Butarbutar John Cp, Basuki Pamela, Sungono Veli, Riantho Albert, Fidiasrianto Kevin
Department of Orthopedics and Traumatology, Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia.
Department of Orthopedics and Traumatology, Siloam Hospitals Lippo Village, Tangerang, Indonesia.
Narra J. 2024 Aug;4(2):e884. doi: 10.52225/narra.v4i2.884. Epub 2024 Aug 6.
Osteoarthritis (OA) is a complex and common condition, especially affecting the knees due to their weight-bearing role. Traditionally seen as a degenerative disease, OA is now understood to have both mechanical and inflammatory causes. Despite its increasing prevalence, there is limited data on OA in Indonesia, resulting in low awareness among clinicians and the public. The aim of this study was to describe the OA burden in Indonesia, focusing on its prevalence, incidence, and years lived with disability (YLD) from 1990 to 2019, using data from the Global Burden of Disease (GBD) study 2019. A descriptive cross-sectional study was conducted to examine the prevalence, incidence, and YLD of OA in Indonesia from the GBD study 2019. OA prevalence and YLD were compared to other countries according to similar social demographics and geographical proximity. OA YLD was also compared to the top causes of death and disability YLD in Indonesia. The study found that OA cases in Indonesia more than doubled from 1990 to 2019, with increases of 153.12% in males and 143.36% in females. Similar trends were observed for knee OA. The age-standardized prevalence rate in Indonesia increased by 11.03% in males and 8.42% in females, and these were higher compared to China, India, Singapore, and the global average. Younger people had a higher OA prevalence rate growth than older groups. The incidence rate for OA also rose significantly, with males seeing a 10.89% increase to 290 per 100,000 people and females with an 8.57% increase to 384 per 100,000 people. Despite lower overall burden rates compared to some countries, Indonesia experienced significant growth in YLD due to OA (12.16% in males and 9.65% in females) since 1990. Although OA was less burdensome than stroke, diabetes, low back pain, and chronic obstructive pulmonary disease (COPD), its YLD growth rate was higher. In conclusion, OA prevalence and incidence in Indonesia significantly increased from 1990 to 2019, with a notable rise among younger populations. OA had a higher YLD growth compared to several other major diseases in Indonesia, highlighting the need for early detection and preventive measures, particularly for the younger population.
骨关节炎（OA）是一种复杂且常见的病症，尤其因其负重作用而对膝关节影响较大。传统上OA被视为一种退行性疾病，如今人们认识到它有机械性和炎症性两种病因。尽管其患病率不断上升，但印度尼西亚关于OA的数据有限，导致临床医生和公众的认知度较低。本研究的目的是利用2019年全球疾病负担（GBD）研究的数据，描述印度尼西亚的OA负担情况，重点关注1990年至2019年期间其患病率、发病率和残疾生存年数（YLD）。进行了一项描述性横断面研究，以检查2019年GBD研究中印度尼西亚OA的患病率、发病率和YLD。根据相似的社会人口统计学特征和地理邻近性，将OA患病率和YLD与其他国家进行了比较。OA的YLD还与印度尼西亚的主要死亡原因和残疾YLD原因进行了比较。研究发现，从1990年到2019年，印度尼西亚的OA病例增加了一倍多，男性增加了153.12%，女性增加了143.36%。膝关节OA也观察到类似趋势。印度尼西亚的年龄标准化患病率男性增加了11.03%，女性增加了8.42%，与中国、印度、新加坡和全球平均水平相比更高。年轻人的OA患病率增长率高于老年群体。OA的发病率也显著上升，男性增加了10.89%，达到每10万人290例，女性增加了8.57%，达到每10万人384例。尽管与一些国家相比总体负担率较低，但自1990年以来，印度尼西亚因OA导致的YLD显著增长（男性为12.16%，女性为9.65%）。尽管OA的负担比中风、糖尿病、腰痛和慢性阻塞性肺疾病（COPD）轻，但其YLD增长率更高。总之，从1990年到2019年，印度尼西亚的OA患病率和发病率显著增加，年轻人群体中尤为明显。与印度尼西亚的其他几种主要疾病相比，OA的YLD增长更高，这凸显了早期检测和预防措施的必要性，特别是针对年轻人群体。
