Shamim Rehan, Jan Mohammad Dilawar, Zafar Urooj
Dow University of Health Sciences, Sindh Medical College, Karachi.
J Pak Med Assoc. 2015 Nov;65(11):1202-5.
To evaluate patients presenting to healthcare facilities because of joint pain and subsequently diagnosed with rheumatoid arthritis.
The prospective study was conducted from August 1, 2013,to January 20, 2014, at Jinnah Postgraduate Medical Centre, Karachi, and comprised patients presenting with joint pain. A questionnaire was used to collect data, and patients were diagnosed using American College of Rheumatology / European League Against Rheumatism Rheumatoid Arthritis Classification Criteria. Data was analyzed using SPSS 20.
Of the 320 patients approached, 316(98.7%) filled the questionnaire. Eighty five (26.9%) were diagnosed as rheumatoid arthritis. Sixty (70.5%) were females and 25 (26.3%) were males. The frequency of rheumatoid arthritis was higher in people in 4th, 5th and 6th decades of life. Twenty five (7.9%) patients had positive family history, 77 (90.2%) were chronic sufferers and only 53 (16%) agreed to follow recommended immunosuppressive therapies. 212 (67.1%) patients belonged to highly literate class.
Proper guidance regarding the disease was found to be lacking in the urban centre.
评估因关节疼痛前往医疗机构就诊并随后被诊断为类风湿性关节炎的患者。
前瞻性研究于2013年8月1日至2014年1月20日在卡拉奇真纳研究生医学中心进行，纳入关节疼痛患者。采用问卷调查收集数据，患者依据美国风湿病学会/欧洲抗风湿病联盟类风湿性关节炎分类标准进行诊断。数据采用SPSS 20进行分析。
在接触的320例患者中，316例（98.7%）填写了问卷。85例（26.9%）被诊断为类风湿性关节炎。60例（70.5%）为女性，25例（26.3%）为男性。类风湿性关节炎在40、50和60岁人群中的发病率较高。25例（7.9%）患者有阳性家族史，77例（90.2%）为慢性病患者，只有53例（16%）同意遵循推荐的免疫抑制治疗。212例（67.1%）患者属于高文化阶层。
发现在城市中心缺乏关于该疾病的适当指导。
