The burden of musculoskeletal conditions.
The burden of musculoskeletal conditions.
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DOI：
10.1371/journal.pone.0090633
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Poiraudeau S
中科院分区：
文献类型：
--
作者：
Palazzo C;Ravaud JF;Papelard A;Ravaud P;Poiraudeau S
尽管风湿性和肌肉骨骼疾病（RMD）的负担，这些条件可能值得更多的关注，在几个国家，包括发达国家的公共卫生当局。我们评估了他们对残疾的贡献。与RMD相关的残疾数据摘自2008-2009年全国残疾-健康调查，调查对象为代表法国人口的29，931名受试者。我们使用世界卫生组织的国际功能、残疾和健康分类的RMD核心残疾类别集进行分析。诊断和残疾是自我报告的。我们使用比值比（OR）评估了与RMD相关的残疾风险，并使用平均归因分数（AAF）评估了RMD的社会影响。总体而言，27.7%（约1730万人）（95% CI 26.9-28.4%）的人群报告患有RMD。最常见的RMD是腰痛（12.5%，12.1-13.1）和骨关节炎（12.3%，11.8-12.7）。报告骨关节炎的人比没有骨关节炎的人在行走方面更残疾（调整OR 1.9，1.7-2.2）。报告炎症性关节炎的人在日常生活活动方面受到更多限制（从1.4，1.2-1.8步行到2.1，1.5-2.9走动）。从社会角度来看，骨关节炎是活动受限的主要原因（行走困难的AAF为22%）。换工作主要是由于颈部疼痛（13%）和腰痛（11.5%）。RMD非常普遍，并显著影响活动限制和参与限制。需要做出更多努力来改善这一领域的护理和研究。
Despite the burden of rheumatic and musculoskeletal diseases (RMDs), these conditions probably deserve more attention from public health authorities in several countries including developed ones. We assessed their contribution to disability. Data on disabilities associated with RMDs were extracted from the national 2008–2009 Disability-Health Survey of 29,931 subjects representative of the population in France. We used the core set of disability categories for RMDs of the World Health Organization's International Classification of Functioning, Disability and Health for analysis. Diagnosis and disabilities were self-reported. We assessed the risk of disability associated with RMDs using odds ratios (ORs) and the societal impact of RMDs using the average attributable fraction (AAF). Overall 27.7% (about 17.3 million people) (95% CI 26.9–28.4%) of the population reported having RMDs. The most prevalent RMDs were low back pain (12.5%, 12.1–13.1) and osteoarthritis (12.3%, 11.8–12.7). People reporting osteoarthritis were more disabled in walking (adjusted OR 1.9, 1.7–2.2) than those without. People reporting inflammatory arthritis were more limited in activities of daily living (from 1.4, 1.2–1.8 for walking to 2.1, 1.5–2.9 for moving around). From a societal perspective, osteoarthritis was the main contributor to activity limitations (AAF 22% for walking difficulties). Changing jobs was mainly attributed to neck pain (AAF 13%) and low back pain (11.5%). RMDs are highly prevalent and significantly affect activity limitations and participation restrictions. More effort is needed to improve care and research in this field.
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影响因子：
3.1
作者：
Castro-Sanchez, Adelaida M.;Mataran-Penarrocha, Guillermo A.;Fernandez-de-las-Penas, Cesar
通讯作者：
Fernandez-de-las-Penas, Cesar
影响因子：
27.4
作者：
Picavet, HSJ;Hazes, JMW
通讯作者：
Hazes, JMW
影响因子：
7.2
作者：
EIDE, GE;GEFELLER, O
通讯作者：
GEFELLER, O
DOI：
10.1093/pubmed/23.3.179
发表时间：
2001-09-01
期刊：
JOURNAL OF PUBLIC HEALTH MEDICINE
影响因子：
--
作者：
Knight, M;Stewart-Brown, S;Fletcher, L
通讯作者：
Fletcher, L
DOI：
10.1136/bmj.d1165
发表时间：
2011-03-08
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Nüesch E;Dieppe P;Reichenbach S;Williams S;Iff S;Jüni P
通讯作者：
Jüni P