Estimates of the prevalence of arthritis and other rheumatic conditions in the United States
Estimates of the prevalence of arthritis and other rheumatic conditions in the United States
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DOI：
10.1002/art.23176
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发表时间：
2008-01-01
影响因子：
--
通讯作者：
Wolfe, Frederick
中科院分区：
文献类型：
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作者：
Lawrence, Reva C.;Felson, David T.;Wolfe, Frederick
Objective.提供一个单一来源，以获得美国骨关节炎、风湿性多肌痛和巨细胞动脉炎、痛风、纤维肌痛和腕管综合征以及颈部和背部疼痛症状患病率和受影响个体数量的最佳估计值。一篇配套文章（第1部分）解决了其他条件。国家关节炎数据工作组审查了来自现有国家调查的已发表分析，如国家健康和营养检查调查和国家健康访谈调查。由于大多数特定的风湿性疾病无法获得基于全国人口样本的数据，我们从已发表的较小的、定义明确的人群研究中得出估计值。对于特定条件，将最佳可用患病率估计值应用于人口普查局2005年相应的美国人口估计值，以估计每种条件的受影响人数。我们估计，在美国成年人中，近2700万人患有临床骨关节炎。（比1995年估计的2100万人有所增加），71.1万人患有风湿性多肌痛，22.8万人患有巨细胞动脉炎，在过去一年中，多达300万人自报患有痛风（比1995年估计的210万有所增加），500万人患有纤维肌痛，4-10万人患有腕管综合征，5900万人在过去3个月内患有腰痛，3010万人在过去3个月内患有颈部疼痛。对许多特定风湿性疾病的估计依赖于一些对美国人群的不确定普遍性的小型研究。本报告提供了美国现有的最佳患病率估计值，但对于大多数特定情况，需要更多可推广到美国或解决研究不足人群的研究。
Objective. To provide a single source for the best available estimates of the US prevalence of and number of individuals affected by osteoarthritis, polymyalgia rheumatica and giant cell arteritis, gout, fibromyalgia, and carpal tunnel syndrome, as well as the symptoms of neck and back pain. A companion article (part 1) addresses additional conditions.Methods. The National Arthritis Data Workgroup reviewed published analyses from available national surveys, such as the National Health and Nutrition Examination Survey and the National Health Interview Survey. Because data based on national population samples are unavailable for most specific rheumatic conditions, we derived estimates from published studies of smaller, defined populations. For specific conditions, the best available prevalence estimates were applied to the corresponding 2005 US populaiion estimates from the Census Bureau, to estimate the number affected with each condition.Results. We estimated that among US adults, nearly 27 million have clinical osteoarthritis (up from the estimate of 21 million for 1995), 711,000 have polymyalgia rheumatica, 228,000 have giant cell arteritis, up to 3.0 million have had self-reported gout in the past year (up from the estimate of 2.1 million for 1995), 5.0 million have fibromyalgia, 4-10 million have carpal tunnel syndrome, 59 million have had low back pain in the past 3 months, and 30.1 million have had neck pain in the past 3 months.Conclusion. Estimates for many specific rheumatic conditions rely on a few, small studies of uncertain generalizability to the US population. This report provides the best available prevalence estimates for the US, but for most specific conditions more studies generalizable to the US or addressing understudied populations are needed.