Dorsopathies: routine checkups as a procedure necessary for early diagnostics, risk factors and comorbidities identification

In Denisov,Ts Popova,Tv Zaugolnikova,Te Morozova

doi:10.24075/brsmu.2018.065

Abstract

Early detection of dorsopathies is an urgent task for primary care physicians, since such conditions can combine with other chronic noncommunicable diseases (NСD) and adversely affect the course all comorbidities, consequently disimproving the quality of life of patients and increasing the frequency of their requests for medical assistance. This study aimed to determine the value of routine checkups in the context of detection of dorsopathies, NCD, and identification of risk factors (RF). We have retrospectively analyzed the patient records database of a rural outpatient clinic in the Tver region (years 2015 to 2017). The prevalence of dorsopathies and NCD RF were the subjects investigated. Fisher's exact test and Spearman's rank correlation coefficient (SRCC) were applied for the purposes of statistical processing of the results. We discovered that dorsopathy most often was a comorbidity to arterial hypertension and gastrointestinal tract diseases; it was strongly related to the NCD (SRCC = 0.506), age (SRCC = 0.383), slightly less so — to hypodynamia (SRCC = 0.146), type of the patient's occupation (intellectual or physical labor) (SRCC = 0.07). Routine checkups improve the rate of detection of dorsopathy: the more patients undergo such examinations, the more cases of dorsopathy are diagnosed. Thus, it is necessary to increase the number of working people attending the checkups in order to detect dorsopathies early and prevent them effectively.

Highlights

Лечебно-профилактические мероприятия по ранней диагностике дорсопатий являются актуальной задачей врачей первичного звена здравоохранения
The number of patients diagnosed with dorsopathies grows proportionally to the number of those undergoing routine checkups, even with the number of visits to the outpatient clinic and the number of patients registered at the clinic decreasing (by 2.6% (159 people) and 1.6% (35 people), respectively)
Dorsopathy is the 2nd most common NCD found in the rural areas of the Tver region; the disease does not differentiate between types of occupations

Summary

Introduction

Лечебно-профилактические мероприятия по ранней диагностике дорсопатий являются актуальной задачей врачей первичного звена здравоохранения. Целью работы было определить значение профилактических осмотров в диагностике дорсопатий, сопутствующих ХНИЗ, и выявлении факторов риска (ФР). There are two directions to the project: 1) healthy lifestyle education and promotion and 2) early detection of NCDs, learning the relevant risk factors (RF) and their timely correction It is the healthcare systems of the countries that ensure progress in the second direction, with primary care physicians — district doctors, general practitioners (family doctors) — playing a special role: 30–40% of their working time should be dedicated to activities aimed at prevention [2]. Diseases of the musculoskeletal system and connective tissue (DMSCT) are common; there are over 150 different conditions and syndromes belonging to the group, most of which usually cause pain and musculoskeletal system dysfunction. Such comorbidities are always a complicated case, which is one of the reasons of the increased mortality rate among patients suffering them [5, 6]

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