Sacks Jeffrey J, Helmick Charles G, Luo Yao-Hua, Ilowite Norman T, Bowyer Suzanne
Centers for Disease Control and Prevention, Atlanta, Georgia 30341-3724, USA.
Arthritis Rheum. 2007 Dec 15;57(8):1439-45. doi: 10.1002/art.23087.
To estimate the prevalence of and the annual number of ambulatory health care visits for pediatric arthritis and other rheumatologic conditions.
We used physician office visit, outpatient department visit, and emergency department visit data from the 2001-2004 National Ambulatory Medical Care Survey and 2001-2004 National Hospital Ambulatory Medical Care Survey to estimate annual visits for the International Classification of Diseases, Ninth Revision, Clinical Modification codes thought to represent significant pediatric arthritis and other rheumatologic conditions (SPARC). We converted visit estimates into prevalence estimates using data on the number of prior annual visits per patient. Synthetic estimates for states were produced using national rates.
The average annualized estimate of the number of children with SPARC was 294,000 (95% confidence interval [95% CI] 188,000-400,000). The annualized number of ambulatory health care visits for SPARC was 827,000 (95% CI 609,000-1,044,000).
Pediatric arthritis estimates have varied widely because it is an umbrella term for which there are many definitions and because it is a relatively uncommon condition from a population surveillance perspective. Our estimates suggest that arthritis-related health care visits impose a substantial burden on the pediatric health care system. One advantage of this surveillance paradigm is that it has established a starting point for tracking the national prevalence of arthritis and rheumatologic conditions in children on an ongoing basis using existing infrastructure rather than expensive new surveys. This surveillance system will help us monitor and predict the health care needs of patients with these conditions.
评估儿童关节炎及其他风湿性疾病的门诊就诊患病率及年度就诊次数。
我们使用了2001 - 2004年国家门诊医疗调查和2001 - 2004年国家医院门诊医疗调查中的医师门诊就诊、门诊部就诊和急诊科就诊数据，以估计国际疾病分类第九版临床修订本中被认为代表重大儿童关节炎及其他风湿性疾病（SPARC）的编码的年度就诊次数。我们利用每位患者每年先前就诊次数的数据将就诊估计数转换为患病率估计数。使用全国发病率得出各州的综合估计数。
SPARC患儿的年均估计数为294,000（95%置信区间[95%CI]188,000 - 400,000）。SPARC的年度门诊医疗就诊次数为827,000（95%CI 609,000 - 1,044,000）。
儿童关节炎的估计数差异很大，因为它是一个涵盖多种定义的统称，而且从人群监测的角度来看是一种相对不常见的疾病。我们的估计表明，与关节炎相关的医疗就诊给儿童医疗保健系统带来了沉重负担。这种监测模式的一个优点是，它为利用现有基础设施而非进行昂贵的新调查持续跟踪儿童关节炎和风湿性疾病的全国患病率奠定了起点。这个监测系统将帮助我们监测和预测患有这些疾病的患者的医疗保健需求。
