类风湿关节炎患者的早期发现、诊断、治疗和随访临床实践指南。哥伦比亚风湿病学协会,2022 年

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引用次数: 0

摘要

哥伦比亚风湿病学协会类风湿性关节炎研究小组制定的关于类风湿性关节炎患者的早期发现、诊断、治疗和随访的临床实践指南 2022。类风湿性关节炎(RA)是成人中最常见的自身免疫性疾病。在全球范围内,类风湿性关节炎的发病率为 0.5%-1%,年龄标准化发病率为每 10 万人中有 246.6 人,女性发病率高于男性,发病高峰期在 60-64 岁之间。该病以关节疼痛和炎症为特征,在某些情况下还会引起关节外表现,如干燥综合征、血管炎、心包炎、胸膜炎、巩膜炎等。RA 会导致严重的发病率、生活质量下降、严重残疾、对医疗系统造成高昂的直接和间接成本、残疾和缺勤。本指南是为风湿免疫科医生、初级保健医生、相关领域的专家以及系统中的其他参与者制定的,旨在提供有关早期发现疾病、正确诊断、治疗和随访的最相关信息。
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Clinical practice guidelines for the early detection, diagnosis, treatment, and follow-up of patients with rheumatoid arthritis. Colombian Association of Rheumatology, 2022

Clinical practice guideline 2022 for the early detection, diagnosis, treatment, and follow-up of patients with rheumatoid arthritis developed by the rheumatoid arthritis study group of the Colombian Association of Rheumatology. Rheumatoid arthritis (RA) is the most common autoimmune disease in adults. Worldwide, RA has a prevalence of 0.5%–1%, with an age-standardised prevalence rate of 246.6 per 100,000 population, being more common in women than in men and with peak presentation between the ages of 60 and 64 years. The disease is characterised by joint pain and inflammation and in some cases can cause extra-articular manifestations such as dry syndrome, vasculitis, pericarditis, pleuritis, scleritis, among others. RA causes great morbidity, impairment of quality of life, severe disability, high direct and indirect costs to health systems, disability, and absenteeism from work. This guideline was developed for rheumatologists, primary care physicians, specialists in related areas, and other actors in the system with the aim of providing the most relevant information on the early detection of the disease, and its correct diagnosis, treatment, and follow-up.

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