Department of Rheumatology, Tel Aviv Sourasky Medical Center Tel Aviv, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Semin Arthritis Rheum. 2011 Apr;40(5):473-8. doi: 10.1016/j.semarthrit.2010.05.010. Epub 2010 Aug 11.
To study the prevalence of rheumatic diseases in Israel by applying the Community Oriented Program for the Control of Rheumatic Diseases core questionnaire (CCQ).
Representative samples (total of 2520 people) of the Israeli Jewish population aged ≥20 were surveyed for rheumatic complaints on 4 separate occasions by the CCQ telephone interview. The findings of the telephone interview were compared with a face-to-face interview and to rheumatologist examination, in 2 separate stages.
The telephone applied CCQ had a sensitivity level of 88.6% and specificity of 70.0% when compared with the rheumatologist evaluation (κ = 0.576) (P < 0.001). A lower prevalence of rheumatic complaints was found in the summer months (17.7%) than in winter months (26.2%, P < 0.01). Prevalence was related to country of origin (0.008 < P < 0.03) (P range in separate surveys) and increasing age (P < 0.001) and was higher in women than in men (0.003 < P < 0.043). Body sites most affected were the lower back (63%) and the knees (47%). Medically related unemployment was more common in those with rheumatic complaints (7.9%) than in those without such complaints (2.9%, P < 0.01). Among those with rheumatic ailments, 12.7% had a related discapacity recognized by the Israeli National Insurance Institute.
The telephone applied CCQ was reliable in screening for rheumatic complaints. Rates for rheumatic complaints in Israel were similar to those in some other countries. Rheumatic complaints were common, age- and gender-related, associated with work discapacity, and with country of origin. This is the first longitudinal prevalence survey of rheumatic complaints in Israel.
应用社区导向的风湿性疾病控制规划核心问卷（CCQ）研究以色列风湿性疾病的流行情况。
对以色列犹太人群中年龄≥20 岁的代表性样本（共 2520 人）进行了 4 次电话调查，询问风湿性疾病的相关情况。在两个不同阶段，通过电话访谈的结果与面对面访谈和风湿病专家检查进行了比较。
与风湿病专家评估相比，电话应用的 CCQ 具有 88.6%的灵敏度和 70.0%的特异性（κ=0.576）（P<0.001）。风湿性疾病的发生率在夏季（17.7%）比冬季（26.2%）低（P<0.01）。发生率与原籍国有关（0.008<P<0.03）（各调查的 P 值范围），并随年龄增长而增加（P<0.001），且女性高于男性（0.003<P<0.043）。受影响的身体部位最常见的是下背部（63%）和膝盖（47%）。有风湿性疾病的患者中，与医疗相关的失业比例（7.9%）高于无此类疾病的患者（2.9%）（P<0.01）。在患有风湿性疾病的患者中，有 12.7%的人因疾病而被以色列国家保险协会认定为残疾。
电话应用的 CCQ 可用于筛选风湿性疾病的相关症状。以色列风湿性疾病的发生率与其他一些国家相似。风湿性疾病的发生率高，与年龄和性别有关，与工作能力丧失有关，也与原籍国有关。这是以色列风湿性疾病首次进行的纵向患病率调查。
