[德国血管炎患者的患者报告结果来自KOBRA质量项目的数据]。

IF 0.9 4区 医学 Q4 RHEUMATOLOGY Zeitschrift fur Rheumatologie Pub Date : 2024-06-01 Epub Date: 2023-10-13 DOI:10.1007/s00393-023-01437-z
Christian Löffler, Martin Rudwaleit, Heinz-Jürgen Lakomek, Carina Stammann, Bernhard Hellmich
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引用次数: 0

摘要

背景/目的:目前关于德国血管炎患者护理的数据很少。患者报告结果(PRO)问卷可以捕捉疾病活动性、缓解和损害的常规评分之外的方面。因此,风湿病急性护理诊所协会(VRA)启动了一项数据分析,作为KOBRA质量项目的一部分,其结果如下。患者和方法:包括任何大小血管血管炎或风湿性多肌痛患者。前瞻性调查包括住院、出院和2.5个月后随访时的人口统计学、疾病、疼痛、治疗、随访和满意度数据。所有患者在入院和随访时都完成了AAV-PRO和EQ-5D-3L问卷。结果:本研究招募了420名患者,从302名患者中获得了随访数据。平均而言,EQ-5D的所有5个维度都有改善,其中自我护理和应对日常生活活动的效果最强。在AAV-PRO中,在系统症状和身体功能方面存在高度显著差异。对医疗和护理治疗的满意度非常高,与疼痛程度或AAV-PRO措施无关。讨论:血管炎患者报告的治疗结果至少部分改善。对医疗质量的满意度与这些结果无关。
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[Patient-reported outcomes in German vasculitis patients-Data from the KOBRA quality project].

Background/objectives: Current data on the care of patients with vasculitis in Germany are scarce. Patient-reported outcome (PRO) questionnaires can capture aspects of the disease that escape conventional scores for disease activity, remission, and damage. For this reason, the Association of Rheumatological Acute Care Clinics (VRA) initiated a data analysis as part of the KOBRA quality project, the results of which are presented here.

Patients and methods: Patients with vasculitis of vessels of any size or with polymyalgia rheumatica were included. The prospective survey included data on demographics, disease, pain, treatment, follow-up and satisfaction at the time of inpatient admission, discharge and follow-up after 2.5 months. All patients completed the AAV-PRO and EQ-5D-3L questionnaires on admission and follow-up.

Results: In this study 420 patients were recruited and follow-up data were available from 302. On average, improvements were documented in all 5 dimensions of the EQ-5D, with the strongest effects in self-care and coping with activities of daily living. In the AAV-PRO, highly significant differences were seen in the domains systemic symptoms and physical functioning. Satisfaction with medical and nursing treatment was very high and did not correlate with pain level or with the AAV-PRO measures.

Discussion: Under zreatment patient-reported outcomes improve at least partially in vasculitis patients. Satisfaction with medical treatment quality is independent of these outcomes.

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来源期刊
Zeitschrift fur Rheumatologie
Zeitschrift fur Rheumatologie 医学-风湿病学
CiteScore
2.20
自引率
20.00%
发文量
150
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift für Rheumatologie ist ein international angesehenes Publikationsorgan und dient der Fortbildung von niedergelassenen und in der Klinik tätigen Rheumatologen. Die Zeitschrift widmet sich allen Aspekten der klinischen Rheumatologie, der Therapie rheumatischer Erkrankungen sowie der rheumatologischen Grundlagenforschung. Umfassende Übersichtsarbeiten zu einem aktuellen Schwerpunktthema sind das Kernstück jeder Ausgabe. Im Mittelpunkt steht dabei gesichertes Wissen zu Diagnostik und Therapie mit hoher Relevanz für die tägliche Arbeit – der Leser erhält konkrete Handlungsempfehlungen. Frei eingereichte Originalien ermöglichen die Präsentation wichtiger klinischer Studien und dienen dem wissenschaftlichen Austausch.
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