Prävalenz ausgewählter muskuloskelettaler Erkrankungen

Fuchs, Judith; Rabenberg, Martina; Scheidt‐Nave, Christa

doi:10.1007/s00103-013-1687-4

Cited by 81 publications

(28 citation statements)

References 41 publications

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“…Purchasing costs, including free of charge prescription medication may differ for individuals and are interrelated with personal circumstances and health insurance coverage. Rises in OTC analgesic use may be related to rising painful musculoskeletal chronic conditions, such as arthritis [27]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence, trends, patterns and associations of analgesic use in Germany

Sarganas

Buttery

Zhuang

et al. 2015

BMC Pharmacol Toxicol

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BackgroundDespite the public health relevance of analgesic use, large-scale studies on this topic in Germany are lacking. This study describes the prevalence, trends, associations and patterns of use of prescription and over-the-counter (OTC) analgesics, focusing on five of the most common agents: aspirin, diclofenac, ibuprofen, naproxen and paracetamol.MethodsData from two representative population-based surveys: The German National Health Interview and Examination Survey 1998 (GNHIES98 n = 7099) and the German Health Interview and Examination Survey for Adults 2008–2011 (DEGS1 n = 7091) was investigated. Information on all medicines consumed in the previous 7 days was collected via computer-assisted personal interviews with adults aged 18–79 years. Associations between analgesic use and socio-demographic and health-behaviour factors were analysed using logistic regression models.ResultsAnalgesic use has increased over the last decade from 19 to 21 %. This was exclusively due to the rise in OTC analgesic use from 10.0 to 12.2 %. Prescribed analgesic use remained constant (7.9 %). Findings from DEGS1 indicate that ibuprofen is the most commonly used analgesic followed by aspirin and paracetamol. OTC analgesic use is higher among women and smokers, but lower among older adults (65–79 years). Prescribed analgesics use is higher among women, older adults, smokers and obese adults with medium or high socio- economic status. Adults performing more than 2 h/week of physical exercise use fewer analgesics.DiscussionAmong the adult population of Germany, the prevalence of OTC analgesic use has significantly increased over the last decade. We found differences between adults consuming OTC and prescribed analgesics (or both) concerning their health behaviour and health conditions. International direct comparison between prevalence rates of analgesic use was limited due to varying availability of analgesics between countries and to methodological differences.ConclusionsAbout one in five community dwelling adults aged 18–79 years in Germany use analgesics in a given week. Considering the potential harms of analgesic use, monitoring of prevalence, patterns and determinants of use at the population level are important steps to inform disease prevention and health promotion policies.

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Section: Discussionmentioning

confidence: 99%

Prevalence, trends, patterns and associations of analgesic use in Germany

Sarganas

Buttery

Zhuang

et al. 2015

BMC Pharmacol Toxicol

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“…Our results for the prevalence of Rheumatism and Diabetes differ, too. 1.6% of our participants claim to have rheumatism, while the actual prevalence seems to be around 2.5% [ 27 ]. The actual prevalence of diabetes is around 7% [ 28 ], while our surveys include 3.2% of participants who claim to suffer from diabetes.…”

Section: Discussionmentioning

confidence: 99%

EQ-5D-5L in the General German Population: Comparison and Evaluation of Three Yearly Cross-Section Surveys

Huber

Reitmeir

Vogelmann³

et al. 2016

IJERPH

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Health-related quality of life (HRQoL) is a key measure for evaluating health status in populations. Using the recent EQ-5D-5L for measurement, this study analyzed quality of life results and their stability over consecutive population surveys. Three cross-section surveys for representative samples of the general German population from 2012, 2013, and 2014 were evaluated using the EQ-5D-5L descriptive system and valuation by the Visual Analog Scale (VAS). Aggregated sample size reached 6074. The dimension with the highest prevalence of problems was pain/discomfort (31.7%). Compared with 2012 (59.3%), the percentage of participants in the best health state increased slightly in 2013 (63.4%) and 2014 (62%). Over the 3-year period, diabetes and heart disease had the strongest negative influence on mean VAS result. The number of reported chronic diseases cumulatively reduced mean VAS. Extreme problems in one or more dimensions were stated by only 0.1%–0.2% of patients. Of the potential 247 health states with a problem score ≥20, only six were observed in the aggregated sample. HRQoL results were fairly stable over the 3 years, but the share of the population with no problems was not. Results from the aggregated sample may serve as updated reference values for the general German population.

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“…In Germany, more than 40% of the population above 60 years of age is affected by OA [1]. Therefore, knee and hip OA represents one of the most common joint disorders, and is predicted to increase further due to the aging population and obesity epidemic [2, 3].…”

Section: Introductionmentioning

confidence: 99%

Impact of a tailored activity counselling intervention during inpatient rehabilitation after knee and hip arthroplasty – an explorative RCT

Brandes

Wirsik

Niehoff

et al. 2018

BMC Musculoskelet Disord

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BackgroundThe aim of the study was to improve physical activity (PA), well-being and clinical outcome after total knee and hip arthroplasty through tailored activity counselling during inpatient rehabilitation.Methods65 patients (aged 70.4 ± 7.3 years, BMI 28.5 ± 4.3) starting inpatient rehabilitation after primary knee or hip arthroplasty due to osteoarthritis were recruited and pseudo-randomized into an intervention (IG) and a control group (CG). Twice a week, the IG was encouraged to increase their daily step count by 5%. PA, e. g. number of steps, step frequency, or active minutes, was measured by step activity monitoring. Well-being and clinical outcome were assessed using the SF-36, Oxford Knee/Hip Score and Global rating of Change. Procedures were conducted at the onset of inpatient rehabilitation, and repeated one and 6 months after inpatient rehabilitation.ResultsData sets were obtained from 49 patients (IG: n = 23, CG: n = 26). Both groups significantly increased their number of daily steps from the 1 month to the 6 months follow up after rehabilitation: CG: 9019 (95%CI: 7812, 10,226), IG: 9280 (7972, 10,588) and CG: 10921 (9571, 12,271), IG: 11326 (9862, 12,791) respectively. Additionally, well-being and clinical outcome improved significantly in both groups. No significant differences in physical activity, clinical outcome and well-being were found between the groups.ConclusionsPA counselling during inpatient rehabilitation does not improve PA, well-being and clinical outcome in patients with primary knee or hip arthroplasty in addition to the rehabilitation program. PA interventions may be more effective after the completion of the inpatient rehabilitation phase.Trial registrationDRKS DRKS00012682. Registered retrospectively on 03–07- 2017.

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Prävalenz ausgewählter muskuloskelettaler Erkrankungen

Cited by 81 publications

References 41 publications

Prevalence, trends, patterns and associations of analgesic use in Germany

Prevalence, trends, patterns and associations of analgesic use in Germany

EQ-5D-5L in the General German Population: Comparison and Evaluation of Three Yearly Cross-Section Surveys

Impact of a tailored activity counselling intervention during inpatient rehabilitation after knee and hip arthroplasty – an explorative RCT

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