纤维肌痛和手部疾病:一个病例控制研究.
Eli Magen1, Suhail Aamar2, Viktor Feldman3
1Leumit Health Services, R&D Unit, Tel Aviv-Yafo, Israel; Medicine A Department, Assuta Ashdod University Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel.
概括
纤维肌痛显著增加了各种手部疾病的风险,包括手掌道综合征和骨关节炎. 纤维肌痛患者的手术和医疗保健利用率较高,需要早期查和管理.
科学领域:
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
- 流行病学 流行病学
背景情况:
- 纤维肌痛是一种慢性疾病,引起广泛的疼痛和疲劳.
- 它与影响日常功能的特定手部疾病的关联仍然不清楚.
研究的目的:
- 调查纤维肌痛患者手部疾病的患病率.
- 评估这一群体中手部疾病的医疗保健利用率和手术干预措施.
主要方法:
- 一个回顾性,基于人口的,使用电子健康记录进行匹配的病例控制研究.
- 9,232名纤维肌痛患者与46,160名对照进行了5:1匹配.
- 通过ICD-9代码诊断的手病;分析了手术率和医疗保健利用率.
主要成果:
- 纤维肌痛与显著更高的手道综合征 (OR 2.98),触发指 (OR 1.77) 的几率有关,德·奎尔韦恩的肌炎 (OR 1.96),肌炎 (OR 2.16) 和手部骨关节炎 (OR 2.99).
- 纤维肌痛患者的医疗保健利用率和手腕道释放手术率增加 (OR 2.57) 和触发指修复 (OR 2.98).
结论:
- 纤维肌痛与手部疾病和手术干预的更高患病率有关.
- 早期查和多学科管理手部疾病建议在纤维肌痛患者,以防止残疾.
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