1997年至2018年间西班牙骨关节炎性结核病发病率下降。
Decrease in osteoarticular tuberculosis in Spain between 1997 and 2018.
作者信息
León Rubio Isabel, Espejo Guerrero
机构信息
Grupo de Investigación de Enfermedades Infecciosas, Facultad de Medicina y Odontología, Universidad Católica de Valencia «San Vicente Mártir», Valencia, Spain.
Grupo de Investigación de Enfermedades Infecciosas, Facultad de Medicina y Odontología, Universidad Católica de Valencia «San Vicente Mártir», Valencia, Spain.
出版信息
Reumatol Clin (Engl Ed). 2023 Jan;19(1):45-48. doi: 10.1016/j.reumae.2022.06.003. Epub 2022 Jun 25.
BACKGROUND AND OBJECTIVE
osteoarticular tuberculosis represents 2%-5% of the manifestations of tuberculosis. The objective was to calculate the incidence and describe the epidemiological characteristics of patients with osteoarticular tuberculosis who received hospital care in Spain between 1997-2018.
METHODS
A retrospective study was conducted of patients treated with osteoarticular tuberculosis in Spanish hospitals between 1997 and 2018, using the data from the Minimum Basic Data Set at hospital discharge, using the ICD-9-CM and ICD-10 codes.
RESULTS
5710 patients with osteoarticular tuberculosis were detected over the 22 years in Spain. The mean annual incidence for the period was 6 cases per million inhabitants (95% CI 5.58-6.30). There was a significant difference between the mean annual incidence per million inhabitants of the first period (1997-2007) of 6.95 and that of the second (2008-2018) of 5.35 (p<.001).
CONCLUSIONS
The incidence of osteoarticular tuberculosis in Spain is low, has reduced over 22 years and predominates in men.
背景与目的
骨关节结核占结核病表现形式的2%-5%。目的是计算1997年至2018年期间在西班牙接受住院治疗的骨关节结核患者的发病率，并描述其流行病学特征。
方法
利用医院出院时的最低基本数据集数据，采用国际疾病分类第九版临床修订本（ICD-9-CM）和国际疾病分类第十版（ICD-10）编码，对1997年至2018年期间在西班牙医院接受骨关节结核治疗的患者进行回顾性研究。
结果
在西班牙的22年中，共检测到5710例骨关节结核患者。该期间的年平均发病率为每百万居民6例（95%可信区间5.58-6.30）。第一阶段（1997-2007年）每百万居民的年平均发病率为6.95，第二阶段（2008-2018年）为5.35，两者之间存在显著差异（p<0.001）。
结论
西班牙骨关节结核的发病率较低，在22年期间有所下降，且男性患者居多。
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