Badley E M, Webster G K, Rasooly I
Arthritis Community Research and Evaluation Unit, Wellesley Hospital Research Institute, Toronto, ON, Canada.
J Rheumatol. 1995 Apr;22(4):733-9.
In light of the high frequency of symptoms of musculoskeletal (MSK) disorders in the population, our objective was to establish the impact of these disorders on morbidity and health care utilization.
Analysis of interview data from the 1990 Ontario Health Survey (sample size 45,650 from the household population age > or = 16 years) has provided one of the first opportunities to relate reported MSK morbidity to disability, illness duration, and use of health services.
Overall, MSK disorders were reported as a cause of morbidity or health care utilization by 29% of the population aged > or = 16 years. The prevalence of chronic MSK disorders was 22%; this includes the 5% of the population who reported longterm disability due to MSK disorders. Of reported MSK disorders, 79% had a duration of over 6 months, and the median duration was 5 years. MSK disorders impact in the previous 2 weeks, defined as reduced activity or use of health care (seeing a health professional or taking prescription or nonprescription medication) specifically because of MSK disorders, was reported by 12% of the population, of whom 72% reported chronic MSK disorders. A health professional had been consulted within the previous year for 72% of the reported MSK disorders. The proportion with consultations was over 80% for durations of one year or less, and remained over 50% for disease durations > or = 10 years.
Reported MSK disorders cannot be dismissed as minor problems not requiring ongoing care in view of their long duration, disabling impact, and continuing consumption of health care services and resources.
鉴于人群中肌肉骨骼（MSK）疾病症状的高发性，我们的目标是确定这些疾病对发病率和医疗保健利用的影响。
对1990年安大略省健康调查的访谈数据进行分析（样本来自年龄≥16岁的家庭人口，样本量为45,650），首次提供了将报告的MSK发病率与残疾、疾病持续时间和医疗服务使用情况相关联的机会。
总体而言，16岁及以上人群中有29%报告MSK疾病是发病或医疗保健利用的原因。慢性MSK疾病的患病率为22%；这包括5%因MSK疾病报告长期残疾的人群。在报告的MSK疾病中，79%的病程超过6个月，中位病程为5年。12%的人群报告了MSK疾病在前两周的影响，定义为由于MSK疾病导致活动减少或使用医疗保健（看医疗专业人员或服用处方药或非处方药），其中72%报告患有慢性MSK疾病。在报告的MSK疾病中，72%的患者在过去一年中咨询过医疗专业人员。病程为一年或更短的患者中，咨询比例超过80%，病程≥10年的患者中，咨询比例仍超过50%。
鉴于报告的MSK疾病病程长、致残影响大以及持续消耗医疗保健服务和资源，不能将其视为不需要持续护理的小问题而不予理会。
