FEATURE 01
類風濕性關節炎精準診療與全人整合照護
專業核心摘要
整合早期診斷、關節超音波、疾病活動度監測與達標治療,結合標靶藥物療效預測、共病風險管理及個案照護,為病人制定個人化治療策略與整體健康計畫。
特色說明
本中心以早期辨識、持續評估與個人化用藥為核心,運用臨床評估、自體抗體檢測與關節超音波,協助確認關節發炎及追蹤疾病活動度,並依治療反應、共病與用藥風險實施達標治療(Treat-to-Target)。團隊發展「智抗炎」精準療效預測研究,探索以基因及其他生物標誌輔助標靶藥物選擇,同時建立類風濕性關節炎共病評估、風險管理與個案追蹤之專業照護流程,期能減少疾病負擔、維持功能與提升生活品質。
臨床成效
本中心將所有中重度類風濕性關節炎病人納入個案管理,全面推動達標治療(Treat-to-Target)及共病風險評估。透過定期監測疾病活動度、評估藥物療效與安全性,並整合跨專科照護資源,及早辨識與管理心血管疾病、感染及骨質疏鬆等共病風險,持續優化個人化治療策略,以提升疾病緩解率、減少關節損傷、維持身體功能及改善長期生活品質。
代表性研究發表
- Chen PK, Chen YM, Chen JJW, Chen DY. Anti-peptide antibodies, anti-SNRK and anti-HUWE1 antibodies as potential predictors of good response to tofacitinib therapy in rheumatoid arthritis patients. Rheumatology (Oxford). 2025 May 1;64(5):2451-2460.
- Chen PK, Chen YM, Cho CF, Chen JJJW, Wu JC, Daf D, Gong NR, Chen DY. A pan-el incorporating genetic variants of RIN3, NLRC3, and SLX4 shows promise in pre-dicting remission after tofacitinib therapy in rheumatoid arthritis patients. Clin Exp Rheumatol. 2025 Sep;43(9):1548-1553.
- Chen PK, Chang SH, Chen YM, Chen HH, Huang PH, Huang CC, Yeo KJ, Lan JL, Chen DY. Prior herpes zoster occurrence and high-dose corticosteroids increase herpes zoster risk in rheumatoid arthritis patients receiving janus kinase inhibitors in a retrospective and observational study. Clin Rheumatol. 2024 Aug;43(8):2503-2511.
- Chen YH, Su WJ, Hsieh SZ, Yu KH, Jan YJ, Lee SS, Wey JC, Chen JH, Chiu YM, Huang KY, Tsai WJ, Cheng JT, Cheng TT, Cheng CL, Chen DY. 2015 TRA revised recommendations for screening and management of tuberculosis infection in patients before and after anti-tumor necrosis factor-alpha biological treatment. Formosan Jo Rheumatol 2015;29:1-8.
- Chen YH, Chieh RN, Huang YH, Chen DY*, Lan JL, Lu LY, Hsieh TY, Wey JC, Tsay GJ. Screening and management of hepatitis B infection in rheumatic patients scheduled for biologic therapy: consensus recommendations from the TRA. Formosan J Rheumatol 2012;26:1-7.
國際認證與獲獎
- 2018年至2026年持續獲亞太風濕病聯盟(APLAR)亞太風濕病卓越臨床中心認證
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- 2023年獲NHQA國家醫療品質獎「卓越中心」

- RA共病照護 2021–2023年連續獲SNQ國家品質標章

- 精準醫療創新「智抗炎」RA精準醫療檢測2024年獲國家新創獎、2025年台北生技獎、2026年國科會未來科技獎


醫療團隊與就醫指引
醫療團隊:如目前官網醫師成員。
就醫指引:如醫院官網資料。


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