Arthritis Research UK Primary Care Centre, Keele University, , Keele, UK.
Ann Rheum Dis. 2014 Jan;73(1):212-8. doi: 10.1136/annrheumdis-2012-202634. Epub 2013 Jan 23.
To assess the consultation prevalence of musculoskeletal (MSK) conditions as presented in different healthcare systems, and to determine the feasibility of comparing prevalence figures between nations.
The settings were an English regional database (Consultations in Primary Care Archive (CiPCA)) and the Swedish Skåne County Health Care Register. Case definitions, data extraction and analysis procedures were harmonised. The number of people consulting per 10 000 registered population in primary care, and in primary or secondary care, in the year 2010 (annual consultation prevalence) were determined for doctor-diagnosed osteoarthritis (OA), rheumatoid arthritis (RA), low back pain, and spondyloarthritis including psoriatic arthritis and ankylosing spondylitis (AS). Seven-year period consultation prevalences were also determined.
Combining primary and secondary care, annual consultation prevalences of any MSK condition (2143 vs 1610/10 000) and low back pain (587 vs 294/10 000) were higher in England than in Sweden, but higher for RA, spondyloarthritis and psoriatic arthritis in Sweden. Annual primary care prevalence figures for OA (176 vs 196/10 000), RA (25 vs 26/10 000), spondyloarthritis (both 8/10 000) and psoriatic arthritis (5 vs 3/10 000) were similar between England and Sweden. AS was rarely recorded in Swedish primary care. These patterns were also observed for 7-year period consultation prevalences.
A rigorous methodological approach allowed feasible comparison of MSK consultation prevalence between England and Sweden. Differences in prevalence of inflammatory and unspecific pain conditions may be partially explained by known variations in healthcare systems and recording practice. Routine healthcare data offers potential for investigating variations in occurrence and outcome of MSK conditions between nations.
评估不同医疗体系中肌肉骨骼（MSK）疾病的就诊情况，并确定在国家间比较患病率数据的可行性。
本研究的设定为一个英国区域性数据库（初级保健咨询档案（CiPCA））和瑞典斯科讷省卫生保健登记处。对病例定义、数据提取和分析程序进行了协调。确定了 2010 年每 10000 名登记人口中在初级保健、初级或二级保健中因医生诊断为骨关节炎（OA）、类风湿关节炎（RA）、腰痛和包括银屑病关节炎和强直性脊柱炎（AS）在内的脊柱关节炎而就诊的人数（年就诊率）。还确定了 7 年就诊率。
结合初级和二级保健，任何 MSK 疾病（2143 与 1610/10000）和腰痛（587 与 294/10000）的年就诊率在英格兰均高于瑞典，但 RA、脊柱关节炎和银屑病关节炎的年就诊率在瑞典更高。OA（176 与 196/10000）、RA（25 与 26/10000）、脊柱关节炎（均为 8/10000）和银屑病关节炎（5 与 3/10000）的年初级保健就诊率在英格兰和瑞典相似。AS 在瑞典初级保健中很少记录。这些模式在 7 年就诊率中也存在。
通过严格的方法学方法，可在英格兰和瑞典之间对 MSK 就诊率进行可行的比较。炎症性和非特异性疼痛疾病的患病率差异可能部分归因于医疗保健系统和记录实践的已知差异。常规医疗保健数据为研究国家间 MSK 疾病的发生和结果差异提供了潜力。
