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Polymyalgia rheumatica in a defined elderly community

A J Silman, H L Currey

    Rheumatology and Rehabilitation
    |November 1, 1982
    PubMed
    Summary
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    Screening elderly individuals using symptom questionnaires and erythrocyte sedimentation rate (ESR) tests identified polymyalgia rheumatica (PMR). This study found a higher prevalence of PMR in community-dwelling seniors than previously estimated.

    Area of Science:

    • Rheumatology
    • Geriatrics
    • Epidemiology

    Background:

    • Polymyalgia rheumatica (PMR) is an inflammatory condition primarily affecting older adults.
    • Accurate prevalence data for PMR in community-dwelling elderly populations is limited.
    • Early diagnosis and management of PMR are crucial for patient outcomes.

    Purpose of the Study:

    • To determine the prevalence of polymyalgia rheumatica (PMR) in elderly individuals receiving social services.
    • To evaluate the effectiveness of a combined symptom questionnaire and erythrocyte sedimentation rate (ESR) screening approach for PMR.

    Main Methods:

    • A screening study was conducted on 247 elderly individuals accessing social services.
    • Participants completed a symptom questionnaire relevant to PMR.

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  • Erythrocyte sedimentation rate (ESR) levels were measured for all participants.

    • Main Results:

    • Three cases of polymyalgia rheumatica (PMR) were identified among the 247 participants.
    • Two of the three diagnosed PMR cases were previously undiagnosed.
    • The calculated prevalence of PMR in this cohort was higher than estimates from hospital-based studies.

    Conclusions:

    • Combined symptom questionnaires and ESR estimations can effectively screen for polymyalgia rheumatica (PMR) in community settings.
    • The prevalence of PMR may be underestimated in the general elderly population.
    • Targeted screening in social services populations can uncover undiagnosed cases of PMR.