墨西哥城市区成年人群中膝关节、髋关节和手部的临床和放射学骨关节炎流行情况。

Prevalence of clinical and radiological osteoarthritis in knee, hip, and hand in an urban adult population of Mexico City.

机构信息

Department of Orthopedic Rehabilitation, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, PAHO/WHO Collaborating Centre for Research and Medical Rehabilitation, Mexico City, Mexico.

Postgraduate Division, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.

出版信息

Reumatol Clin (Engl Ed). 2020 Mar-Apr;16(2 Pt 2):156-160. doi: 10.1016/j.reuma.2018.06.001. Epub 2018 Sep 5.

DOI:10.1016/j.reuma.2018.06.001

PMID:30196045

Abstract

INTRODUCTION

Osteoarthritis (OA) is the most prevalent articular disease worldwide, and its prevalence is highly variable depending on the classification criteria, population studied, and/or affected joints considered. Reporting epidemiologic data about clinical and radiological OA prevalence in Mexico has not been done before.

PATIENTS AND METHODS

A descriptive cross-sectional study was carried out with participants of Mexico City, and included both men and women above 40 years of age. All participants were evaluated with radiological and clinical criteria for OA.

RESULTS

Two hundred and four individuals participated in the study: 80 men (39.2%) and 124 women (60.8%). The average age was 57.4±10.9 years. Using clinical criteria alone, 36 participants were found to have hand OA (17.6%; 95% CI, 13-23.4), 37 with hip OA (18.1%; 95% CI 13.4-24), and 40 with knee OA (19.6%; 95% CI 14.7-25.6). When radiological criteria were used, 51 individuals were reported as having hand OA (25%; 95% CI 19.5-31), 54 with hip OA (26.5%; 95% CI 20.8-32.9), and 52 with knee OA (25.5%; 95% CI 20-31.8). When clinical criteria were used and then corroborated with radiological criteria, the prevalence was 28 individuals with hand OA (13.7%; 95% CI 9.6-19), 31 with hip OA (15.1%; 95% CI 10.9-20.7), and 36 with knee OA 36 (17.6%; 95% CI 12.2-26.2).

DISCUSSION

The prevalences found in this study are greater than those found in other studies in Mexico that only report clinical criteria.

摘要

简介

骨关节炎（OA）是全球最常见的关节疾病，其患病率因分类标准、研究人群和/或受累关节的不同而有很大差异。此前，墨西哥尚未报告过有关临床和放射学 OA 患病率的流行病学数据。

患者和方法

本研究为描述性横断面研究，参与者来自墨西哥城，包括 40 岁以上的男性和女性。所有参与者均通过放射学和临床标准评估 OA。

结果

共有 204 人参与了这项研究：80 名男性（39.2%）和 124 名女性（60.8%）。平均年龄为 57.4±10.9 岁。仅使用临床标准，发现 36 名参与者患有手部 OA（17.6%；95%可信区间 13-23.4%）、37 名患有髋部 OA（18.1%；95%可信区间 13.4-24）和 40 名患有膝部 OA（19.6%；95%可信区间 14.7-25.6）。当使用放射学标准时，报告有 51 名参与者患有手部 OA（25%；95%可信区间 19.5-31）、54 名患有髋部 OA（26.5%；95%可信区间 20.8-32.9）和 52 名患有膝部 OA（25.5%；95%可信区间 20-31.8）。当使用临床标准并随后用放射学标准证实时，患病率为 28 名手部 OA 患者（13.7%；95%可信区间 9.6-19）、31 名髋部 OA 患者（15.1%；95%可信区间 10.9-20.7）和 36 名膝部 OA 患者（17.6%；95%可信区间 12.2-26.2）。