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印度成年人群中类风湿关节炎的患病率。

Prevalence of rheumatoid arthritis in the adult Indian population.

作者信息

Malaviya A N, Kapoor S K, Singh R R, Kumar A, Pande I

机构信息

Department of Medicine, All India Institute of Medical Sciences, New Delhi.

出版信息

Rheumatol Int. 1993;13(4):131-4. doi: 10.1007/BF00301258.

DOI:10.1007/BF00301258
PMID:8310203
Abstract

The prevalence of rheumatoid arthritis was studied in the adult Indian population. As the first step, a house-to-house survey of a rural population near Delhi was conducted by two trained health workers. The target population comprised 44,551 adults (over 16 years old). The health workers identified the possible cases of rheumatoid arthritis (RA) using a questionnaire. These cases were then further evaluated by the authors using the 1987 revised ARA criteria for the diagnosis of RA. A response rate of 89.5% was obtained and 3393 persons were listed as possible cases of RA by the health workers. Of these, 299 satisfied the revised ARA criteria for the diagnosis of RA, giving a prevalence of 0.75%. Projected to the whole population, this would give a total of about seven million patients in India. The prevalence of RA in India is quite similar to that reported from the developed countries. It is higher than that reported from China, Indonesia, Philippines and rural Africa. These findings are in keeping with the fact that the north Indian population is genetically closer to the Caucasians than to other ethnic groups.

摘要

对印度成年人群体中的类风湿性关节炎患病率进行了研究。第一步,由两名经过培训的卫生工作者对德里附近的农村人口进行逐户调查。目标人群包括44551名成年人(16岁以上)。卫生工作者通过问卷调查确定可能的类风湿性关节炎(RA)病例。然后作者使用1987年修订的美国风湿病学会(ARA)标准对这些病例进行进一步评估以诊断RA。获得了89.5%的回复率,卫生工作者将3393人列为可能的RA病例。其中,299人符合修订后的ARA RA诊断标准,患病率为0.75%。推算至全印度人口,这将意味着印度约有700万患者。印度的RA患病率与发达国家报告的患病率相当相似。它高于中国、印度尼西亚、菲律宾和非洲农村地区报告的患病率。这些发现与北印度人群在基因上与高加索人比与其他种族群体更接近这一事实相符。

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