Reuma.pt/vasculitis - the Portuguese vasculitis registry
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/97718 |
Resumo: | BACKGROUND: The vasculitides are a group of rare diseases with different manifestations and outcomes. New therapeutic options have led to the need for long-term registries. The Rheumatic Diseases Portuguese Register, Reuma.pt, is a web-based electronic clinical record, created in 2008, which currently includes specific modules for 12 diseases and > 20,000 patients registered from 79 rheumatology centres. On October 2014, a dedicated module for vasculitis was created as part of the European Vasculitis Society collaborative network, enabling prospective collection and central storage of encrypted data from patients with this condition. All Portuguese rheumatology centres were invited to participate. Data regarding demographics, diagnosis, classification criteria, assessment tools, and treatment were collected. We aim to describe the structure of Reuma.pt/vasculitis and characterize the patients registered since its development. RESULTS: A total of 687 patients, with 1945 visits, from 13 centres were registered; mean age was 53.4 ± 19.3 years at last visit and 68.7% were females. The most common diagnoses were Behçet's disease (BD) (42.5%) and giant cell arteritis (GCA) (17.8%). Patients with BD met the International Study Group criteria and the International Criteria for BD in 85.3 and 97.2% of cases, respectively. Within the most common small- and medium-vessel vasculitides registered, median [interquartile range] Birmingham Vasculitis Activity Score (BVAS) at first visit was highest in patients with ANCA-associated vasculitis (AAV) (17.0 [12.0]); there were no differences in the proportion of patients with AAV or polyarteritis nodosa who relapsed (BVAS≥1) or had a major relapse (≥1 major BVAS item) during prospective assessment (p = 1.00, p = 0.479). Biologic treatment was prescribed in 0.8% of patients with GCA, 26.7% of patients with AAV, and 7.6% of patients with BD. There were 34 (4.9%) deaths reported. CONCLUSIONS: Reuma.pt/vasculitis is a bespoke web-based registry adapted for routine care of patients with this form of rare and complex diseases, allowing an efficient data-repository at a national level with the potential to link with other international databases. It facilitates research, trials recruitment, service planning and benchmarking. |
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Reuma.pt/vasculitis - the Portuguese vasculitis registryBACKGROUND: The vasculitides are a group of rare diseases with different manifestations and outcomes. New therapeutic options have led to the need for long-term registries. The Rheumatic Diseases Portuguese Register, Reuma.pt, is a web-based electronic clinical record, created in 2008, which currently includes specific modules for 12 diseases and > 20,000 patients registered from 79 rheumatology centres. On October 2014, a dedicated module for vasculitis was created as part of the European Vasculitis Society collaborative network, enabling prospective collection and central storage of encrypted data from patients with this condition. All Portuguese rheumatology centres were invited to participate. Data regarding demographics, diagnosis, classification criteria, assessment tools, and treatment were collected. We aim to describe the structure of Reuma.pt/vasculitis and characterize the patients registered since its development. RESULTS: A total of 687 patients, with 1945 visits, from 13 centres were registered; mean age was 53.4 ± 19.3 years at last visit and 68.7% were females. The most common diagnoses were Behçet's disease (BD) (42.5%) and giant cell arteritis (GCA) (17.8%). Patients with BD met the International Study Group criteria and the International Criteria for BD in 85.3 and 97.2% of cases, respectively. Within the most common small- and medium-vessel vasculitides registered, median [interquartile range] Birmingham Vasculitis Activity Score (BVAS) at first visit was highest in patients with ANCA-associated vasculitis (AAV) (17.0 [12.0]); there were no differences in the proportion of patients with AAV or polyarteritis nodosa who relapsed (BVAS≥1) or had a major relapse (≥1 major BVAS item) during prospective assessment (p = 1.00, p = 0.479). Biologic treatment was prescribed in 0.8% of patients with GCA, 26.7% of patients with AAV, and 7.6% of patients with BD. There were 34 (4.9%) deaths reported. CONCLUSIONS: Reuma.pt/vasculitis is a bespoke web-based registry adapted for routine care of patients with this form of rare and complex diseases, allowing an efficient data-repository at a national level with the potential to link with other international databases. It facilitates research, trials recruitment, service planning and benchmarking.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Estudos de Doenças Crónicas (CEDOC)RUNPonte, CristinaKhmelinskii, NikitaTeixeira, VítorLuz, KarinePeixoto, DanielaRodrigues, MaríliaLuís, MarianaTeixeira, LídiaSousa, SandraMadeira, NathalieAleixo, Joana APedrosa, TeresaSerra, Sofia SilvérioCampanilho-Marques, RaquelCastelão, WalterCordeiro, AnaCordeiro, InêsFernandes, SílviaMacieira, CarlaMadureira, PedroMalcata, ArmandoVieira, RomanaMartins, FernandoSequeira, GraçaBranco, JaimeCosta, LúciaPatto, José Vazda Silva, José CanasPereira da Silva, José AAfonso, CarmoCanhão, HelenaSantos, Maria JLuqmani, Raashid AFonseca, João E2020-05-14T23:06:29Z2020-05-052020-05-05T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/97718eng1750-1172PURE: 18153610https://doi.org/10.1186/s13023-020-01381-0info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:44:38Zoai:run.unl.pt:10362/97718Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:38:47.277240Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Reuma.pt/vasculitis - the Portuguese vasculitis registry |
title |
Reuma.pt/vasculitis - the Portuguese vasculitis registry |
spellingShingle |
Reuma.pt/vasculitis - the Portuguese vasculitis registry Ponte, Cristina |
title_short |
Reuma.pt/vasculitis - the Portuguese vasculitis registry |
title_full |
Reuma.pt/vasculitis - the Portuguese vasculitis registry |
title_fullStr |
Reuma.pt/vasculitis - the Portuguese vasculitis registry |
title_full_unstemmed |
Reuma.pt/vasculitis - the Portuguese vasculitis registry |
title_sort |
Reuma.pt/vasculitis - the Portuguese vasculitis registry |
author |
Ponte, Cristina |
author_facet |
Ponte, Cristina Khmelinskii, Nikita Teixeira, Vítor Luz, Karine Peixoto, Daniela Rodrigues, Marília Luís, Mariana Teixeira, Lídia Sousa, Sandra Madeira, Nathalie Aleixo, Joana A Pedrosa, Teresa Serra, Sofia Silvério Campanilho-Marques, Raquel Castelão, Walter Cordeiro, Ana Cordeiro, Inês Fernandes, Sílvia Macieira, Carla Madureira, Pedro Malcata, Armando Vieira, Romana Martins, Fernando Sequeira, Graça Branco, Jaime Costa, Lúcia Patto, José Vaz da Silva, José Canas Pereira da Silva, José A Afonso, Carmo Canhão, Helena Santos, Maria J Luqmani, Raashid A Fonseca, João E |
author_role |
author |
author2 |
Khmelinskii, Nikita Teixeira, Vítor Luz, Karine Peixoto, Daniela Rodrigues, Marília Luís, Mariana Teixeira, Lídia Sousa, Sandra Madeira, Nathalie Aleixo, Joana A Pedrosa, Teresa Serra, Sofia Silvério Campanilho-Marques, Raquel Castelão, Walter Cordeiro, Ana Cordeiro, Inês Fernandes, Sílvia Macieira, Carla Madureira, Pedro Malcata, Armando Vieira, Romana Martins, Fernando Sequeira, Graça Branco, Jaime Costa, Lúcia Patto, José Vaz da Silva, José Canas Pereira da Silva, José A Afonso, Carmo Canhão, Helena Santos, Maria J Luqmani, Raashid A Fonseca, João E |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Centro de Estudos de Doenças Crónicas (CEDOC) RUN |
dc.contributor.author.fl_str_mv |
Ponte, Cristina Khmelinskii, Nikita Teixeira, Vítor Luz, Karine Peixoto, Daniela Rodrigues, Marília Luís, Mariana Teixeira, Lídia Sousa, Sandra Madeira, Nathalie Aleixo, Joana A Pedrosa, Teresa Serra, Sofia Silvério Campanilho-Marques, Raquel Castelão, Walter Cordeiro, Ana Cordeiro, Inês Fernandes, Sílvia Macieira, Carla Madureira, Pedro Malcata, Armando Vieira, Romana Martins, Fernando Sequeira, Graça Branco, Jaime Costa, Lúcia Patto, José Vaz da Silva, José Canas Pereira da Silva, José A Afonso, Carmo Canhão, Helena Santos, Maria J Luqmani, Raashid A Fonseca, João E |
description |
BACKGROUND: The vasculitides are a group of rare diseases with different manifestations and outcomes. New therapeutic options have led to the need for long-term registries. The Rheumatic Diseases Portuguese Register, Reuma.pt, is a web-based electronic clinical record, created in 2008, which currently includes specific modules for 12 diseases and > 20,000 patients registered from 79 rheumatology centres. On October 2014, a dedicated module for vasculitis was created as part of the European Vasculitis Society collaborative network, enabling prospective collection and central storage of encrypted data from patients with this condition. All Portuguese rheumatology centres were invited to participate. Data regarding demographics, diagnosis, classification criteria, assessment tools, and treatment were collected. We aim to describe the structure of Reuma.pt/vasculitis and characterize the patients registered since its development. RESULTS: A total of 687 patients, with 1945 visits, from 13 centres were registered; mean age was 53.4 ± 19.3 years at last visit and 68.7% were females. The most common diagnoses were Behçet's disease (BD) (42.5%) and giant cell arteritis (GCA) (17.8%). Patients with BD met the International Study Group criteria and the International Criteria for BD in 85.3 and 97.2% of cases, respectively. Within the most common small- and medium-vessel vasculitides registered, median [interquartile range] Birmingham Vasculitis Activity Score (BVAS) at first visit was highest in patients with ANCA-associated vasculitis (AAV) (17.0 [12.0]); there were no differences in the proportion of patients with AAV or polyarteritis nodosa who relapsed (BVAS≥1) or had a major relapse (≥1 major BVAS item) during prospective assessment (p = 1.00, p = 0.479). Biologic treatment was prescribed in 0.8% of patients with GCA, 26.7% of patients with AAV, and 7.6% of patients with BD. There were 34 (4.9%) deaths reported. CONCLUSIONS: Reuma.pt/vasculitis is a bespoke web-based registry adapted for routine care of patients with this form of rare and complex diseases, allowing an efficient data-repository at a national level with the potential to link with other international databases. It facilitates research, trials recruitment, service planning and benchmarking. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-05-14T23:06:29Z 2020-05-05 2020-05-05T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/97718 |
url |
http://hdl.handle.net/10362/97718 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1750-1172 PURE: 18153610 https://doi.org/10.1186/s13023-020-01381-0 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799138004540850176 |