Rheumatoid arthritis in women: still associated with an increased mortality
Rheumatoid arthritis in women: still associated with an increased mortality
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DOI：
10.1136/ard.61.11.955
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发表时间：
2002-11-01
影响因子：
27.4
通讯作者：
Symmons, D
中科院分区：
文献类型：
--
作者：
Goodson, N;Symmons, D
Ann Rheum Dis：首次出版为10.1136/ard。61.11. 955于2002年11月1日。下载自难以知道这种疾病结局的改善是否是对疾病性质变化或治疗方式变化的反应。如果近年来RA的自然史变得不那么严重，人们可能会期望死亡率下降。这些最近的死亡率论文表明，那些被转诊到医院并早期治疗的类风湿关节炎患者确实延长了预期寿命。那些后期转诊或在社区管理的人，即使他们本身患有较轻的疾病，也会继续产生不良后果，特别是心血管疾病。
Ann Rheum Dis: first published as 10.1136/ard. 61.11. 955 on 1 November 2002. Downloaded from difficult to know whether this improvement in disease outcome is in response to a change in the nature of the disease or changes in the way it is treated. One might expect mortality rates to decrease if the natural history of RA has become less severe over more recent years. These recent mortality papers suggest that those patients with RA who are referred to hospital and treated early do indeed have an improved life expectancy. Those who are referred late or are managed in the community, even though they have inherently milder disease, continue to have an adverse outcome, particularly from cardiovascular disease.