Incidence and Prevalence of Rheumatoid Arthritis in a Health Management Organization in Argentina: A 15-year Study

Di, Wai Tan; Vergara, Facundo; Bertiller, Emmanuel; Gallardo, M; Gandino, Ignacio Javier; Scolnik, Marina; Martinez, Maximiliano J; Schpilberg, Monica; Rosa, Javier; Soriano, Enrique R.

doi:10.3899/jrheum.151262

Cited by 32 publications

(27 citation statements)

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“…On the other hand, Rheumatoid Arthritis is the most frequent inflammatory arthritis in the adult population, affecting between 0.3 and 1% of the population in Argentina [12,13]. It is an important risk factor for osteoporosis and osteoporotic fractures [4] since it affects bone structure in a multifactorial fashion, including chronic inflammation [14], immobility, use of corticosteroids (GC), vitamin D deficiency, and augmented fall risk [15].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the numerous advances in recent years for the treatment of RA may have changed the OP epidemiology in these patients. Our objective was to compare the incidence of fragility fractures in rheumatoid arthritis patients diagnosed after the year 2000 with matched controls from a University hospital-based health management organization (HMO) [13,[20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

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Osteoporotic fractures in rheumatoid arthritis patients in Argentina: a matched retrospective cohort study

et al. 2021

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Background To compare the incidence of osteoporotic fractures in patients with rheumatoid arthritis (RA) with matched controls from a university hospital. Methods Consecutive RA patients (n = 100) were matched (age and sex) with controls (1:2). The follow-up period began at the index date, defined as the date of diagnosis for RA patients and the date of the first medical claim at the Health Management Organization (HMO) for non-RA patients. Fracture incidence rates per 1000 persons-years (PY) for distinct types of fractures were calculated. Multivariate cox regression analysis was performed to identify factors associated with fractures. Results One hundred RA patients were followed for a total of 975.1 patients-years and 200 controls for 1485.7 patients-years. No difference was found in the overall fracture incidence rate per 1000 PY between RA and controls (19.5, 95% CI 12.7–28.6 vs 12.1, 95% CI 7.7–18.7, p = 0.07). In the Cox regression analysis, only age (HR 1.06, 95% CI 1.02–1.11, p = 0.006) and history of a prior fracture (HR 9.85, 95% CI 2.97–32.64, p < 0.001) were associated with fractures after the index date. The stratified analysis of the fractures by location showed that only the vertebral fractures were more frequent in RA patients compared with controls (12.9 per 1000 PY, 95% CI 8.9–25.8, vs. 3.4, 95% CI 1.4–8.1, respectively, p = 0.01). Conclusion Patients with RA didn’t show an overall increased risk of osteoporotic fractures compared with matched controls, but vertebral fractures were more frequently observed in patients with RA.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Osteoporotic fractures in rheumatoid arthritis patients in Argentina: a matched retrospective cohort study

et al. 2021

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“…By applying a capture-recapture technique, they determined the 2000-2015 incidence rate to be 18.5 cases per 100,000 person-years; the prevalence was 0.329% by January 2015 19 . In the retrospective calculation of incidence, changes in the diagnostic methods lead to a biased estimator: by 2000, anticitrullinated protein antibodies (ACPA) were not part of the regular diagnostic process for RA.…”

Section: Rheumatologymentioning

confidence: 99%

Quantifying Disease in Challenging Conditions: Incidence and Prevalence of Rheumatoid Arthritis

Scublinsky

Gonzalez

2016

J Rheumatol

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“…In this chapter, updated information about these approaches is brought together and presented to the reader.This chapter focuses on the rheumatoid arthritis and influences person's life. Rheumatoid arthritis (RA) prevalence ranges from 0.3 to 1% of the adult population, and female-to-male prevalence ratio was 4:1 [10,13,14]. It is related to low-and middle-income countries [10,15,16].Rheumatoid arthritis affects people's life balance and their ability to perform work, leisure, self-care, and rest and sleep decreased [17][18][19].…”

mentioning

confidence: 99%

“…This chapter focuses on the rheumatoid arthritis and influences person's life. Rheumatoid arthritis (RA) prevalence ranges from 0.3 to 1% of the adult population, and female-to-male prevalence ratio was 4:1 [10,13,14]. It is related to low-and middle-income countries [10,15,16].…”

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confidence: 99%

Arthritis/Rheumatoid Arthritis

Ağce¹,

Özkan²,

Köse³

2017

Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation

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Rheumatoid arthritis is a progressive, chronic, and degenerative disease that adversely affects the quality of life of individuals. Depending on the individual's symptoms of rheumatoid arthritis, basic and instrumental daily life activities are restricted, and participation of life is adversely affected. Occupational therapy interventions for rheumatoid arthritis rehabilitation include self-management programs (e.g., arthritis self-management program, bone up on arthritis, self-management arthritis treatment physical activity), splinting techniques for rheumatoid arthritis, and vocational rehabilitation. In this chapter, updated information about these approaches is brought together and presented to the reader.This chapter focuses on the rheumatoid arthritis and influences person's life. Rheumatoid arthritis (RA) prevalence ranges from 0.3 to 1% of the adult population, and female-to-male prevalence ratio was 4:1 [10,13,14]. It is related to low-and middle-income countries [10,15,16].Rheumatoid arthritis affects people's life balance and their ability to perform work, leisure, self-care, and rest and sleep decreased [17][18][19]. In addition, they lose values of activity for their life so feel anxious and depressed and influence their health related quality of life [20][21][22].Occupational therapist works with not only pain or symptoms management in rheumatoid arthritis but also the prevention of functional limitations and adaptation to lifestyle changes improve emotional state and social participation to maintain independence in daily living activities [11,19,23]. Occupational therapy (OT) interventions especially focus on improving occupational performance which is negatively affected by rheumatoid arthritis. For this reason, occupational therapists use some approaches for improving occupational performance such as using behavioral change approach, energy conservation approach, relax renovation and pain control, fatigue management, maintain ındependence, adaptive device, and home adaptations in rheumatoid arthritis [9,24].

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Incidence and Prevalence of Rheumatoid Arthritis in a Health Management Organization in Argentina: A 15-year Study

Abstract: This study's incidence and prevalence rates are in the lower range of the rates found around the world. Our female to male prevalence ratio was 4:1. Our peak incidence age was in the sixth and seventh decades for both sexes.

Cited by 32 publications

References 20 publications

Osteoporotic fractures in rheumatoid arthritis patients in Argentina: a matched retrospective cohort study

Osteoporotic fractures in rheumatoid arthritis patients in Argentina: a matched retrospective cohort study

Quantifying Disease in Challenging Conditions: Incidence and Prevalence of Rheumatoid Arthritis

Arthritis/Rheumatoid Arthritis

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