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拉丁美洲脊柱关节炎患者的患病率、人口统计学特征及临床特点

Prevalence, demographics, and clinical characteristics of Latin American patients with spondyloarthritis.

作者信息

Citera Gustavo, Bautista-Molano Wilson, Peláez-Ballestas Ingris, Azevedo Valderilio F, Perich Risto A, Méndez-Rodríguez José A, Cutri Mariel S, Borlenghi Cecilia E

机构信息

Instituto de Rehabilitación Psicofísica, Echeverría 955, Buenos Aires, Argentina.

Universidad Militar Nueva Granada and University Hospital Fundación Santa Fe de Bogotá, Bogotá, Colombia.

出版信息

Adv Rheumatol. 2021 Jan 8;61(1):2. doi: 10.1186/s42358-020-00161-5.

Abstract

Large epidemiologic and clinical estimates of spondyloarthritis (SpA) in Latin America are not available. In this narrative review, our goal was to descriptively summarize the prevalence and features of SpA in Latin America, based on available small studies. A review of peer-reviewed literature identified 41 relevant publications. Of these, 11 (mostly based on Mexican data) estimated the prevalence of SpA and its subtypes, which varied from 0.28 to 0.9% (SpA), 0.02 to 0.8% (ankylosing spondylitis), 0.2 to 0.9% (axial SpA), and 0.004 to 0.08% (psoriatic arthritis). Demographic and/or clinical characteristics were reported in 31 of the 41 publications, deriving data from 3 multinational studies, as well as individual studies from Argentina, Brazil, Chile, Colombia, Costa Rica, Mexico, Peru, Uruguay, and Venezuela. Data relating to treatment, disease manifestations (articular and extra-articular), and comorbidities were summarized across the countries. Available data suggest that there is a variability in prevalence, manifestations, and comorbidities of SpA across Latin America. Basic epidemiologic and clinical data are required from several countries not currently represented. Data relating to current treatment approaches, patient outcomes, and socioeconomic impact within this large geographic region are also needed.

摘要

拉丁美洲缺乏关于脊柱关节炎(SpA)的大规模流行病学和临床评估数据。在这篇叙述性综述中,我们的目标是基于现有的小型研究,对拉丁美洲SpA的患病率和特征进行描述性总结。对同行评审文献的回顾确定了41篇相关出版物。其中,11篇(大多基于墨西哥的数据)估计了SpA及其亚型的患病率,SpA的患病率在0.28%至0.9%之间,强直性脊柱炎为0.02%至0.8%,轴向SpA为0.2%至0.9%,银屑病关节炎为0.004%至0.08%。41篇出版物中的31篇报告了人口统计学和/或临床特征,数据来自3项跨国研究以及阿根廷、巴西、智利、哥伦比亚、哥斯达黎加、墨西哥、秘鲁、乌拉圭和委内瑞拉的个别研究。对各国的治疗、疾病表现(关节和关节外)及合并症相关数据进行了总结。现有数据表明,拉丁美洲各地SpA的患病率、表现和合并症存在差异。目前尚未有数据的几个国家需要提供基本的流行病学和临床数据。还需要该广大地理区域内有关当前治疗方法、患者预后及社会经济影响的数据。

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