Epidemiology of Musculoskeletal Complaints and Use of Health Services in Asturias, Spain

García, Francisco Javier Ballina; Mejía, Roberto; Lascuevas, P. Martín; Santana, Julio; Espinar, Antonio Cueto

doi:10.3109/03009749409103046

Cited by 25 publications

(3 citation statements)

References 7 publications

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“…We considered this setting appropriate to assure the representation of the study population given that subjects from specialized care usually have more severe conditions and therefore may bias the COI results (34). Furthermore, in Spain, as in other countries, PCPs are the main gateway to health care, although patients may also visit other specialists at the same time (35, 36). One of the most important strengths of this study is the diagnostic accuracy of OA cases.…”

Section: Discussionmentioning

confidence: 99%

Economic burden of knee and hip osteoarthritis in spain

Loza

López-Gómez

Abásolo

et al. 2009

Arthritis & Rheumatism

122

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Section: Discussionmentioning

confidence: 99%

Economic burden of knee and hip osteoarthritis in spain

Loza

López-Gómez

Abásolo

et al. 2009

Arthritis & Rheumatism

122

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“…One such study conducted in the 1980s in a small town in the Spanish province of Ciudad Real examined 950 subjects over the age of 10 (86.6% of the eligible population in the village) and reported the prevalence of specific diseases such as OA (26.1%), RA (1.6%), and osteoporosis (2.3%) 25. Another study carried out in 1990 in Asturias, a Northern region of Spain, in which 702 subjects selected by random cluster sampling were interviewed and examined by rheumatologists, reported the prevalence of OA (23.8%), low back pain (14.8%), and “inflammatory disease” (2.1%) 26. More recently, two groups in the region of Navarra have investigated the prevalence of RA in the general population (0.3%) and the prevalence and characteristics of FM in women (1.5%),27 28 and a third group has studied the prevalence of RA in two rural towns in the province of Cordoba (0.3%) 29.…”

Section: Discussionmentioning

confidence: 99%

The burden of musculoskeletal diseases in the general population of Spain: results from a national survey

Carmona¹,

Ballina²,

Gabriel³

et al. 2001

Annals of the Rheumatic Diseases

530

230

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Objective-The objective of the EPISER study was to estimate the prevalence of rheumatoid arthritis (RA), low back pain, hand and knee osteoarthritis (OA), and fibromyalgia in the adult Spanish population, and to assess the impact of these diseases on function and quality of life, and use of health and social resources. Methods-2998 subjects aged 20 years or above were randomly selected by stratified multistage cluster sampling from the censuses of 20 municipalities. Trained rheumatologists carried out structured visits at which subjects were asked about rheumatic symptoms and sociodemographic characteristics, completed validated instruments for measuring function (HAQ) and quality of life (SF-12), and underwent a standardised physical examination. Cases were defined by previously validated criteria. Results-The estimated prevalences with 95% confidence intervals were as follows: RA lifetime cumulative: 0.5% (0.3 to 0.9); low back pain: 14.8% (12.2 to 17.4); symptomatic knee OA: 10.2% (8.5 to 11.9); hand OA: 6.2% (5.9 to 6.5); fibromyalgia: 2.4% (1.5 to 3.2). Most conditions significantly impaired function and quality of life. Conclusions-The EPISER study has internal and external validity for application of the results to the adult Spanish population. The diseases studied aVect a significant proportion of the population, with various degrees of impact on disability and quality of life resulting in a significant number of physician visits, work disability, and medication use. (Ann Rheum Dis 2001;60:1040-1045 Musculoskeletal diseases are one of the main causes of disability in the developed world and consume a large amount of health and social resources. The proportion of the population disabled by rheumatism ranges from 2.8% in the United States to 8% in Great Britain. [1][2][3] Nevertheless, for reasons that are not clear, these conditions are not commonly the target of epidemiologists and thus epidemiological studies on the occurrence and impact of musculoskeletal diseases compared with diseases aVecting the cardiovascular or pulmonary systems, for instance, are infrequent.Most of the epidemiological data on rheumatic diseases at the national level come either from a small number of sampling areas considered representative of the country or are secondary data from national health surveys in which information about rheumatic diseases relies mainly on self-reporting.

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“…Todas las personas fueron entrevistadas por médicos entrenados y se aplicaron criterios validados para establecer los diagnósticos. El 23,8% de la muestra se diagnosticó de artrosis 4 . El tercer estudio fue el EPISER2000, promovido por la Sociedad Española de Reumatología, con mayores de 20 años y en el que se estimó una prevalencia en España de artrosis sintomática de rodilla del 10,2% y de mano del 6,2% 5,6 .…”

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Prevalencia de artrosis sintomática en España: Estudio EPISER2016

Blanco

Silva-Díaz

Vila³

et al. 2021

Reumatología Clínica

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Introduction: The Spanish Society of Rheumatology carried out the EPISER2000 study in 2020 to determine the prevalence of osteoarthritis and other rheumatic diseases in the Spanish population. Recent sociodemographic changes and lifestyle habits in Spain justified updating the epidemiological data on osteoarthritis and other rheumatic diseases (EPISER2016-study). Objective: To estimate the prevalence of symptomatic osteoarthritis of the cervical spine, lumbar spine, hip, knee and hand in the adult population in Spain. Material and methods: Cross-sectional population-based study. A multistage and stratified random cluster sampling was carried out. The participants were contacted by telephone to complete an osteoarthritis screening questionnaire. A rheumatologist confirmed or discarded the diagnosis. The ACR-clinical-criteria were used to diagnose hand-osteoarthritis and the ACR-clinical-radiological criteria to diagnose knee-and hip-osteoarthritis. To estimate the prevalence and its 95% confidence interval, weights were calculated according to the probability of selection in each of the sampling stages. Results: The prevalence of osteoarthritis in Spain in one or more of the locations studied was 29.35%. The prevalence of cervical-osteoarthritis was 10.10% and of lumbar-osteoarthritis 15.52%. Both are more frequent in women and at older ages, as well as in people with low levels of education and obesity. The prevalence of hip-osteoarthritis was 5.13%, that of knee-osteoarthritis 13.83%, these are associated with female sex, overweight and obesity. The prevalence of hand osteoarthritis was 7.73%. It is more frequent in women, who are obese, with a low educational level and who are older. Conclusion:The EPISER2016 study is the first to analyse the prevalence of symptomatic osteoarthritis in 5 locations (cervical, lumbar, knee, hip and hands) in Spain. Lumbar spine osteoarthritis is the most prevalent.

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Epidemiology of Musculoskeletal Complaints and Use of Health Services in Asturias, Spain

Cited by 25 publications

References 7 publications

Economic burden of knee and hip osteoarthritis in spain

Economic burden of knee and hip osteoarthritis in spain

The burden of musculoskeletal diseases in the general population of Spain: results from a national survey

Prevalencia de artrosis sintomática en España: Estudio EPISER2016

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