Mannoni A, Briganti M P, Di Bari M, Ferrucci L, Costanzo S, Serni U, Masotti G, Marchionni N
Rheumatology Unit, I.O.T., Azienda Sanitaria di Firenze, Italy.
Ann Rheum Dis. 2003 Jun;62(6):576-8. doi: 10.1136/ard.62.6.576.
To assess the prevalence of hand, hip, and knee osteoarthritis (OA) in an older Italian community dwelling population and its association with disability.
A cross sectional survey of the whole community aged 65 years and over, was carried out in Dicomano, a small rural town in Tuscany, Italy. Subjects were screened by geriatricians for major chronic conditions, including hip, knee, and hand OA, using diagnostic algorithms based on the American College of Rheumatology (ACR) clinical criteria. A rheumatologist examined subjects who screened positive. Disability was assessed by a World Health Organisation questionnaire.
697 of 864 eligible subjects (81% of the eligible population) were screened. OA of the knee, hand, or hip was identified by clinical ACR criteria respectively in 159, 139, and 81 subjects, and was confirmed by the rheumatologist in 158/182 (87%), 75/101 (74%), and 63.2% of cases. The estimated prevalence was 29.8%, 14.9%, and 7.7%, respectively. Only hip OA was significantly associated with disability in basic activities of daily living.
About one third of community dwelling older people are affected by symptomatic peripheral OA. Hip OA was strongly associated with disability.
评估意大利一个老年社区居住人群中手部、髋部和膝部骨关节炎（OA）的患病率及其与残疾的关联。
在意大利托斯卡纳的一个小乡村迪科马诺，对65岁及以上的整个社区进行了横断面调查。由老年病医生使用基于美国风湿病学会（ACR）临床标准的诊断算法，对包括髋部、膝部和手部OA在内的主要慢性病进行筛查。对筛查呈阳性的受试者由一名风湿病学家进行检查。通过世界卫生组织问卷评估残疾情况。
864名符合条件的受试者中有697名（占符合条件人群的81%）接受了筛查。根据ACR临床标准，分别在159名、139名和81名受试者中发现了膝部、手部或髋部OA，经风湿病学家确认，病例数分别为158/182（87%）、75/101（74%）和63.2%。估计患病率分别为29.8%、14.9%和7.7%。仅髋部OA与日常生活基本活动中的残疾显著相关。
约三分之一的社区居住老年人患有症状性外周OA。髋部OA与残疾密切相关。
