Austen Shennah, Kamps Iris, Boonen Annelies E R C H, Schols Jos M G A, van Onna Marloes G B
Cicero Zorggroep, P.O. Box 149, Zuid-Limburg, 6440 AC, Brunssum, The Netherlands.
Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Eur Geriatr Med. 2024 Oct;15(5):1245-1258. doi: 10.1007/s41999-024-01067-x. Epub 2024 Sep 25.
The objective of this systematic literature review was to: (1) estimate the prevalence of (symptoms of) rheumatic and musculoskeletal diseases (RMDs) and (2) explore how (symptoms of) RMDs are identified and documented in studies among nursing home residents.
Prevalence data of (symptoms of) RMDs in permanently admitted nursing home residents ≥ 60 years were included. Data extraction, data synthesis and risk of bias assessment were performed by two reviewers independently. Included studies were categorized based on case ascertainment and case definition comprising: (location of) musculoskeletal pain, general terms for RMDs or a specific type of RMD. Results were summarized descriptively.
Out of 6900 records, 53 studies were included. Case ascertainment comprised databases (n = 5), physical examination (n = 1), self-report questionnaires (n = 14), review of medical charts (n = 23) and self-report questionnaires combined with review of medical charts (n = 10). Prevalence ranged between 0.9 and 77.0% for (localized) musculoskeletal pain (n = 19) and between 0.6 and 67.5% for RMDs in general (n = 39). Prevalence rates of specific type of RMDs ranged between 0.7 and 47.5% for gout, between 3.3 and 11.0% for rheumatoid arthritis and between 2.8 and 75.4% for osteo-arthritis (n = 14). Heterogeneity with regard to documentation of (symptoms of) RMDs in medical data of nursing home residents was high.
The overall prevalence of (symptoms of) RMDs varied to a great extent. This was mainly due to large heterogeneity in documentation of (symptoms of) RMDs. Establishing agreement on a useful and practical classification may ultimately increase identification of RMDs in the nursing home setting.
本系统文献综述的目的是：（1）估计风湿性和肌肉骨骼疾病（RMDs）（症状）的患病率；（2）探讨在疗养院居民的研究中如何识别和记录RMDs（症状）。
纳入60岁及以上长期入住疗养院居民中RMDs（症状）的患病率数据。由两名审阅者独立进行数据提取、数据综合和偏倚风险评估。纳入的研究根据病例确定和病例定义进行分类，包括：肌肉骨骼疼痛（部位）、RMDs的通用术语或特定类型的RMD。结果进行描述性总结。
在6900条记录中，纳入了53项研究。病例确定包括数据库（n = 5）、体格检查（n = 1）、自我报告问卷（n = 14）、病历审查（n = 23）以及自我报告问卷与病历审查相结合（n = 10）。局部肌肉骨骼疼痛（n = 19）的患病率在0.9%至77.0%之间，RMDs总体患病率在0.6%至67.5%之间（n = 39）。特定类型RMDs的患病率，痛风在0.7%至47.5%之间，类风湿关节炎在3.3%至11.0%之间，骨关节炎在2.8%至75.4%之间（n = 14）。疗养院居民医疗数据中RMDs（症状）记录的异质性很高。
RMDs（症状）的总体患病率差异很大。这主要是由于RMDs（症状）记录存在很大的异质性。就有用且实用的分类达成共识最终可能会增加疗养院环境中RMDs的识别率。
