Blanco Francisco J, Silva-Díaz Maite, Quevedo Vila Víctor, Seoane-Mato Daniel, Pérez Ruiz Fernando, Juan-Mas Antonio, Pego-Reigosa José M, Narváez Javier, Quilis Neus, Cortés Raúl, Romero Pérez Antonio, Fábregas Canales Dolores, Font Gayá Teresa, Bordoy Ferrer Carolina, Sánchez-Piedra Carlos, Díaz-González Federico, Bustabad-Reyes Sagrario
Servicio de Reumatología, INIBIC-Hospital Universitario A Coruña, La Coruña, España; Departamento de Medicina, Universidad de A Coruña, La Coruña, España.
Servicio de Reumatología, INIBIC-Hospital Universitario A Coruña, La Coruña, España.
Reumatol Clin (Engl Ed). 2020 Apr 28. doi: 10.1016/j.reuma.2020.01.008.
The Spanish Society of Rheumatology carried out the EPISER2000 study in 2000 to determine the prevalence of osteoarthritis and other rheumatic diseases in the Spanish population. Recent sociodemographic changes and lifestyle habits in Spain justified updating the epidemiological data on osteoarthritis and other rheumatic diseases (EPISER2016-study).
To estimate the prevalence of symptomatic osteoarthritis of the cervical spine, lumbar spine, hip, knee and hand in the adult population in Spain.
Cross-sectional population-based study. A multistage and stratified random cluster sampling was carried out. The participants were contacted by telephone to complete an osteoarthritis screening questionnaire. A rheumatologist confirmed or discarded the diagnosis. The ACR-clinical-criteria were used to diagnose hand-osteoarthritis and the ACR-clinical-radiological criteria to diagnose knee- and hip-osteoarthritis. To estimate the prevalence and its 95% confidence interval, weights were calculated according to the probability of selection in each of the sampling stages.
The prevalence of osteoarthritis in Spain in one or more of the locations studied was 29.35%. The prevalence of cervical-osteoarthritis was 10.10% and of lumbar-osteoarthritis 15.52%. Both are more frequent in women and at older ages, as well as in people with low levels of education and obesity. The prevalence of hip-osteoarthritis was 5.13%, that of knee-osteoarthritis 13.83%, these are associated with female sex, overweight and obesity. The prevalence of hand osteoarthritis was 7.73%. It is more frequent in women, who are obese, with a low educational level and who are older.
The EPISER2016 study is the first to analyse the prevalence of symptomatic osteoarthritis in 5 locations (cervical, lumbar, knee, hip and hands) in Spain. Lumbar spine osteoarthritis is the most prevalent.
西班牙风湿病学会于2000年开展了EPISER2000研究，以确定骨关节炎和其他风湿性疾病在西班牙人群中的患病率。西班牙近期的社会人口结构变化和生活方式习惯使得更新骨关节炎和其他风湿性疾病的流行病学数据成为必要（EPISER2016研究）。
估计西班牙成年人群中颈椎、腰椎、髋关节、膝关节和手部症状性骨关节炎的患病率。
基于人群的横断面研究。采用多阶段分层随机整群抽样。通过电话联系参与者以完成骨关节炎筛查问卷。由风湿病学家确诊或排除诊断。采用美国风湿病学会（ACR）临床标准诊断手部骨关节炎，采用ACR临床放射学标准诊断膝关节和髋关节骨关节炎。为了估计患病率及其95%置信区间，根据每个抽样阶段的选择概率计算权重。
在研究的一个或多个部位，西班牙骨关节炎的患病率为29.35%。颈椎骨关节炎的患病率为10.10%，腰椎骨关节炎为15.52%。两者在女性、老年人、低教育水平人群和肥胖人群中更为常见。髋关节骨关节炎的患病率为5.13%，膝关节骨关节炎为13.83%，这些与女性、超重和肥胖有关。手部骨关节炎的患病率为7.73%。在肥胖、低教育水平和年龄较大的女性中更为常见。
EPISER2016研究首次分析了西班牙5个部位（颈椎、腰椎、膝关节、髋关节和手部）症状性骨关节炎的患病率。腰椎骨关节炎最为普遍。
