Abstract
Osteoarthritis (OA) is the most common bone and joint pathology, affecting, according to the American College of Rheumatology ACR (2019), about 302 million people worldwide and is the leading cause of disability in the elderly.Objective. To investigate the role of additional risk factors in patients with OA in the practice of family physicians for secondary prevention.Material and methods. A retrospective analysis of 50 outpatient records and electronic medical records (EMC) of patients with OA for 2019-2020 was performed: 30 women, 20 men; aged 35-75 years. Concomitant risk factors were studied by epidemiological analysis: obesity / overweight, burdensome family history, traumatic factor, occupational exposure.Results. The respiratory and circulatory systems diseases dominate in the structure of the primary morbidity of the Northern Bukovina inhabitants in 2020. The incidence of bone and joint is 4.04% in the general structure, which does not differ significantly from the European average. The structure of the primary morbidity of the bone and joint sphere is dominated by arthrosis and deforming OA (DOA). The injuries and occupational factors dominated in structure of DOA risk factors at the age under 50, but after 50 years – obesity and burdened heredity prevailed, with a significant impact of the occupational factor. Absence of injuries in the anamnesis and occupational factors reduce the risk of DOA 8 and 3.5 times, respectively (p<0.05). Age over 60 years increases the relative risk of DOA 2.5 times as much (p=0.013), especially in women to almost 4 times.Conclusions. Additional risk factors should be considered in patients with DOA for secondary prevention.
Highlights
Concomitant risk factors were studied by epidemiological analysis
circulatory systems diseases dominate in the structure of the primary morbidity
joint sphere is dominated by arthrosis
Summary
Остеоартрит (ОА) – найпоширеніша кістково-суглобова патологія, остеоартрит, ожиріння, що уражує, за даними Американського коледжу ревматології ACR (2019), сімейний анамнез, близько 302 млн осіб у світі і є провідною причиною інвалідності літніх людей. Професійний вплив, Мета роботи – дослідити роль додаткових чинників ризику у хворих на ОА у травматичний чинник. Практиці сімейного лікаря для проведення вторинної профілактики. Супутні чинники ризику вивчали методом епідеміологічного аналізу: ожиріння/надмірна маса тіла, обтяжений сімейний анамнез, травматичний чинник, професійний вплив. Відсутність травм в анамнезі та професійних чинників зменшують ризик ДОА у 8 і 3,5 раза відповідно (р
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