Prevalence of Musculoskeletal Manifestations and Related Disabilities in a Peruvian Urban Population Living at High Altitude. COPCORD Study. Stage I

Vega-Hinojosa, Oscar; Cardiel, Mario H.; Ochoa-Miranda, Pilar

doi:10.1016/j.reumae.2017.01.013

Cited by 8 publications

(10 citation statements)

References 19 publications

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“…With the increase in geographical altitude, the population will become sparse, the style of living and production will become more singular, and health needs and access to health care become considerable challenges in high-altitude regions [33,34]. e presence of hypertension is common in residents living in high-altitude regions [35,36] and requires pharmacological therapy in the majority of cases in order to manage them properly.…”

Section: Discussionmentioning

confidence: 99%

Barriers to Access to Treatment for Hypertensive Patients in Primary Health Care of Less Developed Northwest China: A Predictive Nomogram

Wang

Heizhati

Cai

et al. 2021

International Journal of Hypertension

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Background. This study aims to evaluate the risk factors associated with untreated hypertension and develop and internally validate untreated risk nomograms in patients with hypertension among primary health care of less developed Northwest China. Methods. A total of 895 eligible patients with hypertension in primary health care of less developed Northwest China were divided into a training set (n = 626) and a validation set (n = 269). Untreated hypertension was defined as not taking antihypertensive medication during the past two weeks. Using least absolute shrinkage and selection operator (LASSO) regression model, we identified the optimized risk factors of nontreatment, followed by establishment of a prediction nomogram. The discriminative ability, calibration, and clinical usefulness were determined using the area under the receiver operating characteristic curve (AUC), calibration curve, and decision analysis. The results were assessed by internal validation in the validation set. Results. Five independent risk factors were derived from LASSO regression model and entered into the nomogram: age, herdsman, family income per member, altitude of habitation, and comorbidity. The nomogram displayed a robust discrimination with an AUC of 0.859 (95% confidence interval: 0.812–0.906) and good calibration. The nomogram was clinically useful when the intervention was decided at the untreated possibility threshold of 7% to 91% in the decision curve analysis. Results were confirmed by internal validation. Conclusions. Our nomogram showed favorable predictive accuracy for untreated hypertension in primary health care of less developed Northwest China and might help primary health care assess the risk of nontreatment in patients with hypertension.

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Section: Discussionmentioning

confidence: 99%

Barriers to Access to Treatment for Hypertensive Patients in Primary Health Care of Less Developed Northwest China: A Predictive Nomogram

Wang

Heizhati

Cai

et al. 2021

International Journal of Hypertension

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“…Musculoskeletal complaints are, in most countries, common reasons for consulting with a physician and seeking treatment; they make up to 15%‐20% of primary care consultations . Prior studies demonstrated that healthcare‐seeking behavior for musculoskeletal pain is likely to vary across the world, ranging around 28%‐80% . Variations in the treatment of the community are influenced by the sociodemographic, socioeconomic factors, and also increasing numbers of healthcare facilities and the types, methods, and equipment of health services available in healthcare facilities .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with health care seeking behavior for musculoskeletal pain in Indonesia: A cross‐sectional study

et al. 2019

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Aim:To assess the factors defining healthcare-seeking behavior of people with musculoskeletal pain in the urban community of Malang City, East Java, Indonesia. Methods:A cross-sectional survey was performed in Malang City, East Java, Indonesia. In total, 2067 participants aged 16-93 years were interviewed. The sociodemographic and socioeconomic factors of healthcare seeking behavior, musculoskeletal pain, disability, and adverse drug reactions were assessed using the validated Indonesian version of Community Oriented Program for the Control of Rheumatic Disease (COPCORD) protocol by International League of Associations forRheumatology and the World Health Organization core questionnaire. Chi-square test was applied to assess the determinants of health-seeking behavior for musculoskeletal pain.Results: Slightly more than one-third of the respondents (36%) with musculoskeletal pain, described as osteoarthritis, low back pain, gouty arthritis, soft tissue rheumatism, and autoimmune arthritis, were assessed for their health-seeking behavior.About 73% of all those participants sought treatment for their musculoskeletal symptoms. Treatment modality used was modern healthcare, traditional healthcare, selftreatment using traditional medication, self-treatment using modern medication with the proportions of 20.94%, 25.23%, 33.95%, 25.77%, respectively. Disability significantly affected health-seeking behavior as the major determinant (prevalence ratio[PR] 1.087, 95% CI 1.031-1.146, P = 0.002), followed by age (PR 1.043, 95% CI 1.000-1.087, P = 0.049). Healthcare-seeking behavior was associated with the presence of adverse drug reactions (P < 0.001). Conclusion:Factors associated with musculoskeletal pain health-seeking behavior were disability and age. Self and traditional healthcare treatment were further associated with an adverse drug reaction. K E Y W O R D Sadverse drug reaction, COPCORD, health seeking behavior, musculoskeletal pain

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“…Vega-Hinojoso et al also found an increased prevalence of MSK complaints in high altitude Peru, reporting that 12% of 1,095 people sampled had MSK pain. [11] These findings likely relate to many of the patients' occupations in manual labor and agricultural fields, which are well-established causes of MSK complaints. [16][17][18][19] Occupational customs in SV may impact hydration status.…”

Section: Discussionmentioning

confidence: 96%

“…Unique health considerations to this population include the effects of altitude and manual labor, potentially leading to higher rates of musculoskeletal pain. [11] Anemia in Peruvian children is also more common at high altitudes compared to lower altitudes. [12] The World Health Organization (WHO) notes that rural areas continue to face inequality in lower distribution of health workers compared to coastal areas.…”

Section: Introductionmentioning

confidence: 99%

Urban Versus Rural: A Cross-Sectional Study of a Successful Peruvian Global Health Medical Mission

2019

ARC Journal of Public Health and Community Medicine

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Background:The purpose of this study is to characterize the health conditions of two Peruvian populations in Chincha Alta and Sacred Valley, during a short-term medical mission in order to improve future global health efforts. Existing literature on the disease prevalence in these specific communities have not been previously reported. Methods:The study team consisted of medical students and faculty from a United States-based academic medical institution. The study site in CA was a modern local outpatient clinic and in SV, health posts in various small towns. This is a cross-sectional study that utilized convenience sampling of patients who sought care at previously established and temporary health clinics. Descriptive and comparative statistics were used.Results: Over three weeks, 420 patients were seen (CA n=197; SV n=223). Among adult patients, musculoskeletal (P<.001), head/neck (P<.001), neurologic (P<.001), gastrointestinal (P<.001), and genitourinary (P=.004) complaints were more common in SV than CA. Adult diagnoses of chronic musculoskeletal pain (P<.001), genitourinary infection (P=.03), gastritis (P=.01), and dehydration (P=.02) were more frequent in SV with lower respiratory infection (P=.002) and obesity (P=.009) being more frequent in CA. Conclusions:This study demonstrates the need for future STMMs to these Peruvian communities to refine prevention and management strategies.

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Prevalence of Musculoskeletal Manifestations and Related Disabilities in a Peruvian Urban Population Living at High Altitude. COPCORD Study. Stage I

Cited by 8 publications

References 19 publications

Barriers to Access to Treatment for Hypertensive Patients in Primary Health Care of Less Developed Northwest China: A Predictive Nomogram

Barriers to Access to Treatment for Hypertensive Patients in Primary Health Care of Less Developed Northwest China: A Predictive Nomogram

Factors associated with health care seeking behavior for musculoskeletal pain in Indonesia: A cross‐sectional study

Urban Versus Rural: A Cross-Sectional Study of a Successful Peruvian Global Health Medical Mission

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