印度的风湿病流行病学

IF 0.5 Q4 RHEUMATOLOGY Indian Journal of Rheumatology Pub Date : 2024-02-18 DOI:10.1177/09733698241229779
DurgaPrasanna Misra, Aman Sharma, B. Dharmanand, S. Chandrashekara
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引用次数: 0

摘要

在国际风湿病联盟和世界卫生组织的支持下,印度开展了流行病学研究,即风湿病控制社区导向计划(COPCORD)研究,以评估印度风湿病和肌肉骨骼疾病(RMSK)的流行病学情况。COPCORD 在马哈拉施特拉邦的比格旺农村和浦那城市、喀拉拉邦的卡利卡特农村和特里凡得琅农村以及北方邦的勒克瑙农村和城市进行了研究,这些研究以及全球疾病负担研究的数据有助于了解风湿病在社区造成的负担。根据这些研究,印度人口中有近 25%-30% 的人患有风湿性关节炎疾病,这些疾病是导致印度人口残疾的 25 大原因之一。社区中常见的风湿病包括软组织风湿病、颈部和背部疼痛、纤维肌痛和不明原因的疼痛以及骨关节炎(最常影响膝关节)。这些疾病最常见于三至五十年代的年轻人,多发于女性,在农村和城市人口中都很普遍,造成多达五分之一的人严重残疾,导致他们失去生计并依赖他人进行自我护理。目前急需开展以社区为基础的国家医疗保健计划,在社区一级管理 RMSK 疾病。此外,培训更多医生在初级、二级和三级医疗机构诊断和管理风湿性疾病的需求仍未得到满足。
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The Epidemiology of Rheumatic Diseases in India
Epidemiological studies, referred to as the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) studies, have been conducted under the aegis of the International League against Rheumatism and the World Health Organization to evaluate the epidemiology of rheumatic and musculoskeletal (RMSK) diseases in India. These COPCORD studies conducted in rural Bhigwan and urban Pune in Maharashtra, rural Calicut and rural Trivandrum in Kerala and rural and urban Lucknow in Uttar Pradesh, along with data from the Global Burden of Diseases study have helped to understand the burden of rheumatic diseases in the community. Based on these studies, RMSK diseases, which are amongst the top 25 causes of disability in the Indian population, are prevalent in nearly 25%–30% of the Indian population. The common rheumatic diseases in the community are soft tissue rheumatism, neck and back pain, fibromyalgia and unspecified pains and osteoarthritis (most commonly affecting the knee). These diseases most commonly affect young persons between the third to the fifth decade of life, more often affect females, are prevalent in both rural and urban populations, and account for considerable disability in up to one-fifth of individuals leading to loss of livelihood and dependence on others for self-care. Community-based national healthcare programs to manage RMSK diseases at the community level are urgently needed. There also remains an unmet need to train more doctors to diagnose and manage rheumatic diseases at the primary, secondary and tertiary levels of care.
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来源期刊
CiteScore
1.10
自引率
14.30%
发文量
73
审稿时长
13 weeks
期刊介绍: The Indian Journal of Rheumatology (IJR, formerly, Journal of Indian Rheumatology Association) is the official, peer-reviewed publication of the Indian Rheumatology Association. The Journal is published quarterly (March, June, September, December) by Elsevier, a division of Reed-Elsevier (India) Private Limited. It is indexed in Indmed and Embase. It is circulated to all bona fide members of IRA and subscribers.
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