巴基斯坦拉合尔半城市社区炎症性背痛和放射学中轴型脊柱关节炎的患病率。

Prevalence of inflammatory back pain and radiographic axial spondyloarthritis in a semi-urban community of Lahore, Pakistan.

机构信息

Rheumatology, Al-Aleem Medical College, Lahore, Pakistan.

Department of Rheumatology, Gulab Devi Teaching Hospital, Al-Aleem Medical College, Lahore, Pakistan.

出版信息

Int J Rheum Dis. 2021 Feb;24(2):207-215. doi: 10.1111/1756-185X.14030. Epub 2020 Nov 27.

DOI:10.1111/1756-185X.14030

PMID:33244897

Abstract

AIMS

To determine the prevalence of inflammatory back pain (IBP) and radiographic axial spondyloarthritis (SpA) in a semi-urban community of Lahore, Pakistan.

METHODS

This cross-sectional household survey was designed as per the Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) model. In Phase 1, the subjects were interviewed for musculoskeletal (MSK) pain in the last 7 days by clinical assistants. In Phase 2, physiotherapists identified subjects with spinal/back pain and interviewed for Assessment in Spondyloarthritis International Working Group (ASAS) criteria for IBP. In Phase 3 subjects having IBP or chronic back pain (CBP) with an age at onset ≤45 years, were assessed and further investigated.

RESULTS

A total of 4922 subjects with a mean age of 35.3 ± 14.5 years, including 2770 (56%) women were surveyed in Phase 1. MSK pain in last 7 days was reported by 1407 (28.6%) of whom 1034 (21%) had spinal pain. The ASAS criteria for IBP were met in 329 (6.7%, 95% CI 6.0-7.0). In Phase 3, 222 with IBP and 83 having CBP with age at onset ≤45 years were evaluated. Out of this total of 305, 144 (2.9%) were confirmed to have IBP by rheumatologists as per at least 1 of the 3 criteria. ASAS criteria were met in 107 (2.2%, 95% CI 1.8-2.6). ASAS criteria for radiographic axial SpA were met in 47 (1%, 95% CI 0.7-1.3) of the surveyed population.

CONCLUSION

Inflammatory back pain was reported in 6.7% by physiotherapists, confirmed in 3% by rheumatologists. The prevalence of radiographic axial SpA was 1%.

摘要

目的

在巴基斯坦拉合尔的一个半城市社区确定炎症性背痛（IBP）和放射学轴向脊柱关节炎（SpA）的患病率。

方法

本横断面家庭调查按照社区为基础的风湿性疾病控制规划（COPCORD）模型设计。在第 1 阶段，临床助理对过去 7 天的肌肉骨骼（MSK）疼痛对受试者进行了访谈。在第 2 阶段，物理治疗师确定了脊柱/背部疼痛的受试者，并根据评估强直性脊柱炎国际工作组（ASAS）标准对 IBP 进行了访谈。在第 3 阶段，对患有 IBP 或慢性背痛（CBP）且发病年龄≤45 岁的患者进行了评估和进一步调查。

结果

共有 4922 名平均年龄为 35.3±14.5 岁的受试者参加了第 1 阶段的调查，其中包括 2770 名（56%）女性。1407 名（28.6%）受试者报告过去 7 天有肌肉骨骼疼痛，其中 1034 名（21%）有脊柱疼痛。符合 ASAS IBP 标准的有 329 人（6.7%，95%CI 6.0-7.0）。在第 3 阶段，对 222 名 IBP 和 83 名发病年龄≤45 岁的 CBP 进行了评估。在这总计 305 人中，有 144 名（2.9%）经风湿病学家确认符合至少 3 项标准中的 1 项，患有 IBP。符合 ASAS 标准的有 107 人（2.2%，95%CI 1.8-2.6）。在调查人群中，符合放射学轴向 SpA 标准的有 47 人（1%，95%CI 0.7-1.3）。