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首页> 外文期刊>Rheumatology >The prevalence of inflammatory back pain in a UK primary care population
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The prevalence of inflammatory back pain in a UK primary care population

机译：英国初级保健人群中炎症性背痛的患病率

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Objective: Inflammatory back pain (IBP) is the earliest and most common symptom of axial SpA. However, there is very little information about the prevalence of IBP in the UK. In this cross-sectional cohort study we examined the prevalence of IBP in a UK primary care population using three published IBP criteria. Methods: Potential participants aged 18-80 years were identified from the records of a large general practice in Norfolk, UK, with 17 177 patients. Read codes were used to identify those who had consulted their general practitioner on at least one occasion with back pain. A self-completed screening questionnaire was sent to a sample of 978 patients, enquiring about symptoms of IBP and extra-spinal manifestations of SpA. Questionnaire responses were used to determine whether patients met the Assessment of SpondyloArthritis international Society (ASAS), Calin and Berlin IBP criteria. Results: Five hundred and five completed questionnaires were returned (response rate 51.6%). The median age of respondents was 60 years [interquartile range (IQR) 48-67] and 44.8% were male. The minimum prevalence of IBP among patients with at least one previous consultation for back pain was 7.7% (95% CI 6.2, 9.5) using the ASAS criteria, 13.5% (11.5, 15.8) using the Calin criteria and 15.4% (13.3, 17.8) using the Berlin criteria. There was no significant difference in prevalence between men and women, and between different age groups. Extrapolated to the practice population as a whole, the minimum prevalence of IBP in a UK primary care population is 1.7-3.4%. Conclusion: The prevalence of IBP varies significantly depending on the criteria used for classification.
机译：目的：炎性背痛（IBP）是轴向SpA的最早且最常见的症状。但是，关于英国IBP患病率的信息很少。在这项横断面队列研究中，我们使用三个已发布的IBP标准检查了英国初级保健人群中IBP的患病率。方法：从英国诺福克的一项大型常规治疗记录中识别出18-80岁的潜在参与者，其中有17177名患者。阅读代码被用来识别那些至少有过一次背痛咨询过全科医生的人。向978例患者发送了一份自我完成的筛选调查表，询问了IBP症状和SpA的脊柱外表现。通过问卷调查确定患者是否符合国际脊柱关节炎评估（ASAS），卡林和柏林IBP标准。结果：回收问卷505张（回答率为51.6％）。受访者的中位年龄为60岁[四分位间距（IQR）48-67]，男性为44.8％。在至少一次接受过背痛咨询的患者中，根据ASAS标准，IBP的最低患病率为7.7％（95％CI 6.2，9.5），使用Calin标准为13.5％（11.5，15.8），分别为15.4％（13.3，17.8） ）使用柏林标准。男女之间以及不同年龄组之间的患病率均无显着差异。推断为整个实践人群，英国基层医疗人群中IBP的最低患病率为1.7-3.4％。结论：IBP的患病率根据分类所用的标准而有很大差异。

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