Prevalencia de artrosis sintomática en España: Estudio EPISER2016

Abstract

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.

Disease Burden and Costs in Moderate-to-Severe Chronic Osteoarthritis Pain Refractory to Standard of Care: Ancillary Analysis of the OPIOIDS Real-World Study

“…In routine clinical practice in Spain, patients with moderate-to-severe OA chronic pain refractory to standard analgesic treatment with NSAIDs plus opioids reported modest reduction in pain, while presenting a considerable burden of comorbidities, cognitive impairment, and level of dependency in a relatively short period of treatment Consequently, healthcare costs per patient significantly increased for the NHS, particularly when considering treatments with strong opioids; €2472/year vs. €1380/ year with weak opioids INTRODUCTION Osteoarthritis (OA) is a degenerative joint pathology with prevalence varying depending on the affected joint and the criteria used to define the disease [1,2]. Between 6% and 24% of adults have OA with chronic pain of more than 3 months' duration, with incidence increasing with aging [3][4][5]. In Spain, the study on prevalence of rheumatic diseases (EPISER) showed a prevalence of OA in any joint of 29.4% in persons aged over 40 years [5].…”

“…Between 6% and 24% of adults have OA with chronic pain of more than 3 months' duration, with incidence increasing with aging [3][4][5]. In Spain, the study on prevalence of rheumatic diseases (EPISER) showed a prevalence of OA in any joint of 29.4% in persons aged over 40 years [5]. In addition to nociceptive pain, OA is accompanied by increased disability for the activities of daily living, which has a negative effect on health-related quality of life and is one of the main causes of absenteeism (days off from work due to sick leave), resulting in high health and non-healthcare costs for health systems and society [2,5,6].…”

“…In Spain, the study on prevalence of rheumatic diseases (EPISER) showed a prevalence of OA in any joint of 29.4% in persons aged over 40 years [5]. In addition to nociceptive pain, OA is accompanied by increased disability for the activities of daily living, which has a negative effect on health-related quality of life and is one of the main causes of absenteeism (days off from work due to sick leave), resulting in high health and non-healthcare costs for health systems and society [2,5,6]. Most people with OA have at least one chronic condition, especially cardiometabolic conditions, but also osteoporosis, depression, and other comorbidities [7][8][9].…”

Sick Leave and Costs in Active Workers With Chronic Osteoarthritis Pain in Spain: Outcomes of the OPIOIDS Real World Study

“…It is estimated that 6-24% of adults have chronic OA pain and the incidence increases with age [2,3]. In Spain, according to the EPISER study [4], the prevalence of OA in persons aged > 40 years is 29.4%. Therapeutic approaches include non-pharmacological measures, drug treatment and joint replacement surgery in the most disabling cases [5].…”

Features of the Morphological Picture of Osteoarthritis in Patients After Knee Arthroplasty

“…Mechnikov North-West State Medical University, Saint-Petersburg, e-mail: altkachenko@mail.ru; 2 Samarkand State Medical University, Samarkand In the clinic of traumatology and orthopedics of Mechnikov St. Petersburg State Medical Academy from 01.01.2022 to 15.12.2022, 187 total knee arthroplasty (TKA) in patients with osteoarthritis were performed. Materials from 30 patients aged 40 to 76 years (19 women, 11 men) were taken by random sampling for morphological examination.…”