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[Analysis of lethal outcomes of rheumatic diseases in Moscow]
Aim:
To study the pattern of lethal outcomes due to rheumatic diseases (RD) in Moscow.
Material And Methods:
Annual reports of 38 pathological departments of Moscow have been analysed for 1999 and 2000.
Results:
RD accounted for 1.8% diagnosis at autopsies (n = 784). RD as the main diagnosis was in 668 cases (1.53%). Diseases of the bone-muscle system caused death 3.5 times less often than rheumatism. As concommitent diseases RD were encountered in 118 cases (0.27%), diseases of the bone-muscle system were registered 2 times less frequently than rheumatism. Chronic rheumatic diseases of the heart were diagnosed in 590 cases (98.5%), rheumatic fever was detected in 9 (1.5%) patients. The main diagnosis of RA, seronegative arthritides, systemic vasculitides, SLE, osteoarthrosis was made in 49, 10 9.3, 12.7, 1.3%, respectively. Such nosological entities as osteoporosis, gout and other microcrystalline arthritides were referred to the group "other rheumatic diseases" and made up 12.7%. As concomitant pathology RA, OA, seronegative spondyloarthritides, SLE, other RD occurred in 54, 8.1, 27, 2.7, 2.7%, respectively.
Conclusion:
The share of RD in autopsy diagnosis accounts for 1.8% of the total number of necropsies. These figures seem to underestimate the real situation and may be explained by poor registration of RD at autopsy and a fall in the total number of autopsies for the last 10 years. For Moscow and Russia as a whole there is a prevalence of rheumatism mortality (76%), primarily deaths of chronic rheumatic cardiac diseases, over mortality due to diseases of the bone-muscular system (24%).
Insights
Rheumatic diseases (RD) caused 1.8% of autopsy deaths in Moscow, with rheumatism mortality (76%) exceeding bone-muscle system diseases (24%). These figures likely underestimate the true impact of RD due to registration issues.
Area of Science:
- Rheumatology
- Pathology
- Public Health
Background:
- Rheumatic diseases (RD) represent a significant cause of mortality.
- Understanding the patterns of lethal outcomes is crucial for public health initiatives.
- Previous data on RD mortality in Moscow may be incomplete.
Purpose of the Study:
- To investigate the mortality patterns associated with rheumatic diseases in Moscow.
- To quantify the contribution of RD to overall autopsy diagnoses.
- To compare mortality rates between rheumatism and bone-muscle system diseases.
Main Methods:
- Analysis of annual reports from 38 pathological departments in Moscow.
- Data collection covered the years 1999 and 2000.
- Review of autopsy diagnoses, distinguishing between main and concomitant conditions.
Main Results:
- Rheumatic diseases accounted for 1.8% of all autopsy diagnoses (n=784).
- Rheumatism was the main diagnosis in 1.53% of cases, with chronic rheumatic heart disease being the most common (98.5%).
- Mortality from bone-muscle system diseases was 3.5 times lower than from rheumatism.
Conclusions:
- The reported 1.8% mortality from RD at autopsy may underestimate the actual prevalence.
- Poor registration and a decline in autopsies may contribute to underestimation.
- Rheumatism mortality (76%) significantly outweighs bone-muscle system disease mortality (24%) in Moscow, with rheumatic heart disease being a primary driver.