成人治疗原则和周期性呕吐综合征患者报告结果的制定。

IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY
Yaozhu J Chen, Milan Patel, Thangam Venkatesan
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引用次数: 0

摘要

背景介绍周期性呕吐综合征是一种肠道与大脑相互作用的慢性疾病,成人和儿童均可患病。其特征是严重恶心、呕吐、腹痛和一些非肠道感染症状。它还与焦虑和抑郁等几种合并症有关,影响整体医疗效果:本文阐述了治疗原则,包括目前针对 CVS 推荐的中止干预和预防方案。然而,文章强调了一个关键问题:美国食品及药物管理局(FDA)没有批准用于 CVS 治疗的药物,现有疗法依赖于回顾性和开放标签试验:本文强调,迫切需要开发针对 CVS 的结果评估工具,以便为今后的研究提供更准确的评估和更有力的数据收集。在探讨这一不足的过程中,手稿还介绍了最新的数据和发展情况,这些数据和发展情况增强了我们对以患者为中心的概念的理解,以及在开发 CVS 专属工具时所面临的挑战,并提出了开发这些工具的路线图。弥补这一不足对于增进我们对 CVS 的了解和优化患者护理至关重要:本文阐明了 CVS 管理的现状,同时也为未来提出了建议,即量身定制的工具将提高我们衡量和改善这种使人衰弱的疾病患者的治疗效果的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treatment principles in adults and development of patient-reported outcomes in cyclic vomiting syndrome.

Background: Cyclic vomiting syndrome is a chronic disorder of gut-brain interaction that is present in both adults and children. It is characterized by severe nausea, vomiting, abdominal pain, and several non-GI symptoms. It is also associated with several comorbid conditions such as anxiety and depression, which affect overall health care outcomes.

Methods: This article delineates treatment principles, encompassing both abortive interventions and prophylactic regimens currently recommended for CVS. However, it underscores a critical concern: the absence of FDA-approved medications for CVS treatment, with existing therapies relying on retrospective and open-labeled trials.

Key results: This article emphasizes the pressing need for the development of CVS-specific outcome assessment tools to facilitate more accurate evaluation and robust data collection for the future studies. In exploring this deficiency, the manuscript also presents the up-to-date data and development that enhances our comprehension of patient-centric concepts, and the challenges faced in creating CVS-specific tools, and presents a roadmap for their development. Addressing this gap is crucial for advancing our understanding of CVS and optimizing patient care.

Conclusions and inferences: This elucidates the current state of CVS management but also advocates for a future where tailored tools enhance our ability to measure and improve the outcomes for individuals with this debilitating disorder.

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来源期刊
Neurogastroenterology and Motility
Neurogastroenterology and Motility 医学-临床神经学
CiteScore
7.80
自引率
8.60%
发文量
178
审稿时长
3-6 weeks
期刊介绍: Neurogastroenterology & Motility (NMO) is the official Journal of the European Society of Neurogastroenterology & Motility (ESNM) and the American Neurogastroenterology and Motility Society (ANMS). It is edited by James Galligan, Albert Bredenoord, and Stephen Vanner. The editorial and peer review process is independent of the societies affiliated to the journal and publisher: Neither the ANMS, the ESNM or the Publisher have editorial decision-making power. Whenever these are relevant to the content being considered or published, the editors, journal management committee and editorial board declare their interests and affiliations.
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