Kramer J S, Yelin E H, Epstein W V
Arthritis Rheum. 1983 Jul;26(7):901-7. doi: 10.1002/art.1780260712.
The present study uses data from a national, community-based survey to compare the social impact of and medical care use due to 4 musculoskeletal conditions: rheumatoid arthritis, osteoarthritis, lower back pain, and tendinitis. The study also compares the impacts experienced by persons with these conditions with those experienced by a sample of persons having a broader range of musculoskeletal conditions, and by an age-adjusted sample representing the entire U.S. population. Rheumatoid arthritis leads to the most frequent use of physician services; lower back pain results in the most hospitalizations and surgery. Rheumatoid arthritis also causes the most restriction in activity. We found that as a broad group, persons with musculoskeletal disease experience about the same amount of restriction in activity and use about the same amount of medical care as U.S. citizens as a whole. This study demonstrates that health planning on the basis of specific musculoskeletal conditions is necessary to serve the disparate needs of persons with particular, discrete conditions.
本研究使用来自一项全国性社区调查的数据，比较4种肌肉骨骼疾病（类风湿性关节炎、骨关节炎、下背痛和肌腱炎）的社会影响及医疗护理使用情况。该研究还将患有这些疾病的人与患有更广泛肌肉骨骼疾病的样本以及代表美国全体人口的年龄调整样本所经历的影响进行了比较。类风湿性关节炎导致最频繁地使用医生服务；下背痛导致最多的住院和手术。类风湿性关节炎还导致最大程度的活动受限。我们发现，作为一个广泛的群体，肌肉骨骼疾病患者在活动受限程度和医疗护理使用量方面与美国全体公民大致相同。这项研究表明，基于特定肌肉骨骼疾病进行健康规划对于满足患有特定、离散疾病的人群的不同需求是必要的。
