|
Begun D.N.
Orenburg State Medical University, Îrenburg
Abstract. In Russia, rheumatic diseases have been
characterized by a growth trend for the last twenty years. The Orenburg
region is part of the Volga Federal District which is considered an
unfavorable one in terms of rheumatic morbidity.
The purpose of the work is to study dynamics of
rheumatic morbidity in adult population of the Orenburg region in
2000-2013 and develop prognostic models.
Based on data extraction from the annual statistical reporting form
No. 12 from all districts of the Orenburg region dynamic rows on
prevalence and incidence of major rheumatic diseases were constructed
and analyzed: by class of diseases of the musculoskeletal system and
connective tissue in general, and by reactive arthritis, rheumatoid
arthritis, systemic connecting tissue disorders, an osteoarthrosis,
osteoporosis, and ankylosing spondylitis in particular.
Using analytical method we developed trend equations for the disease prevalence and incidence.
Prediction was made through extrapolation method on the basis of the
developed equations. Statistically significant reduction trends were
determined for class of diseases of the musculoskeletal system and
connective tissue in general, both for prevalence and incidence, and
growth trends for osteoarthrosis and osteoporosis prevalence and
incidence.
On the basis of the constructed regression equations the predicted
levels of the listed diseases were calculated for five years.
The revealed change in the morbidity trends as wells as rate of
change in the indexes cannot be explained by the natural causes.
Reduction in quality of diagnostics and morbidity registration due to
limited access to quality specialized care to patients with rheumatic
diseases is the most probable cause for the identified trends.
The study results can serve as a baseline for further in-depth
analysis of rheumatic morbidity at the district level in Orenburg
region, comparison of its dynamics with care organization and
improvement of planning at the regional level.
Keywords: rheumatic morbidity; morbidity with diseases
of the musculoskeletal system and connective tissue; morbidity dynamics;
morbidity prediction.
References
- Balabanova R.M., Erdes Sh.F. Revmaticheskie zabolevaniya u
vzroslogo naseleniya v federal'nykh okrugakh Rossii [Rheumatic diseases
at adult population in the federal districts of Russia]. Nauchno-prakticheskaya revmatologiya 2014; 52(1): 5-7. (In Russian).
- Bayanova N.A., Begun D.N., Borshchuk E.L., Matchina O.I. Problemy
vyyavlyaemosti bolezney kostno-myshechnoy sistemy i soedinitel'noy tkani
pri provedenii dopolnitel'noy dispanserizatsii rabotayushchego
naseleniya [Problems of case detection for musculoskeletal system and
connective tissue diseases when carrying out an additional medical
examination of the working population]. Zamestitel' glavnogo vracha 2012; 76 (9): 48-54. (In Russian).
- Begun D.N. Marshrut patsienta pri revmaticheskikh zabolevaniyakh;
analiz situatsii [Route of a patient with rheumatic diseases; analysis
of a situation]. Orenburgskiy meditsinskiy vestnik 2013; 1 (2): 19-22. (In Russian).
- Begun D.N., Borshchuk E.L., Vasil'ev E.A. Udovletvorennost'
kachestvom meditsinskoy pomoshchi bol'nykh revmaticheskimi boleznyami v
Orenburgskoy oblasti [Satisfaction with medical care quality in patients
with rheumatic diseases in Orenburg region]. Sovremennye problemy nauki i obrazovaniya [serial online] 2015 [cited 2015 Mar 18]; (2). Available from: http://www.science-education.ru/122-17913. (In Russian).
- Begun D.N., Matchina O.I., Bayanova N.A., Aver'yanov V.N., Kurakina
L.I. Zabolevaemost' vzroslogo naseleniya Orenburgskoy oblasti
boleznyami kostno-myshechnoy sistemy i soedinitel'noy tkani v 2000-2006
gg [Musculoskeletal system and connective tissue diseases in adult
population of Orenburg region in 2000-2006]. Informatsionnyy arkhiv. 2007; 1 (1): 10-12. (In Russian).
- Vaysman D.Sh., Sorotskaya V.N., Balabanova R.M. Dostovernost'
pokazateley zabolevaemosti i smertnosti ot bolezney kostno-myshechnoy
sistemy zhiteley Tul'skoy oblasti [Reliability of indicators of
morbidity and mortality caused by musculoskeletal system diseases in
inhabitants of Tula region]. Nauchno-prakticheskaya revmatologiya 2014; 52(1): 44-48. (In Russian).
- Galushko E.A. Mediko-sotsial'naya znachimost' revmaticheskikh
zabolevaniy [Health and social importance of rheumatic diseases].
Moscow: Dr. Med. Sci. [thesis]. 2011. (In Russian).
- Galushko E.A., Erdes Sh.F., Amirdzhanova V.N. Osobennosti
diagnostiki revmatoidnogo artrita v real'noy klinicheskoy praktike
[Features of diagnostics of rheumatoid arthritis in actual clinical
practice]. Nauchno-prakticheskaya revmatologiya 2011; (1): 21-26. (In Russian).
- Dubinina T.V., Erdes Sh.F. Prichiny pozdney diagnostiki
ankiloziruyushchego spondilita v klinicheskoy praktike [The reasons of
late diagnostics of an ankylosing spondylitis in clinical practice]. Nauchno-prakticheskaya revmatologiya. 2010; (2): 43-48. (In Russian).
- Kuprienko N.V., Ponomareva O.A., Tikhonov D.V. Statistika. Analiz
ryadov dinamiki: uchebnoe posobie [Statistics. Analysis of dynamics
ranks: training manual]. St. Petersburg: Izdatel'stvo Politekhnicheskogo
universiteta; 2009. (In Russian).
- Medik V.A. Zabolevaemost' naseleniya: istoriya, sovremennoe
sostoyanie i metodologiya izucheniya [Population morbidity: history,
current state, and methodology of studying]. Moscow: Meditsina; 2003.
(In Russian).
- Nasonova V.A., Folomeeva O.M., Amirdzhanova V.N., Yakusheva E.O.,
Lobareva L.S., Loginova E.Yu. Bolezni kostno-myshechnoy sistemy i
soedinitel'noy tkani v Rossii: dinamika statisticheskikh pokazateley za 5
let (1994-1998g.g.) [Diseases of musculoskeletal system and connective
tissue in Russia: dynamics of statistics in 5 years (1994-1998)]. Nauchno-prakticheskaya revmatologiya 2000; (2): 4-12. (In Russian).
- Nasonova V.A., Folomeeva O.M., Erdes Sh.F. Revmaticheskie bolezni v
Rossii v nachale XXI veka [Rheumatic diseases in Russia at the
beginning of the XXI century]. Nauchno-prakticheskaya revmatologiya. 2003; (1): 6-10. (In Russian).
- Folomeeva O.M., Galushko E.A., Erdes Sh.F. Rasprostranennost'
revmaticheskikh zabolevaniy v populyatsiyakh vzroslogo naseleniya Rossii
i SShA [Prevalence of rheumatic diseases in adult population of Russia
and the USA]. Nauchno-prakticheskaya revmatologiya 2008; (4): 4-13. (In Russian).
- Folomeeva O.M., Tarasova I.A., Dubinina T.V., Erdes Sh.
Zabolevaemost' naseleniya Rossii revmaticheskimi boleznyami v 2001-2002
godakh [Rheumatic diseases in the population of Russia in 2001-2002]. Nauchno-prakticheskaya revmatologiya 2004; 2: 4-7. (In Russian).
Views: 14922
|
