tailieunhanh - Báo cáo y học: "Effective rheumatoid arthritis treatment requires comprehensive management strategies"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Effective rheumatoid arthritis treatment requires comprehensive management strategies. | Available online http content 11 6 138 Editorial Effective rheumatoid arthritis treatment requires comprehensive management strategies Chad S Boomershine Division of Rheumatology and Immunology Vanderbilt Center for Molecular Neuroscience Vanderbilt Center for Integrative Health Vanderbilt University 1161 21st Ave S T3219 MCN Nashville TN 37232-2681 USA Corresponding author Chad S Boomershine Published 21 December 2009 Arthritis Research Therapy 2009 11 138 doi ar2872 This article is online at http content 11 6 138 2009 BioMed Central Ltd See related research by Lee et al. http content 11 5 R160 Abstract Work by Lee and colleagues has shown that decreased sleep quality and increased psychiatric distress increase pain sensitivity at both articular and nonarticular sites in rheumatoid arthritis RA patients. This work is consistent with prior studies showing that factors independent of RA disease activity can influence RA outcome measures. Owing to increasing pressure on rheumatologists to use outcome measures to inform treatment decisions the work by Lee and colleagues highlights the need for comprehensive RA management strategies to understand and address the human factors that influence outcomes measures. Such strategies will ensure appropriate use of increasingly expensive therapies while maximizing patient satisfaction and reimbursement. Newly published work has important implications for the care of rheumatoid arthritis RA patients 1 . In their study Lee and colleagues correlated pain sensitivity at articular periarticular and muscle sites with measures of RA disease activity as well as with measures of sleep quality and psychiatric distress. Interestingly the authors found pain sensitivity was not influenced by the C-reactive protein CRP level. While correlations between pain sensitivity and other disease activity measures existed the associations varied