基于病人报告的结局测量在类风湿关节炎疗效评价中的作用

以往建立在生物医学模式基础上的RA临床评价体系,多关注的是医生对病情活动性的评价及生物医学指标,而缺乏对病人的自觉症状和健康有关的生存质量为代表的生物-心理-社会健康状态的观测和评价。目前现有的RA评价方法,不能完全获取包括RA病人主观感受及疾病痛苦程度在内的疾病状态的信息,亦不能全面反映药物干预对疾病状态的调整程度。基于病人报告的结局指标（patient reported outcomes,PRO）通过捕捉与病人健康相关的疾病相关信息,从病人报告的侧面反映病人的疾病状态,将在RA临床疗效评价中发挥重要作用,成为现有临床疗效评价方法的重要补充。

The Effect of Patient- Reported Outcome in RA Curative Evaluation

The clinical evaluation system based on the bilogical medical model in the past paid more attention to the doc-tors’evaluation on the activity of the disease and the biomedicine index.This system ignored the patients themselves’evaluations to the rational symptom and the life quality correlated to the health.The existed evaluational method in RA could not complete-ly acquire the disease informations including the patients’subjective recepions and the complaint level,and it could not com-pletely reflect the medicine effect.Patient-Reported Outcome（PRO） captured the disease informations related to the pa-tients’health,and it reflected the morbid state from the viewes coming from the patients.Therefor,PRO will play the impor-tant role in RA clinical evaluation,and become the important addition for the evaluational method in RA clinic