Prevalence of self reported musculoskeletal diseases is high
Prevalence of self reported musculoskeletal diseases is high
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DOI：
10.1136/ard.62.7.644
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发表时间：
2003-07-01
影响因子：
27.4
通讯作者：
Hazes, JMW
中科院分区：
文献类型：
--
作者：
Picavet, HSJ;Hazes, JMW
目的：介绍自我报告的肌肉骨骼疾病的患病率，这些疾病的共存，之间6个月的重测信度，以及与肌肉骨骼疼痛症状的相关性。方法：12个普通人对常见肌肉骨骼疾病的描述是一项前瞻性队列研究的问卷调查的一部分，该研究随机抽取年龄在25岁或以上的荷兰普通人群（基线：n = 3664，6个月后随访：n = 2338）。数据收集还包括有关五个不同的解剖regions.Results疼痛的信息：膝关节骨关节炎（男性10.1%，女性13.6%）是最报告的肌肉骨骼疾病，而自我报告类风湿性关节炎（RA）的数字分别为1.6%和4.6%的男性和女性，分别。这些疾病的共存率很高：66种组合中有47种的报告频率高于相互独立时的预期（p < 0.05）。对于大多数疾病，重测信度良好（κ在0.6和0.8之间），但对于重复性劳损（κ = 0.37）和除RA以外的慢性关节炎（κ = 0.44），一致性为一般至中度。所有投诉的疼痛更经常报告的肌肉骨骼疾病比那些没有这些疾病，和疼痛模式是疾病特异性。结论：自我报告的肌肉骨骼疾病是非常普遍的，具有公平的良好的可靠性和疾病特异性的疼痛模式。健康调查是这类健康问题的一个有限但宝贵的信息来源，这是大多数其他信息来源所无法提供的。
Objectives: To present the prevalence of self reported musculoskeletal diseases, the coexistence of these diseases, the test-retest reliability with six months in between, and the association with musculoskeletal pain symptoms.Methods: Twelve layman descriptions of common musculoskeletal diseases were part of the questionnaires of a prospective cohort study of a random sample in the general Dutch population aged 25 years or more (baseline: n = 3664, follow up after six months: n = 2338). Data collection also included information about pain relating to five different anatomical areas.Results: Osteoarthritis of the knee (men 10.1%, women 13.6%) was amongst the most reported musculoskeletal diseases, whereas the figures for self reported rheumatoid arthritis (RA) were 1.6% and 4.6% for men and women, respectively. The coexistence of these diseases is high: 47 of the 66 combinations were reported more often than would be expected if they were independent of each other (p < 0.05). For most diseases the test-retest reliability was good (κ between 0.6 and 0.8), but for repetitive strain injury (κ = 0.37) and chronic arthritis other than RA (κ = 0.44) the agreement was fair to moderate. All complaints of pain were more often reported by those with musculoskeletal diseases than those without those diseases, and the pain pattern was disease-specific.Conclusions: Self reported musculoskeletal diseases are highly prevalent, with a fair to good reliability and a disease-specific pain pattern. Health surveys are a limited but valuable source of information for this group of health problems, which is not available from most other sources of information.