韩国多发性硬化症:一项基于医院、多中心的流行病学研究

Suhyung Kim, Eun-Jae Lee, J. Min, Sung-Min Kim, H. Shin, Y. Kwon, Woojun Kim, Jeeyoung Oh, Jun Soon Kim, S. Baek, I. Joo, Yoon-Ho Hong, M. Park, E. Sohn, T. Nam, Sun-Young Oh, S. Huh, Tae-Kyeong Lee, Jiwon Yang, Sunyoung Kim, H. Seok, Nam-Hee Kim, Jin-Hong Shin, J. B. Bong, Soonwook Kwon, Seong-il Oh, E. Cho, Hyun-June Shin, H. Lee, K. Park, W. Kim, J. Bae, H. Kim
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摘要

背景:在当前快速发展的治疗方案时代,有必要更好地了解多发性硬化症(MS)患者的流行病学和当前管理。对韩国多发性硬化症患者的流行病学特征和治疗现状进行了调查。方法:在2022年4月,我们收集了来自韩国30个主要MS中心的MS患者的数据,包括参与随访的人数、性别比例、当前疾病改善治疗(DMT)和残疾状态(扩展残疾状态评分,EDSS)。结果:共鉴定MS患者1290例,男女比例为2.4:1。从地域上看,1047名患者(81%)在首都圈(首尔、仁川、京畿道)医院接受治疗,243名患者(19%)在首都圈以外的医院接受治疗。接受dmt治疗的1199例患者中,876例(73%)服用中效药物,264例(22%)服用高效药物。当前EDSS评分大于3.0和5.5的患者分别为242例(20%)和105例(9%)。结论:以医院为基础的患病率调查揭示了韩国多发性硬化症患者的数量和地理分布。
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Multiple Sclerosis in Korea: A Hospital-Based, Multicenter, Epidemiological Study
Background: In the present era of rapidly evolving treatment options, there is a need for better understanding of the epidemiology and current management of patients with multiple sclerosis (MS). A survey was conducted to determine the epidemiologic characteristics and the current treatment status of patients with MS in Korea.Methods: In April 2022, we collected data on patients with MS, including number participating in follow up, sex ratio, current disease modifying treatment (DMT), and disability status (Expanded Disability Status Score, EDSS) from 30 major MS centers in Korea.Results: A total of 1,290 patients with MS was identified, with a female to male ratio of 2.4:1. Geographically, 1,047 patients (81%) were being monitored at hospitals in the capital regions (Seoul, Incheon, and Gyeonggi-do), while 243 (19%) were receiving care at hospitals outside the capital regions. There were 1,199 patients on DMTs, with 876 (73%) taking drugs with moderate efficacy and 264 (22%) taking drugs with high efficacy. Patients with current EDSS score greater than 3.0 and 5.5 numbered 242 (20%) and 105 (9%), respectively.Conclusion: The hospital-based prevalence survey revealed the number and geographical distribution of patients with MS in Korea.
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