Gender-specific differences in the diagnosis and treatment of inflammatory rheumatic diseases

© 2023. The Author(s)..

BACKGROUND: Gender differences in the diagnosis and treatment of various diseases are increasingly being researched with the aim of optimizing treatment strategies and improving individual treatment success.

METHODS: This paper summarizes the existing literature for gender differences in inflammatory rheumatic diseases.

RESULTS: Many, but not all, inflammatory rheumatic diseases occur more frequently in women than in men. Women more often have a longer duration of symptoms until diagnosis than men, which may be due to different clinical and radiological presentations. Across diseases, women more often have lower remission and treatment response rates to antirheumatic medication compared to men. Discontinuation rates are also higher in women than in men. Whether women are more likely to develop anti-drug antibodies to biologic disease-modifying antirheumatic drugs is still unclear. For Janus kinase inhibitors, there is no evidence of differential treatment response to date.

CONCLUSION: Whether individual dosing regimens and gender-adapted remission criteria are also required in rheumatology cannot be deduced from the evidence available to date.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:64

Enthalten in:

Innere Medizin (Heidelberg, Germany) - 64(2023), 8 vom: 06. Aug., Seite 744-751

Sprache:

Deutsch

Weiterer Titel:

Geschlechtsspezifische Unterschiede in Diagnostik und Therapie entzündlich-rheumatischer Erkrankungen

Beteiligte Personen:

Albrecht, Katinka [VerfasserIn]
Strangfeld, Anja [VerfasserIn]

Links:

Volltext

Themen:

Antirheumatic Agents
Antirheumatic agents
Arthritis, rheumatoid
Connective tissue diseases
English Abstract
Journal Article
Review
Sex characteristics
Spondyloarthritis

Anmerkungen:

Date Completed 25.07.2023

Date Revised 27.07.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00108-023-01484-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353830933