德国多发性肌痛性风湿症的频率,诊断和治疗 - - 对医疗保险数据的数据库分析
Wolfgang A Schmidt1, Marco Alibone2, Paul Ludwig2
1Waldfriede Hospital, Rheumatology, Berlin, Germany.
Rheumatology (Oxford, England)
|July 7, 2025
概括
多发性肌痛性风湿症 (PMR) 在德国比以前认为的更常见,影响着老年人. 诊断通常发生在初级保健中,常见的并发症包括高血压和糖尿病.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 对于德国的多发性肌痛性风湿症 (PMR) 有有限的流行病学数据.
- 根据国际标准,目前PMR的国家流行率估计被认为是低的.
- 需要更新,在德国PMR的代表性数据.
研究的目的:
- 为了获得德国多发性肌痛性风湿症 (PMR) 的当前,人口代表性的流行病学数据.
- 估计德国50岁及以上个体中PMR的发病率和流行率.
- 调查与PMR相关的诊断途径和常见的并发症.
主要方法:
- 一项对480万保险人进行的横截面分析,代表了德国人口.
- 纳入标准:年龄≥50岁,在研究期间 (2018-2021) 前3年和2年连续保险.
- 结果被推断为整个德国人口.
主要成果:
- 额外推算的2021年流行率:937/100,000;发生率:111/100,000,年龄在50岁以上的个体.
- 诊断主要是在门诊 (86.7%),最常见的是全科医生 (GPs).
- 常见的并发病:动脉高血压 (75.9%),脂质不良 (55.0%),糖尿病 (29.7%).
结论:
- 多发性肌痛性风湿症 (PMR) 在德国50岁以上的个体中比以前估计的更频繁.
- 诊断主要是在初级保健机构进行的,很大一部分患者被转诊给类风湿病学家.
- PMR患者经常出现糖尿病和心血管疾病等并发症.
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