Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Arch Orthop Trauma Surg. 2023 Jun;143(6):3563-3573. doi: 10.1007/s00402-022-04582-3. Epub 2022 Aug 30.
The hip is the second most affected joint in osteoarthritis (OA), diagnosed annually worldwide. This is the first study presenting the epidemiology of hip OA in the Middle Eastern and North African countries from 1990 to 2019.
This study was performed based on the analysis of global burden of disease (GBD) study data. Epidemiological indices including prevalence, incidence, and years lived with disability (YLD) were compared in all 21 countries located in Middle East and North Africa (MENA) region during 1990 to 2019.
The prevalence of patients with hip OA in MENA increased 3.1-fold, from 0.40 to 1.28 million during the study period. Hip OA accounted for about 74.46 thousand (95% UI 56.64-94.92) incident cases in MENA at 2019. It was found that Qatar had the highest age-standardized prevalence in both 1990 (0.33% [0.25-42]), and 2019 (0.40% [0.30-0.50]) in MENA. Oman showed the greatest relative increase (around 50.10%) in age-standardized prevalence of hip OA, whereas Iraq showed the lowest relative increase (around 9.94%) compared with other MENA countries.
Hip OA prevalence and YLD have both increased in MENA over the last three decades. The region's rapidly increasing burden of hip OA emphasizes the need to focus on OA prevention strategies especially in Qatar, Kuwait, Saudi Arabia, and UAE.
髋关节是骨关节炎（OA）中第二大受影响的关节，全球每年都有诊断病例。这是第一项报告中东和北非（MENA）国家 1990 年至 2019 年髋部 OA 流行病学的研究。
本研究基于全球疾病负担（GBD）研究数据进行分析。在 1990 年至 2019 年期间，比较了所有位于中东和北非（MENA）地区的 21 个国家的流行率、发病率和残疾生活年数（YLD）等流行病学指标。
MENA 地区髋部 OA 患者的患病率增加了 3.1 倍，从 0.40 万例增加到 128 万例。髋部 OA 在 2019 年占 MENA 地区约 74460 例（95%UI 5664-9492）新发病例。结果显示，卡塔尔在 1990 年（0.33%[0.25-42]）和 2019 年（0.40%[0.30-0.50]）的年龄标准化患病率均居 MENA 首位。与其他 MENA 国家相比，阿曼的髋部 OA 年龄标准化患病率的相对增长率最高（约 50.10%），而伊拉克的相对增长率最低（约 9.94%）。
在过去的三十年中，MENA 地区髋部 OA 的患病率和 YLD 均有所增加。该地区髋部 OA 负担迅速增加，强调需要特别关注卡塔尔、科威特、沙特阿拉伯和阿联酋等国的 OA 预防策略。
