Costes calidad de vida-artritis reumatoide. Estudio económico y de la calidad de vida de los pacientes con artritis reumatoide en España. Resultados preliminares / The costs and quality of life in rheumatoid arthritis study in Spain. Preliminary results

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Mecanismos del dolor en la artrosis

El dolor es el síntoma más relevante en esta enfermedad. La presencia de dolor en la artrosis se relaciona con la incapacidad y es también un factor de riesgo en el deterioro de una articulación artrósica y en la necesidad de artroplastia. Por ello, conocer los mecanismos de este síntoma podría ser un objetivo básico en el control de la afección articular degenerativa. (AU)

[Prevalence of localized pain of the locomotor system in the general population]. / Prevalencia del dolor generalizado del aparato locomotor en la población general.

OBJECTIVE: To find the prevalence of "Generalised Pain of the Locomotive System" (GPLS) in the Principality of Asturias. DESIGN: A crossover study, consisting of an interview and a medical examination. SETTING: Urban and rural population throughout the Autonomous Community of the Principality of Asturias. PARTICIPANTS: The population group under study was chosen at random by multi-stage and proportional sampling. Criteria validated for the diagnosis of GPLS were applied. RESULTS: The response was 75.6% (702 people), in whom 9.2% prevalence of GPLS was found, with a significant preponderance of women. A statistical association of GPLS both with limitations in daily activities and with the presence of anxiety or depression was found. CONCLUSIONS: GPLS shares many features with Fibromyalgia syndrome. Its high prevalence and its association with functional and psychological disturbances indicate the important social repercussions of this disorder.

Epidemiology of musculoskeletal complaints and use of health services in Asturias, Spain.

To determine the prevalence of musculoskeletal symptoms in the general population and the use of health services of rural and urban population of Asturias, Spain, questionnaires and clinical exploration of 702 subjects were applied. The response rate was 75.6%; 44.9% had presented symptoms related to the locomotor system in the preceding 12 months. The lumbar spine was the most prevalent localisation. The presence of symptoms was related to age, sex, and a lower educational level. The use of health services for rheumatic symptoms was 22.5% of the total sample. The degree of pain was the variable which had greatest influence on the use of health services, whereas the existence of anxiety, depression or difficulties in carrying out daily activities, were not influential in the use of health services. The symptoms referred to the locomotor system in a 12 month period, are present in almost 50% of the general population, and are associated with certain demographic variables. The use of health services for rheumatic symptoms depends fundamentally on the degree of pain of the patients.

[The epidemiology of rheumatic diseases in the Principality of Asturias]. / Epidemiología de las enfermedades reumáticas en el Principado de Asturias.

OBJECTIVE: To determine the prevalence of rheumatic illnesses in the Principality of Asturias. DESIGN: Crossover study, consisting of an interview and a medical examination, administered to 702 people selected in a random fashion, in line with multi-stage and proportional sampling. Validated criteria for the diagnosis of rheumatic pathology were applied. SETTING: Urban and rural population throughout the Autonomous Community of the Principality of Asturias. RESULTS: There was a 75.6% response (702 people). In these a 23.8% prevalence of arthrosis was found, with a significantly higher proportion among older people and women. The second most common condition was rheumatism in soft parts; and then lumbalgia, which predominates in middle age. Inflammatory arthropathies are much less common (2.5%) in the general population. 6.1% of the sample presented a rheumatic pathology that could not be adequately defined. CONCLUSIONS: Rheumatic illnesses are extremely common among the general population. Arthrosis, rheumatism of the soft parts and lumbalgia are the most customary conditions. Their prevalence is much greater than that of inflammatory rheumatism.