Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health survey
| Autor(a) principal: | |
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| Data de Publicação: | 2016 |
| Outros Autores: | , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/33622 |
Resumo: | This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
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Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health surveyThis is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/Objectives To estimate the national prevalence of rheumatic and musculoskeletal diseases (RMDs) in the adult Portuguese population and to determine their impact on health-related quality of life (HRQoL), physical function, anxiety and depression. Methods EpiReumaPt is a national health survey with a three-stage approach. First, 10 661 adult participants were randomly selected. Trained interviewers undertook structured face-to-face questionnaires that included screening for RMDs and assessments of health-related quality of life, physical function, anxiety and depression. Second, positive screenings for ≥1 RMD plus 20% negative screenings were invited to be evaluated by a rheumatologist. Finally, three rheumatologists revised all the information and confirmed the diagnoses according to validated criteria. Estimates were computed as weighted proportions, taking the sampling design into account. Results The disease-specific prevalence rates (and 95% CIs) of RMDs in the adult Portuguese population were: low back pain, 26.4% (23.3% to 29.5%); periarticular disease, 15.8% (13.5% to 18.0%); knee osteoarthritis (OA), 12.4% (11.0% to 13.8%); osteoporosis, 10.2% (9.0% to 11.3%); hand OA, 8.7% (7.5% to 9.9%); hip OA, 2.9% (2.3% to 3.6%); fibromyalgia, 1.7% (1.1% to 2.1%); spondyloarthritis, 1.6% (1.2% to 2.1%); gout, 1.3% (1.0% to 1.6%); rheumatoid arthritis, 0.7% (0.5% to 0.9%); systemic lupus erythaematosus, 0.1% (0.1% to 0.2%) and polymyalgia rheumatica, 0.1% (0.0% to 0.2%). After multivariable adjustment, participants with RMDs had significantly lower EQ5D scores (β=−0.09; p<0.001) and higher HAQ scores (β=0.13; p<0.001) than participants without RMDs. RMDs were also significantly associated with the presence of anxiety symptoms (OR=3.5; p=0.006). Conclusions RMDs are highly prevalent in Portugal and are associated not only with significant physical function and mental health impairment but also with poor HRQoL, leading to more health resource consumption. The EpiReumaPt study emphasises the burden of RMDs in Portugal and the need to increase RMD awareness, being a strong argument to encourage policymakers to increase the amount of resources allocated to the treatment of rheumatic patients.EpiReumaPt was supported by a grant from Direcção-Geral da Saúde and was sponsored by: Fundação Calouste Gulbenkian, Fundação Champalimaud, Fundação AstraZeneca, Abbott, Merck Sharp & Dohme, Pfizer, Roche, Servier, Bial, D3A Medical Systems, Happybrands, Centro de Medicina Laboratorial Germano de Sousa, CAL-Clínica, Galp Energia, Açoreana Seguros and individual Rheumatologists.BMJ Publishing GroupRepositório da Universidade de LisboaBranco, Jaime C.Rodrigues, Ana M.Gouveia, NéliaEusébio, MónicaRamiro, SofiaMachado, Pedro M.Costa, Leonor Pereira daMourão, Ana FilipaSilva, InêsLaires, PedroSepriano, AlexandreAraújo, FilipeGonçalves, SóniaCoelho, Pedro S.Tavares, VivianaCerol, JorgeMendes, Jorge M.Carmona, LoretoCanhao, Helena2018-05-23T11:28:56Z20162016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/33622engRMD Open 2016;2:e0001662056-593310.1136/rmdopen-2015-000166info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:28:34Zoai:repositorio.ul.pt:10451/33622Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:48:35.390671Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health survey |
| title |
Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health survey |
| spellingShingle |
Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health survey Branco, Jaime C. |
| title_short |
Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health survey |
| title_full |
Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health survey |
| title_fullStr |
Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health survey |
| title_full_unstemmed |
Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health survey |
| title_sort |
Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal : results from EpiReumaPt– a national health survey |
| author |
Branco, Jaime C. |
| author_facet |
Branco, Jaime C. Rodrigues, Ana M. Gouveia, Nélia Eusébio, Mónica Ramiro, Sofia Machado, Pedro M. Costa, Leonor Pereira da Mourão, Ana Filipa Silva, Inês Laires, Pedro Sepriano, Alexandre Araújo, Filipe Gonçalves, Sónia Coelho, Pedro S. Tavares, Viviana Cerol, Jorge Mendes, Jorge M. Carmona, Loreto Canhao, Helena |
| author_role |
author |
| author2 |
Rodrigues, Ana M. Gouveia, Nélia Eusébio, Mónica Ramiro, Sofia Machado, Pedro M. Costa, Leonor Pereira da Mourão, Ana Filipa Silva, Inês Laires, Pedro Sepriano, Alexandre Araújo, Filipe Gonçalves, Sónia Coelho, Pedro S. Tavares, Viviana Cerol, Jorge Mendes, Jorge M. Carmona, Loreto Canhao, Helena |
| author2_role |
author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Branco, Jaime C. Rodrigues, Ana M. Gouveia, Nélia Eusébio, Mónica Ramiro, Sofia Machado, Pedro M. Costa, Leonor Pereira da Mourão, Ana Filipa Silva, Inês Laires, Pedro Sepriano, Alexandre Araújo, Filipe Gonçalves, Sónia Coelho, Pedro S. Tavares, Viviana Cerol, Jorge Mendes, Jorge M. Carmona, Loreto Canhao, Helena |
| description |
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| publishDate |
2016 |
| dc.date.none.fl_str_mv |
2016 2016-01-01T00:00:00Z 2018-05-23T11:28:56Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10451/33622 |
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http://hdl.handle.net/10451/33622 |
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eng |
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eng |
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RMD Open 2016;2:e000166 2056-5933 10.1136/rmdopen-2015-000166 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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BMJ Publishing Group |
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BMJ Publishing Group |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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