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美国现役军人中股骨大转子疼痛综合征的发病率。

Incidence of greater trochanteric pain syndrome in active duty US military servicemembers.

作者信息

Blank Elizabeth, Owens Brett D, Burks Robert, Belmont Philip J

机构信息

Orthopaedic Surgery Service, General Leonard Wood Army Community Hospital, Fort Leonard Wood, Missouri, USA.

出版信息

Orthopedics. 2012 Jul 1;35(7):e1022-7. doi: 10.3928/01477447-20120621-14.

Abstract

Although greater trochanteric pain syndrome is thought to be a common musculoskeletal disorder, little has been reported on the incidence rates of the disorder. The purpose of this study was to determine the incidence and demographic risk factors of greater trochanteric pain syndrome in a United States military population. Multivariate Poisson regression analysis was used to estimate the rate of greater trochanteric pain syndrome per 1000 person-years, controlling for sex, race, age, rank, and branch of service. The overall unadjusted incidence rate of greater trochanteric pain syndrome was 2.03 per 1000 person-years. Women had a significantly increased adjusted incidence rate ratio for greater trochanteric pain syndrome of 5.03 (95% confidence interval [CI], 4.91-5.16). The adjusted incidence rate ratio for White servicemembers compared with Black servicemembers was 1.36 (95% CI, 1.32-1.40). The adjusted incidence rate ratio for the 40+ age group compared with the 25 to 29 age group was 2.81 (95% CI, 2.68-2.95). Compared with junior officers, junior and senior enlisted ranks had an increased adjusted incidence rate ratio of 1.94 (95% CI, 1.84-2.04) and 1.17 (95% CI, 1.12-1.23), respectively. Compared with the Navy, each branch of service had an increased adjusted incidence rate ratio, with the Army at 2.90 (95% CI, 2.80-3.01), the Marines at 1.96 (95% CI, 1.87-2.07), and the Air Force at 1.33 (95% CI, 1.27-1.38). Female servicemembers had a five-fold greater incidence of greater trochanteric pain syndrome. Increasing age, enlisted rank groups, and service in the Army, Marines, or Air Force were also significant risk factors.

摘要

尽管大转子疼痛综合征被认为是一种常见的肌肉骨骼疾病,但关于该疾病发病率的报道却很少。本研究的目的是确定美国军人中大转子疼痛综合征的发病率及人口统计学风险因素。采用多变量泊松回归分析来估计每1000人年的大转子疼痛综合征发病率,并对性别、种族、年龄、军衔和军种进行控制。大转子疼痛综合征的总体未调整发病率为每1000人年2.03例。女性大转子疼痛综合征的调整发病率比值显著增加,为5.03(95%置信区间[CI],4.91 - 5.16)。与黑人军人相比,白人军人的调整发病率比值为1.36(95%CI,1.32 - 1.40)。40岁及以上年龄组与25至29岁年龄组相比,调整发病率比值为2.81(95%CI,2.68 - 2.95)。与初级军官相比,初级和高级士兵军衔的调整发病率比值分别增加了1.94(95%CI,1.84 - 2.04)和1.17(95%CI,1.12 - 1.23)。与海军相比,各军种的调整发病率比值均有所增加,陆军为2.90(95%CI,2.80 - 3.01),海军陆战队为1.96(95%CI,1.87 - 2.07),空军为1.33(95%CI,1.27 - 1.38)。女性军人患大转子疼痛综合征的发病率高出五倍。年龄增长、士兵军衔组以及在陆军、海军陆战队或空军服役也是重要的风险因素。

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