加拿大anca相关血管疾病管理建议的制定:国家需求评估问卷的结果。

Q4 Medicine
Open Rheumatology Journal Pub Date : 2015-04-14 eCollection Date: 2015-01-01 DOI:10.2174/18743129014090100016
Leilani Famorca, Marinka Twilt, Lillian Barra, Volodko Bakowsky, Susanne Benseler, David Cabral, Simon Carette, Navjot Dhindsa, Aurore Fifi-Mah, Michelle Goulet, Nader Khalidi, Majed Khraishi, Lucy McGeoch, Nataliya Milman, Christian Pineau, Kam Shojania, Regina Taylor-Gjevre, Tanveer Towheed, Judith Trudeau, Elaine Yacyshyn, Patrick Liang, Christian Pagnoux
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引用次数: 7

摘要

目的:研究加拿大治疗anca相关性血管炎(AAV)的临床实践模式的变化,并确定制定国家建议时应考虑的要点。材料和方法:向加拿大血管炎网络(CanVasc)、加拿大风湿病学会(CRA)、加拿大胸科学会(CTS)和加拿大肾病学会(CSN)的所有成员发送了一份30项需求评估问卷。分析了被调查者的特征、实践模式、关注点和期望。结果:在132名至少随访1例血管炎患者并对调查做出回应的医生中,39%的医生表示他们对AAV的管理有信心。在诊断程序、诱导和维持治疗以及生物制剂的使用方面,在实践中观察到一些变化;有些是由于后勤方面的限制(难以获得某些特定的检测、药物或护理;缺乏医疗保险支付这些费用)。预计推荐的前5个主题包括缓解诱导、维持、难治性疾病和复发以及生物制剂的治疗。结论:需求评估调查中确定的实践差异将有助于制定CanVasc建议的关键问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development of Canadian Recommendations for the Management of ANCA-Associated Vasculitides: Results of the National Needs Assessment Questionnaire.

Objectives: To study variations in Canadian clinical practice patterns for the management of ANCA-associated vasculitis (AAV) and identify points to consider for the development of national recommendations.

Material and methodology: A 30-item needs assessment questionnaire was sent to all members of the Canadian Vasculitis network (CanVasc), Canadian Rheumatology Association (CRA), Canadian Thoracic Society (CTS) and Canadian Society of Nephrology (CSN). Respondent characteristics, practice patterns, concerns and expectations were analyzed.

Results: Among 132 physicians who followed at least 1 vasculitis patient and responded to the survey, 39% stated that they felt confident in their management of AAV. Several variations in practice were observed regarding diagnostic procedure, induction and maintenance treatments and use of biologics; some were due to logistic constraints (difficulties in access to some specific tests, drugs or care; lack of health care coverage for the costs). The top 5 topics for which recommendations are expected involve treatment for remission induction, maintenance, refractory disease, and relapse as well as biologics.

Conclusion: Practice variations identified in this needs assessment survey will serve to formulate key questions for the development of CanVasc recommendations.

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来源期刊
Open Rheumatology Journal
Open Rheumatology Journal Medicine-Rheumatology
CiteScore
0.80
自引率
0.00%
发文量
2
期刊介绍: ENTHAM Open publishes a number of peer-reviewed, open access journals. These free-to-view online journals cover all major disciplines of science, medicine, technology and social sciences. BENTHAM Open provides researchers a platform to rapidly publish their research in a good-quality peer-reviewed journal. All peer-reviewed accepted submissions meeting high research and ethical standards are published with free access to all.
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