Prevalence of rheumatic diseases in Russia

Cover Page


Cite item

Full Text

Abstract

Aim: To estimate the prevalence of the rheumatic diseases in an epidemiological study.

Materials and methods: During a  questionnaire survey among 76 162 adult individuals in 12 regions of the Russian Federation, those with complaints of joint pain and swelling were selected and a group (n = 4894) was formed at random for subsequent clinical assessment by rheumatologists to identify main rheumatic diseases. In all regions, the study was conducted according to the unified protocol, with the unified strategy of the population selection and the use of unified questionnaires. Diagnoses were made based on widely adopted classification criteria for rheumatic diseases.

Results: For the first time in Russia it was found that among adult Russian population, the life-time prevalence of joint pain (mostly knee and hip) was 39.5%, whereas that of joint swelling amounted to 26%. From those, arthralgias eventually disappear in 8% and arthritis, in 7%. Among all rheumatic clinical entities, knee and/or hip osteoarthritis ranks the first, with its prevalence calculated to all adult population of Russia above 18 years of age being 13%. The prevalence of rheumatoid arthritis was 0.61%, of ankylosing spondylitis, 0.1%, psoriatic arthritis, 0.37%, reactive arthritis, 0.42%, gout, 0.3%, and of systemic connective tissue disorders (systemic lupus erythematosus, systemic sclerosis, dermatomyositis/polymyositis, Sjogren's syndrome, systemic vasculitis, etc),  0.11%.

Conclusion: The true prevalence of the rheumatic diseases found in the epidemiological study was higher than the data of the official statistics as follows: 2.5-fold for rheumatoid arthritis, 5-fold for osteoarthritis, 3.5-fold for spondyloarthritis and 3-fold for systemic connective tissue disorders. The results obtained showed an underestimation of the rheumatic diseases and incomplete data in the country statistics. This might be related to low referral levels for medical care due to significant distances of the vast regional areas from the specialized centers, as well as with insufficient qualification of primary care physicians in the field of rheumatology. All together, this leads to inevitable and serious misdiagnoses and low registration of the rheumatic diseases.

About the authors

E. A. Galushko

V.A. Nasonova Research Institute of Rheumatology

Author for correspondence.
Email: egalushko@mail.ru

Elena A. Galushko – MD, PhD, Head of the Training Methodology Department and the Center of Information Technologies.

34A Kashirskoye shosse, Moscow, 115522, +7 (499) 614 44 90

Russian Federation

E. L. Nasonov

V.A. Nasonova Research Institute of Rheumatology

Email: fake@neicon.ru

Evgeny L. Nasonov – MD, PhD, Professor, Member of Russian Academy of Sciences, Head of Scientific Research.

34A Kashirskoye shosse, Moscow, 115522

Russian Federation

References

  1. Насонов ЕЛ, Лила АМ, Галушко ЕА, Амирджанова ВН. Стратегия развития ревматологии: от научных достижений к практическому здравоохранению. Научно-практическая ревматология. 2017;55(4): 339–43. doi: 10.14412/1995-4484-2017-339343.
  2. Perruccio AV, Power JD, Badley EM. The relative impact of 13 chronic conditions across three different outcomes. J Epidemiol Community Health. 2007;61(12): 1056–61. doi: 10.1136/jech.2006.047308.
  3. Badley EM. Rheumatic diseases: the unnoticed elephant in the room. J Rheumatol. 2008;35(1): 6–7.
  4. Гордеев АВ, Галушко ЕА, Насонов ЕЛ. Концепция мультиморбидности в ревматологической практике. Научно-практическая ревматология. 2014;52(4): 362–5. doi: 10.14412/1995-4484-2014-362-365.
  5. Loza E, Jover JA, Rodriguez L, Carmona L; EPISER Study Group. Multimorbidity: prevalence, effect on quality of life and daily functioning, and variation of this effect when one condition is a rheumatic disease. Semin Arthritis Rheum. 2009;38(4): 312–9. doi: 10.1016/j.semarthrit.2008.01.004.
  6. Балабанова РМ, Эрдес ШФ. Ревматические заболевания у взрослого населения в федеральных округах России. Научно-практическая ревматология. 2014;52(1): 5–7. doi: 10.14412/1995-4484-2014-5-7.
  7. Badley EM. Enhancing the conceptual clarity of the activity and participation components of the International Classification of Functioning, Disability, and Health. Soc Sci Med. 2008;66(11): 2335–45. doi: 10.1016/j.socscimed.2008.01.026.
  8. Насонова ВА, Фоломеева ОМ, Эрдес ШФ. Ревматические заболевания в Российской Федерации в начале XXI века глазами статистики. Терапевтический архив. 2009;81(6): 5–10.
  9. Фоломеева OM, Галушко ЕА, Эрдес ШФ. Распространенность ревматических заболеваний в популяциях взрослого населения России и США. Научно-практическая ревматология. 2008;46(4): 4–13. doi: 10.14412/19954484-2008-529.
  10. Seoane-Mato D, Sánchez-Piedra C, SilvaFernández L, Sivera F, Blanco FJ, Pérez Ruiz F, Juan-Mas A, Pego-Reigosa JM, Narváez J, Quilis Martí N, Cortés Verdú R, Antón-Pagés F, Quevedo Vila V, Garrido Courel L, Del Amo NDV, Paniagua Zudaire I, Añez Sturchio G, Medina Varo F, Ruiz Tudela MDM, Romero Pérez A, Ballina J, Brandy García A, Fábregas Canales D, Font Gayá T, Bordoy Ferrer C, González Álvarez B, Casas Hernández L, Álvarez Reyes F, Delgado Sánchez M, Martínez Dubois C, Sánchez-Fernández SÁ, Rojas Vargas LM, García Morales PV, Olivé A, Rubio Muñoz P, Larrosa M, Navarro Ricos N, Graell Martín E, Chamizo E, Chaves Chaparro L, Rojas Herrera S, Pons Dolset J, Polo Ostariz MÁ, Ruiz-Alejos Garrido S, Macía Villa C, Cruz Valenciano A, González Gómez ML, Morcillo Valle M, Palma Sánchez D, Moreno Martínez MJ, Mayor González M, Atxotegi Sáenz de Buruaga J, Urionagüena Onaindia I, Blanco Cáceres BA, Díaz-González F, Bustabad S. Prevalence of rheumatic diseases in adult population in Spain (EPISER 2016 study): Aims and methodology. Reumatol Clin. 2017. pii: S1699-258X(17)30168-7. doi: 10.1016/j.reuma.2017.06.009.
  11. Helmick CG, Felson DT, Lawrence RC, Gabriel S, Hirsch R, Kwoh CK, Liang MH, Kremers HM, Mayes MD, Merkel PA, Pillemer SR, Reveille JD, Stone JH; National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part I. Arthritis Rheum. 2008;58(1): 15–25. doi: 10.1002/art.23177.
  12. Andrianakos A, Trontzas P, Christoyannis F, Kaskani E, Nikolia Z, Tavaniotou E, Georgountzos A, Krachtis P; ESORDIG Study Group. Prevalence and management of rheumatoid arthritis in the general population of Greece – the ESORDIG study. Rheumatology (Oxford). 2006;45(12): 1549–54. doi: 10.1093/rheumatology/kel140.
  13. Dai SM, Han XH, Zhao DB, Shi YQ, Liu Y, Meng JM. Prevalence of rheumatic symptoms, rheumatoid arthritis, ankylosing spondylitis, and gout in Shanghai, China: a COPCORD study. J Rheumatol. 2003;30(10): 2245–51.
  14. Насонов ЕЛ, ред. Ревматология. Российские клинические рекомендации. М.: ГЭОТАР-Медиа; 2017. 456 с.
  15. Галушко ЕА, Большакова ТЮ, Виноградова ИБ, Иванова ОН, Лесняк ОМ, Меньшикова ЛВ, Петрачкова ТН, Эрдес ШФ. Структура ревматических заболеваний среди взрослого населения России по данным эпидемиологического исследования (предварительные результаты). Научно-практическая ревматология. 2009;47(1): 11–7. doi: 10.14412/19954484-2009-136.
  16. Беневоленская ЛИ, Бржезовский ММ. Эпидемиология ревматических болезней. М.: Медицина; 1988. 240 c.
  17. Carmona L, Villaverde V, Hernández-García C, Ballina J, Gabriel R, Laffon A; EPISER Study Group. The prevalence of rheumatoid arthritis in the general population of Spain. Rheumatology (Oxford). 2002;41(1): 88–95. doi: 10.1093/rheumatology/41.1.88.
  18. Hanova P, Pavelka K, Dostal C, Holcatova I, Pikhart H. Epidemiology of rheumatoid arthritis, juvenile idiopathic arthritis and gout in two regions of the Czech Republic in a descriptive population-based survey in 2002–2003. Clin Exp Rheumatol. 2006;24(5): 499–507.
  19. Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, Gabriel S, Hirsch R, Hochberg MC, Hunder GG, Jordan JM, Katz JN, Kremers HM, Wolfe F; National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheum. 2008;58(1): 26–35. doi: 10.1002/art.23176.
  20. Zhang Y, Niu J, Kelly-Hayes M, Chaisson CE, Aliabadi P, Felson DT. Prevalence of symptomatic hand osteoarthritis and its impact on functional status among the elderly: The Framingham Study. Am J Epidemiol. 2002;156(11): 1021–7. doi: 10.1093/aje/kwf141.
  21. Campbell-Scherer D. Multimorbidity: a challenge for evidence-based medicine. Evid Based Med. 2010;15(6): 165–6. doi: 10.1136/ebm1154.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2018 Galushko E.A., Nasonov E.L.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies