| Citation: |
WENG Xisheng, ZHANG Fengchun. Chronic Disease Management in Patients with Non-infectious Arthritis: Challenges and Solutions[J]. Medical Journal of Peking Union Medical College Hospital, 2025, 16(1): 1-4. DOI: 10.12290/xhyxzz.2024-0868
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Non-infectious arthritis (NIS) mainly includes osteoarthritis and inflammatory arthritis. With the aging of the population, chronic disease management of NIS patients in China will face great challenges, such as long disease duration, multi-system involvement, high demand for personalized diagnosis and treatment, lack of patient awareness, and difficulty in managing co-morbidities. To address these challenges, a systematic strategy for chronic disease management of NIS needs to be developed at the national level, which encompasses increasing popularization of science, improving the referral system, using artificial intelligence (AI) technology to assist in early diagnosis, and implementing interventions including optimized pharmacological/surgical treatments and multidisciplinary collaboration. In the future, with the deepening of the research on the application of AI technology and novel biologics, the management of chronic disease management of NIS will become more intelligent and personalized.
| [1] |
吴惠一, 袁琴, 张洋, 等. 1990—2019年我国肌肉骨骼疾病负担分析[J]. 中华疾病控制杂志, 2023, 27(6): 655-661.
Wu H Y, Yuan Q, Zhang Y, et al. Disease burden of musculoskeletal disorders in China from 1990 to 2019[J]. Chin J Dis Control Prev, 2023, 27(6): 655-661.
|
| [2] |
Norris S L, Glasgow R E, Engelgau M M, et al. Chronic disease management: a definition and systematic approach to component interventions[J]. Dis Manag Health Outcomes, 2003, 11(8): 477-488. DOI: 10.2165/00115677-200311080-00001
|
| [3] |
Shuai W, Wu X, Chen C, et al. Rapid diagnosis of rheumatoid arthritis and ankylosing spondylitis based on Fourier transform infrared spectroscopy and deep learning[J]. Photodiagnosis Photodyn Ther, 2024, 45: 103885. DOI: 10.1016/j.pdpdt.2023.103885
|
| [4] |
Krusche M, Callhoff J, Knitza J, et al. Diagnostic accuracy of a large language model in rheumatology: comparison of physician and ChatGPT-4[J]. Rheumatol Int, 2024, 44(2): 303-306.
|
| [5] |
Matsuo H, Kamada M, Imamura A, et al. Machine learning-based prediction of relapse in rheumatoid arthritis patients using data on ultrasound examination and blood test[J]. Sci Rep, 2022, 12(1): 7224. DOI: 10.1038/s41598-022-11361-y
|
| [6] |
García-González C M, Baker J. Treatment of early rheumatoid arthritis: methotrexate and beyond[J]. Curr Opin Pharmacol, 2022, 64: 102227. DOI: 10.1016/j.coph.2022.102227
|
| [7] |
黄烽, 朱剑, 王玉华, 等. 强直性脊柱炎诊疗规范[J]. 中华内科杂志, 2022, 61(8): 893-900. DOI: 10.3760/cma.j.cn112138-20211226-00913
Huang F, Zhu J, Wang Y H, et al. Recommendations for diagnosis and treatment of ankylosing spondylitis[J]. Chin J Intern Med, 2022, 61(8): 893-900. DOI: 10.3760/cma.j.cn112138-20211226-00913
|
| [8] |
O'Neil L J, Alpízar-Rodríguez D, Deane K D. Rheumatoid arthritis: the continuum of disease and strategies for prediction, early intervention, and prevention[J]. J Rheumatol, 2024, 51(4): 337-349. DOI: 10.3899/jrheum.2023-0334
|
| [9] |
Qiao Y J, Li F, Zhang L D, et al. A systematic review and meta-analysis comparing outcomes following total knee arthroplasty for rheumatoid arthritis versus for osteoarthritis[J]. BMC Musculoskelet Disord, 2023, 24(1): 484. DOI: 10.1186/s12891-023-06601-9
|
| [10] |
Guo N, Li X Y, Movahedi M, et al. Biologics initiation in moderate versus severe rheumatoid arthritis: real-world experience from a Canadian registry[J]. Clin Exp Rheumatol, 2024, 42(5): 1067-1074.
|
| [11] |
Zhang J R, Ndou W S, Ng N, et al. Robotic-arm assisted total knee arthroplasty is associated with improved accuracy and patient reported outcomes: a systematic review and meta-analysis[J]. Knee Surg Sports Traumatol Arthrosc, 2022, 30(8): 2677-2695. DOI: 10.1007/s00167-021-06464-4
|
| [12] |
Zhang Q Q, Chen Y Z, Li Y, et al. Enhanced recovery after surgery in patients after hip and knee arthroplasty: a systematic review and meta-analysis[J]. Postgrad Med J, 2024, 100(1181): 159-173. DOI: 10.1093/postmj/qgad125
|
| [13] |
Goodman S M, Springer B D, Chen A F, et al. 2022 American College of Rheumatology/American Association of Hip and Knee Surgeons guideline for the perioperative manage-ment of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty[J]. Arthritis Care Res (Hoboken), 2022, 74(9): 1399-1408. DOI: 10.1002/acr.24893
|
| [14] |
Boyce M, Massicotte A. Practical guidance in perioperative management of immunosuppressive therapy for rheumatology patients undergoing elective surgery[J]. Can J Hosp Pharm, 2020, 73(3): 218-224.
|
| [15] |
Poratt D, Rome K. Surgical management of gout in the foot and ankle: a systematic review[J]. J Am Podiatr Med Assoc, 2016, 106(3): 182-188. DOI: 10.7547/14-128
|
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