上肢肌肉骨骼疾病的发病率和患病率。文献的系统评价
Incidence and prevalence of upper-extremity musculoskeletal disorders. A systematic appraisal of the literature.
作者信息
Huisstede Bionka M A, Bierma-Zeinstra Sita M A, Koes Bart W, Verhaar Jan A N
机构信息
Department of General Practice, Erasmus MC, Rotterdam, The Netherlands.
出版信息
BMC Musculoskelet Disord. 2006 Jan 31;7:7. doi: 10.1186/1471-2474-7-7.
BACKGROUND
A systematic appraisal of the worldwide incidence and prevalence rates of UEDs available in scientific literature was executed to gauge the range of these estimates in various countries and to determine whether the rates are increasing in time.
METHODS
Studies that recruited at least 500 people, collected data by using questionnaires, interviews and/or physical examinations, and reported incidence or prevalence rates of the whole upper-extremity including neck, were included.
RESULTS
No studies were found with regard to the incidence of UEDs and 13 studies that reported prevalence rates of UEDs were included. The point prevalence ranged from 1.6-53%; the 12-months prevalence ranged from 2.3-41%. One study reported on the lifetime prevalence (29%). We did not find evidence of a clear increasing or decreasing pattern over time. The case definitions for UEDs used in the studies, differed enormously. Therefore, it was not possible to pool the data.
CONCLUSION
There are substantial differences in reported prevalence rates on UEDs. Main reason for this is the absence of a universally accepted way of labelling or defining UEDs. If we want to make progress in this field, the first requirement is to agree on unambiguous terminology and classification of EUDs.
背景
对科学文献中全球上肢功能障碍（UEDs）的发病率和患病率进行了系统评估，以衡量不同国家这些估计值的范围，并确定这些比率是否随时间增加。
方法
纳入至少招募500人的研究，通过问卷调查、访谈和/或体格检查收集数据，并报告包括颈部在内的整个上肢的发病率或患病率。
结果
未找到关于UEDs发病率的研究，纳入了13项报告UEDs患病率的研究。点患病率范围为1.6%-53%；12个月患病率范围为2.3%-41%。一项研究报告了终生患病率（29%）。我们没有发现随时间有明显上升或下降模式的证据。研究中使用的UEDs病例定义差异很大。因此，无法汇总数据。
结论
报告的UEDs患病率存在很大差异。主要原因是缺乏普遍接受的UEDs标记或定义方法。如果我们想在这个领域取得进展，首要要求是就明确的术语和上肢功能障碍的分类达成一致。
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