炎症性风湿病的共病特征:分析视角

IF 2.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Rezan Koçak Ulucaköy, Hakan Babaoğlu, Esra Kayacan Erdoğan, Kevser Orhan, Ebru Atalar, Serdar Can Güven, Hatice Ecem Konak, Bahar Özdemir Ulusoy, Pınar Akyüz Dağlı, Özlem Karakaş, Hakan Apaydın, Mehmet Akif Eksin, Bünyamin Polat, Serdar Esmer, İsmail Dogan, Yüksel Maraş, Ahmet Omma, Orhan Küçükşahin, Şükran Erten, Berkan Armağan
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引用次数: 0

摘要

背景。炎症性风湿病(IRD)通常伴有多种并发症。目前,治疗合并症与治疗原发性 IRD 同等重要。本研究旨在分析 IRD 患者合并症的概况和患病率,同时强调对合并症进行全面常规筛查的迫切需要。研究方法本研究是一项回顾性单中心研究,在 2019 年至 2023 年期间进行。IRD按以下类别分类:类风湿性关节炎、脊柱关节炎、结缔组织病、自身炎症性疾病、白塞氏病、大血管炎(LVV)、小血管炎(SVV)和晶体沉积病(CDD)。人口统计学特征和合并症(包括高血压、糖尿病、高脂血症、肥胖、冠心病、心律失常、心力衰竭、慢性肾病、哮喘、骨质疏松症、甲状腺疾病、脱髓鞘疾病、抑郁症和恶性肿瘤)均来自患者电子档案。研究结果研究共纳入 10 417 名 IRD 患者(平均年龄为 50.9 ± 14.5 岁;66.8% 为女性)。最常见的五种合并症是高血压(34.8%)、肥胖(29.1%)、糖尿病(14.1%)、高脂血症(12.1%)和骨质疏松症(9.2%)。泊松回归分析表明,合并症总数与 CDD、LVV 和 SVV 之间存在显著关联。最常见的合并症是心血管风险因素。此外,骨质疏松症的患病率在 LVV 中较高,慢性肾病和哮喘的患病率在 SVV 中较高。结论我们的研究不仅提供了观察数据,还强调了对风湿性疾病患者进行全面和常规合并症筛查的迫切需要。我们发现,CDD、LVV 和 SVV 是与合并症关系最密切的风湿病,而这些疾病最常伴有心血管风险因素。此外,我们的研究结果表明,风湿病患者可能筛查不足,导致高脂血症、骨质疏松症等合并症以及可能的恶性肿瘤可能被漏诊。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comorbidity Profiles in Inflammatory Rheumatic Diseases: An Analytical Perspective

Comorbidity Profiles in Inflammatory Rheumatic Diseases: An Analytical Perspective

Background. Inflammatory rheumatic diseases (IRDs) are often associated with multiple comorbidities. Managing comorbidities now seen as important as management of primary IRDs. The aim of this study was to analyse the profiles and prevalence of comorbidities in patients with IRDs and also to highlight the critical need for comprehensive and routine screening for comorbidities. Methods. This study was a retrospective single-center study conducted between 2019 and 2023. IRDs were classified according to the following categories: rheumatoid arthritis, spondyloarthritis, connective tissue diseases, autoinflammatory diseases, Behçet’s disease, large vessel vasculitis (LVV), small vessel vasculitis (SVV), and crystal deposition diseases (CDD). The demographic characteristics and comorbidities (including hypertension, diabetes mellitus, hyperlipidemia, obesity, coronary artery disease, arrhythmia, heart failure, chronic kidney disease, asthma, osteoporosis, thyroid diseases, demyelinating diseases, depression, and malignancies) were obtained from the electronic patient files. Results. The study included 10 417 patients with IRDs (mean age 50.9 ± 14.5 years; 66.8% female). The five most prevalent comorbidities were hypertension (34.8%), obesity (29.1%), diabetes mellitus (14.1%), hyperlipidemia (12.1%), and osteoporosis (9.2%). The Poisson regression analysis demonstrated a significant association between the total number of comorbidities and CDD, LVV, and SVV. The most prevalent comorbidities were cardiovascular risk factors. Furthermore, the prevalence of osteoporosis was high in LVV, and the prevalence of chronic kidney disease and asthma was high in SVV. Conclusion. Our study not only presents observational data but also highlights the critical need for comprehensive and routine screening for comorbidities in patients with rheumatic diseases. We found that CDD followed by LVV and SVV were identified as the rheumatic conditions most associated with comorbidities, and these diseases are most commonly accompanied by cardiovascular risk factors. Additionally, our findings suggest that patients with rheumatological conditions may be underscreened, leading to potential underdiagnosis of comorbidities such as hyperlipidemia, osteoporosis, and possibly malignancies.

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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
274
审稿时长
3-8 weeks
期刊介绍: IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.
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