohort. Burden from appearance changes was assessed with a self-administered numeric rating scale (0, no burden to 10, maximal burden). Acceptability of the symptom state was assessed with a specific anchoring question. Participants who answered yes were in the group of patients who considered their symptom state as acceptable. The PASS for the burden from appearance changes was estimated with the 75th percentile method. Results Assessments of burden from appearance changes and answers to the anchoring question were available in 82/113 (73%) participants from the SCISCIF II study. Median age was 55 (IQR 24) years, mean disease duration 9.6 (SD 6.5) years and 32/80 (40%) participants had diffuse cutaneous SSc. The PASS estimate for the burden from appearance changes was 4.8 (95% CI 1.0-7.0) of 10 points. Conclusion Our study provides a PASS estimate for burden from appearance changes. Our estimate could serve as a binary response criterion to assess the efficacy of treatments targeting burden from appearance changes.
目的:系统性硬化症(SSc)患者经常报告外观变化带来的沉重负担。我们的目的是评估SSc患者外观变化带来的负担的患者可接受症状状态(PASS)。方法:我们对SCISCIF II研究进行了二次分析,这是一项来自法国的113例SSc患者的横断面调查,纳入硬皮病患者为中心的干预网络队列。采用自我管理的数字评分量表(0,无负担至10,最大负担)评估外观变化带来的负担。用一个特定的锚定问题来评估症状状态的可接受性。回答“是”的参与者属于认为自己的症状状态可以接受的患者群体。外观变化负担的PASS用75百分位法估计。结果:在SCISCIF II研究中,82/113(73%)参与者可获得外观变化带来的负担评估和锚定问题的答案。中位年龄为55岁(IQR 24)岁,平均病程9.6年(SD 6.5)年,32/80(40%)的参与者患有弥漫性皮肤SSc。外观变化造成的负担的PASS估计为4.8 (95% CI 1.0-7.0),满分为10分。结论本研究提供了对外观变化负担的PASS估计。我们的估计可以作为一个二元反应标准来评估针对外观改变负担的治疗效果。
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引用次数: 0
Active Disease in Psoriatic Arthritis: An Assessment of Spondyloarthritis International Society Health Index (ASAS-HI)–based Analysis 银屑病关节炎中的活动性疾病:基于国际社会健康指数(ASAS-HI)的分析
Q2 Medicine Pub Date : 2022-06-01 DOI: 10.3899/jrheum.210887
R. Queiró, I. Morante, I. Braña
Psoriatic arthritis (PsA) is a chronic inflammatory arthritis that affects one-third of patients with psoriasis (PsO). PsA is a relatively common condition in rheumatology clinics. In fact, the prevalence of PsA increased to approximately 0.6% of the general population in a recent epidemiological study carried out in Spain.1.
银屑病关节炎(PsA)是一种慢性炎症性关节炎,影响三分之一的银屑病(PsO)患者。PsA是风湿病临床较为常见的一种疾病。事实上,最近在西班牙进行的一项流行病学研究表明,PsA的患病率增加到约占总人口的0.6%。
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引用次数: 0
Fear of the Unknown: Can We Help Individuals With a Systemic Autoimmune Rheumatic Disease Deal With Uncertainty? 对未知的恐惧:我们能帮助患有系统性自身免疫性风湿病的个体应对不确定性吗?
Q2 Medicine Pub Date : 2022-06-01 DOI: 10.3899/jrheum.220502
G. Simons, M. Falahee
Unfortunately, not much is certain in systemic autoimmune rheumatic diseases (SARDs). People with a SARD such as systemic lupus erythematosus (SLE) and systemic sclerosis (SSc) are dealing with a chronic, inflammatory, and often unpredictable autoimmune condition that might cause them to experience illness-related uncertainty.1,2.
不幸的是,在系统性自身免疫性风湿病(SARDs)中,没有多少是确定的。SARD患者,如系统性红斑狼疮(SLE)和系统性硬化症(SSc),是一种慢性、炎症性、通常不可预测的自身免疫性疾病,可能导致他们经历与疾病相关的不确定性1,2。
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引用次数: 0
A Practical Guide for Assessment of Skin Burden in Patients With Psoriatic Arthritis 银屑病关节炎患者皮肤负荷评估实用指南
Q2 Medicine Pub Date : 2022-06-01 DOI: 10.3899/jrheum.210550
F. R. Kasiem, A. Pasma, J. Luime, I. Tchetverikov, K. Wervers, L. Korswagen, N. Denissen, Y. Goekoop-Ruiterman, M. van Oosterhout, F. Fodili, J. M. Hazes, M. V. van Doorn, M. Kok, M. Vis
Objective Rheumatologists play a pivotal role in the management of patients with psoriatic arthritis (PsA). Due to time constraints during clinic visits, the skin may not receive the attention needed for optimal patient outcome. Therefore, the aim of this study was to select a set of core questions that can help rheumatologists in daily rheumatology clinical practice to identify patients with PsA with a high skin burden. Methods Baseline data from patients included in the Dutch South West Psoriatic Arthritis (DEPAR) cohort were used. Questions were derived from the Skindex-17 and Dermatology Life Quality Index (DLQI) questionnaires. Underlying clusters of questions were identified with an exploratory principal component analysis (PCA) with varimax rotation, after which a 2-parameter logistic model was fitted per cluster. Questions were selected based on their discrimination and difficulty. Subsequently, 2 flowcharts were made with categories of skin burden severity. Clinical considerations were specified per category. Results In total, 413 patients were included. The PCA showed 2 underlying clusters: a psychosocial domain and a domain assessing physical symptoms. We selected these 2 domains. The psychosocial domain contains 3 questions and specifies 4 categories of skin burden severity. The physical symptoms domain contains 2 questions and categorizes patients in 1 out of 3 categories. Conclusion We have selected a set with a maximum of 5 questions that rheumatologists can easily implement in their consultation to assess skin burden in patients with PsA. This practical guide makes the assessment of skin burden more accessible to rheumatologists and can aid in clinical decision making.
目的风湿病学家在银屑病关节炎(PsA)患者的治疗中起着关键作用。由于门诊时间的限制,皮肤可能没有得到最佳患者结果所需的关注。因此,本研究的目的是选择一组核心问题,以帮助风湿病医生在日常风湿病临床实践中识别皮肤负担高的PsA患者。方法采用荷兰西南银屑病关节炎(DEPAR)队列患者的基线数据。问题来源于skinindex -17和Dermatology Life Quality Index (DLQI)问卷。通过探索性主成分分析(PCA)识别问题的潜在聚类,然后对每个聚类拟合一个2参数逻辑模型。根据问题的区别性和难度来选择问题。随后制作2个皮肤负荷严重程度分类流程图。每个类别都指定了临床考虑因素。结果共纳入413例患者。PCA显示了2个潜在的集群:社会心理领域和评估身体症状的领域。我们选择了这两个域。社会心理领域包含3个问题,并指定了4类皮肤负担严重程度。身体症状领域包含2个问题,并将患者分为3类中的1类。结论我们选择了一组最多有5个问题的问题,风湿病学家可以在他们的咨询中轻松地评估PsA患者的皮肤负担。本实用指南使风湿病学家更容易获得皮肤负荷评估,并有助于临床决策。
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引用次数: 1
The Use of Mobile Health Apps in Clinical Practice Remains Challenging 在临床实践中使用移动健康应用程序仍然具有挑战性
Q2 Medicine Pub Date : 2022-06-01 DOI: 10.3899/jrheum.220476
A. V. van Tubergen, Kasper Hermans
According to several international recommendations, disease activity should be regularly monitored with validated outcome measures in patients with axial spondyloarthritis (axSpA), and therapy should be adapted accordingly.1-3 Increasingly, healthcare providers are encouraged to also use patient-reported outcomes (PROs) for this purpose, to capture valuable data from the patient's perspective.
根据一些国际建议,应定期监测轴性脊柱炎(axSpA)患者的疾病活动,并采用有效的结果测量方法,并应相应地调整治疗。1-3越来越多地鼓励医疗保健提供者为此目的也使用患者报告的结果(pro),从患者的角度获取有价值的数据。
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引用次数: 0
Development of an Item Bank for a Health-Related Quality of Life Measure in Spondyloarthritis 颈椎病患者健康相关生活质量测量项目库的建立
Q2 Medicine Pub Date : 2022-06-01 DOI: 10.3899/jrheum.210980
Y. Kwan, W. Fong, T. H. Woon, Jie Kie Phang, Kelly Png, J. Lau, Ying-Ying Leung, C. Tan, T. Østbye, J. Thumboo
Objective Health-related quality of life (HRQOL) is an important aspect in the management of chronic diseases such as spondyloarthritis (SpA). A promising approach to reduce respondent burden when measuring HRQOL is the use of shorter patient-reported outcome measures (PROMs) delivered using computerized adaptive tests (CATs). However, the lack of an item bank that covers the entire continuum of the HRQOL domain impedes the development of CATs to measure HRQOL among patients with SpA. We aimed to develop an item bank for an HRQOL measure among patients with SpA based on the items from existing validated PROMs. Methods This study is guided by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) and Patient Reported Outcomes Measurement Information System (PROMIS) standards. Relevant articles were retrieved from PubMed, Embase, and PsycINFO (Ovid) databases. Items from existing PROMs were binned and winnowed according to the facets of HRQOL in the World Health Organization (WHO) quality of life framework. Results We identified 147 relevant articles, from which written permission was obtained for including 31 PROMs into the item bank. PROMs contained 1039 items, which underwent binning and winnowing. This resulted in 968 items covering 23 domains of HRQOL in the WHO framework, with the number of items within each domain ranging from 1 to 453. Conclusion We created an item bank to measure HRQOL among patients with SpA using items from validated PROMs. This set can provide the foundation for the development of CATs to measure HRQOL among patients with SpA.
目的健康相关生活质量(HRQOL)是治疗脊椎关节炎(SpA)等慢性疾病的一个重要方面。在测量HRQOL时,减少应答者负担的一种有希望的方法是使用计算机化适应性测试(CATs)提供的较短的患者报告结果测量(PROMs)。然而,缺乏涵盖整个HRQOL领域的信息库阻碍了cat在SpA患者中测量HRQOL的发展。我们的目标是开发一个基于现有验证的PROMs项目的SpA患者HRQOL测量的信息库。方法本研究采用系统评价和荟萃分析首选报告项目(PRISMA)和患者报告结果测量信息系统(PROMIS)标准。相关文章从PubMed、Embase和PsycINFO (Ovid)数据库中检索。根据世界卫生组织(世卫组织)生活质量框架中HRQOL的各个方面,对现有项目进行了分类和筛选。结果共鉴定出147篇相关文献,并获得书面许可将31篇文献纳入题库。prom包含1039个条目,这些条目经过了分组和筛选。由此产生了968个项目,涵盖世卫组织框架中23个HRQOL领域,每个领域内的项目数量从1个到453个不等。结论我们建立了一个测量SpA患者HRQOL的信息库。该集可为制定cat量表测量SpA患者HRQOL提供依据。
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引用次数: 0
Canadian Rheumatology Association Annual Meeting, February 2–5, 2022 加拿大风湿病学会年会,2022年2月2-5日
Q2 Medicine Pub Date : 2022-06-01 DOI: 10.3899/jrheum.220297
The 76th Annual Meeting of the Canadian Rheumatology Association was held virtually on February 2–5, 2022. The program consisted of presentations covering original research, symposia, awards, and lectures. Highlights of the meeting include the following 2022 Award Winners: Distinguished Rheumatologist, John G. Hanly and Lori B. Tucker; Distinguished Teacher-Educator, Stephen Aaron; Emerging Investigator, Jessica Widdifield; Ian Watson Award for the Best Abstract on SLE Research by a Trainee, Maher Banjari; Phil Rosen Award for the Best Abstract on Clinical or Epidemiology Research by a Trainee, Molly Dushnicky; Best Abstract by a Rheumatology Resident, Wen Qi; Best Abstract on Basic Science Research by a Trainee, Omar Cruz Correa; Best Abstract by a Post-Graduate Research Trainee, Holly Philpott; Best Abstract on Quality Care Initiatives in Rheumatology, Michael Zeeman; Best Abstract by a Medical Student, Samir Magdy Iskander; Best Abstract by an Undergraduate Student, Daniel Onwuka; Best Abstract by a Rheumatology Post-Graduate Research Trainee, Jennifer Lee; Best Abstract on Research by Young Faculty, Nancy Maltez; Best Abstract on Pediatric Research by Young Faculty, Chelsea DeCoste; Best Abstract on Spondyloarthritis Research, Vanessa Ocampo; Practice Reflection Award, Gold, Bailey Dyck. Lectures and other events included: Keynote Lecture by Grace Wright: Towards Equity: Is Everyone in the Rheum Paving the Path to Equity with Diversity?; State of the Art Lecture by Tuhina Neogi: Pain Across the Spectrum of Rheumatic Diseases; Dunlop-Dottridge Lecture by Simon Carette: Vasculitis: What Have We Learned in the Past 50 Years?; and the Great Debate: Be it Resolved that the Rheumatology Healthcare Provider Is Responsible for Prescribing and Monitoring Physical Activity. Arguing for: Claire LeBlanc and Laura Passalent, and against: Arthur Bookman and Marie Clements-Baker. Topics including rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis, Sjögren syndrome, psoriatic arthritis, spondyloarthritis, vasculitis, osteoarthritis, fibromyalgia, and their respective diagnoses, treatments, and outcomes are reflected in the abstracts, which we are pleased to publish in this issue of The Journal of Rheumatology.
第76届加拿大风湿病学会年会于2022年2月2-5日举行。该计划包括原创研究报告、专题讨论会、颁奖和讲座。会议的亮点包括以下2022年获奖者:杰出风湿病学家John G. Hanly和Lori B. Tucker;杰出的教师教育家斯蒂芬·亚伦;新兴调查员,杰西卡·威迪菲尔德;学员Maher Banjari获得Ian Watson SLE研究最佳摘要奖;实习生Molly Dushnicky获得菲尔罗森临床或流行病学研究最佳摘要奖;风湿病内科住院医师文琪最佳摘要;实习生Omar Cruz Correa的基础科学研究最佳摘要;最佳摘要:研究生实习生Holly Philpott;《风湿病学优质护理倡议》最佳摘要,Michael Zeeman;最佳医科学生摘要:萨米尔·马格迪·伊斯坎德尔;最佳大学生摘要:丹尼尔·奥乌卡;风湿病学研究生实习生Jennifer Lee获最佳摘要奖;青年教师最佳研究摘要Nancy Maltez;切尔西·德科斯特青年教师儿科研究最佳摘要;脊椎关节炎研究最佳摘要,Vanessa Ocampo;实践反思奖,金奖,贝利戴克。讲座及其他活动包括:Grace Wright主题演讲:《走向公平:每个人都在为多元化的公平铺平道路吗?》Tuhina Neogi的最新技术讲座:风湿性疾病的疼痛;邓禄普-多特里奇讲座:血管炎:我们在过去50年里学到了什么?以及大辩论:风湿病医疗保健提供者是否有责任开处方并监测身体活动。支持:克莱尔·勒布朗和劳拉·帕萨伦特,反对:亚瑟·布克曼和玛丽·克莱门茨-贝克。主题包括类风湿关节炎、系统性红斑狼疮、系统性硬化症、Sjögren综合征、银屑病关节炎、脊椎关节炎、血管炎、骨关节炎、纤维肌痛,以及它们各自的诊断、治疗和结果都反映在摘要中,我们很高兴地将其发表在本期的《风湿病学杂志》上。
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引用次数: 0
The Role of Sural Nerve Biopsy in the Diagnosis of Vasculitis 腓肠神经活检在血管炎诊断中的作用
Q2 Medicine Pub Date : 2022-06-01 DOI: 10.3899/jrheum.211406
Karl Gisslander, L. Dahlin, Rona M. Smith, D. Jayne, D. O’Donovan, A. Mohammad
Objective The diagnostic yield of sural nerve biopsy (SNB) in vasculitis is uncertain. Our aim was to document relevant characteristics of patients undergoing SNB in the investigation of vasculitis; determine the diagnostic yield; relate positive biopsy findings to patient demographic, laboratory, and clinical variables; and to calculate the rate of surgical complications. Methods Patients with suspected vasculitis that underwent SNB as part of diagnostic evaluation at academic medical centers in Sweden and the United Kingdom were identified by searching local pathology databases and clinic registers. A structured review of medical case records and pathology reports was conducted. Histological findings were categorized as definite, probable, or no vasculitis in accordance with the 2015 Brighton Collaboration reinterpretation and update of the Peripheral Nerve Society guidelines for vasculitic neuropathy. Definite and probable findings were considered positive for vasculitis. Results Ninety-one patients that underwent SNB were identified (45% female). Forty (44%) patients showed histological evidence of vasculitis: 14 definite and 26 probable. A concomitant muscle biopsy conducted in 10 patients did not contribute to the diagnostic yield. Positive antineutrophil cytoplasmic antibody test, organ involvement other than the nervous system, and a longer biopsy sample were associated with a positive biopsy. The reported surgical complication rate was 15%. Conclusion SNB of sufficient length is a useful procedure to confirm a diagnosis of vasculitis.
目的腓肠神经活检(SNB)对血管炎的诊断率尚不确定。我们的目的是记录在血管炎调查中接受SNB的患者的相关特征;确定诊断率;将活检阳性结果与患者人口统计学、实验室和临床变量联系起来;并计算手术并发症的发生率。方法在瑞典和英国的学术医疗中心接受SNB作为诊断评估的一部分的疑似血管炎患者通过搜索当地病理数据库和诊所登记来确定。对医疗病例记录和病理报告进行了有组织的审查。根据2015年布莱顿合作组织对周围神经学会血管性神经病变指南的重新解释和更新,组织学结果被分类为明确的、可能的或无血管炎。明确和可能的发现被认为是血管炎阳性。结果91例患者行SNB,其中女性占45%。40例(44%)患者表现出血管炎的组织学证据:14例确诊,26例可能。在10例患者中进行的伴随肌肉活检并未有助于诊断结果。抗中性粒细胞细胞质抗体试验阳性,累及除神经系统以外的器官,活检样本较长与活检阳性相关。手术并发症发生率为15%。结论足够长度的超声心动图是诊断血管炎的有效手段。
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引用次数: 1
期刊
The Journal of rheumatology. Supplement
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