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Prevalence of axial spondyloarthritis in Poland.
Rheumatology International ( IF 4 ) Pub Date : 2019-12-04 , DOI: 10.1007/s00296-019-04482-7
Małgorzata Tłustochowicz 1 , Melania Brzozowska 2, 3 , Waldemar Wierzba 4 , Filip Raciborski 5 , Brygida Kwiatkowska 6 , Witold Tłustochowicz 1 , Andrzej Jacyna 7 , Michał Marczak 2 , Bartłomiej Kisiel 1 , Andrzej Śliwczyński 4, 8
Affiliation  

The prevalence of axial spondyloarthritis (axSpA) in the published data varies significantly. Two types of axSpA can be distinguished depending upon the presence of abnormalities consistent with sacroiliitis on plain radiography: ankylosing spondylitis (AS) and nonradiographic axial SpA (nr-axSpA). The aim of this study is to perform a retrospective analysis of axSpA prevalence in Poland in the years 2008-2017. The National Health Fund (NHF) database for the period 2008-2017 was analysed. Data of all patients with the ICD-10 codes M46 (M46.1, M46.8, M46.9) or M45 (further named other inflammatory spondylopathies-OIS and AS, respectively) as the main or co-existing diagnosis were extracted and analysed. The AS prevalence was stable during the period under examination amounting to approximately 0.083%, while the OIS prevalence increased from 0.036 to 0.059%. For both men and women, the AS prevalence increased with age, reaching a maximum around the age of 70; however, in men, a marked increase in prevalence was observed earlier as compared to women (20-24 vs. 40-44 years, respectively). The OIS prevalence also increased with age; however, the maximum was reached earlier as in case of AS. Moreover, a sharp increase in OIS prevalence occurred earlier than in AS (15-19 years) with no difference between sexes. In Poland, approximately 0.1% of the population suffers from AS-the prevalence remained stable over the last decade. The prevalence of OIS increased markedly over the studied period which presumably reflects an increasing prevalence of nr-axSpA as the effect of the introduction of ASAS classification criteria for axSpA.

中文翻译:

波兰的轴向脊椎关节炎患病率。

在已发表的数据中,轴向脊椎关节炎(axSpA)的患病率差异很大。可以根据普通X线摄影中与肩ili炎相一致的异常的存在来区分两种类型的axSpA:强直性脊柱炎(AS)和非放射线轴向SpA(nr-axSpA)。这项研究的目的是对2008-2017年波兰axSpA患病率进行回顾性分析。分析了2008-2017年期间的国家卫生基金(NHF)数据库。提取所有以ICD-10代码M46(M46.1,M46.8,M46.9)或M45(分别称为其他炎性脊柱病-OIS和AS)作为主要或并存诊断的患者的数据,并分析。在检查期间,AS患病率稳定,约为0.083%,而OIS患病率从0增加。036至0.059%。无论男女,AS患病率均随年龄增长而增加,在70岁左右达到最大值。然而,在男性中,患病率明显高于女性(分别为20-24岁和40-44岁)。OIS患病率也随着年龄增长而增加;但是,与AS一样,达到了最大值。而且,OIS患病率比AS(15-19岁)更早发生,而性别之间没有差异。在波兰,约有0.1%的人口患有AS-在过去十年中,这种流行率保持稳定。在研究期间,OIS的患病率显着增加,这可能反映了由于引入针对axSpA的ASAS分类标准而导致的nr-axSpA患病率的增加。AS患病率随年龄增加而增加,在70岁左右达到最高;然而,在男性中,患病率明显高于女性(分别为20-24岁和40-44岁)。OIS患病率也随着年龄增长而增加;但是,与AS一样,达到了最大值。而且,OIS患病率比AS(15-19岁)更早发生,而性别之间没有差异。在波兰,约有0.1%的人口患有AS-在过去十年中,这种流行率保持稳定。在研究期间,OIS的患病率显着增加,这可能反映了由于引入针对axSpA的ASAS分类标准而导致的nr-axSpA患病率的增加。AS患病率随年龄增加而增加,在70岁左右达到最高;然而,在男性中,患病率明显高于女性(分别为20-24岁和40-44岁)。OIS患病率也随着年龄增长而增加;但是,与AS一样,达到了最大值。此外,OIS患病率比AS(15-19岁)更早发生,而性别之间没有差异。在波兰,约有0.1%的人口患有AS-在过去十年中,这种流行率保持稳定。在研究期间,OIS的患病率显着增加,这可能反映了由于引入针对axSpA的ASAS分类标准而导致的nr-axSpA患病率的增加。与女性相比,患病率显着上升(分别为20-24岁和40-44岁)。OIS患病率也随着年龄增长而增加;但是,与AS一样,达到了最大值。而且,OIS患病率比AS(15-19岁)更早发生,而性别之间没有差异。在波兰,约有0.1%的人口患有AS-在过去十年中,这种流行率一直保持稳定。在研究期间,OIS的患病率显着增加,这可能反映了由于引入针对axSpA的ASAS分类标准而导致的nr-axSpA患病率的增加。与女性相比,患病率显着上升(分别为20-24岁和40-44岁)。OIS患病率也随着年龄增长而增加;但是,与AS一样,达到了最大值。而且,OIS患病率比AS(15-19岁)更早发生,而性别之间没有差异。在波兰,约有0.1%的人口患有AS-在过去十年中,这种流行率一直保持稳定。在研究期间,OIS的患病率显着增加,这可能反映了由于引入针对axSpA的ASAS分类标准而导致的nr-axSpA患病率的增加。OIS患病率比AS(15-19岁)早得多,并且没有性别差异。在波兰,约有0.1%的人口患有AS-在过去十年中,这种流行率保持稳定。在研究期间,OIS的患病率显着增加,这可能反映了由于引入针对axSpA的ASAS分类标准而导致的nr-axSpA患病率的增加。OIS患病率比AS(15-19岁)早得多,并且没有性别差异。在波兰,约有0.1%的人口患有AS-在过去十年中,这种流行率保持稳定。在研究期间,OIS的患病率显着增加,这可能反映了由于引入针对axSpA的ASAS分类标准而导致的nr-axSpA患病率的增加。
更新日期:2020-01-14
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