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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2021; 62(02): e84-e92
DOI: 10.1055/s-0041-1735549
Artículo Original | Original Article

Temporal Trends and Demographic Evaluation of Hospitalizations Due to Osteoarthritis

Article in several languages: español | English
Pablo Sebastián Escudero-Acurio 
1   Escuela de Medicina, Facultad de Medicina y Ciencia, Universidad San Sebastián, Concepción, Chile
,
José Pablo Aracena 
1   Escuela de Medicina, Facultad de Medicina y Ciencia, Universidad San Sebastián, Concepción, Chile
,
Marcos Ignacio Arevalo 
2   Laboratorio de Fisiología Vascular, Departamento de Ciencias Básicas, Universidad del Bío-Bío, Chillán, Chile
,
Carlos Alonso Escudero 
2   Laboratorio de Fisiología Vascular, Departamento de Ciencias Básicas, Universidad del Bío-Bío, Chillán, Chile
3   Grupo de Investigación e Innovación en Salud Vascular (GRIVAS Health), Chillán, Chile
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Abstract

Objective To describe the temporal trends of osteoathritis (OA) according to hospital discharges considering anatomical location, distribution by gender, age, more frequent conditions, and geographic location in Chile between 2012 and 2018.

Methodology A retrospective, descriptive and population study which analyzed the public databases of the Department of Health Statistics and Information (Departamento de Estadísticas e Información en Salud, DEIS, in Spanish) of the Ministry of Health of Chile, in particular the records with codes M15 through M19. Rates per 100 thousand hospital discharges were calculated, as well as the percentage of OA according to the categories analyzed.

Results A total of 11,622,605 hospital discharges were found between 2012 and 2018. The total number of hospital discharges due to OA was of 78,700. The distribution by gender was similar over the years (∼ 40% and 60% among men and women respectively). Adults aged between 65 and 79 years were the most affected, and their average rate was of 2,046 per 100 thousand discharges. It was also the group that presented the highest increase (60%) in rate from 2012 to 2018. The Metropolitan Region (291.7 discharges) and Valparaíso (89.6 discharges) presented the highest rates in Chile. The hip (56.6%) and knee (31%) were the most frequent locations of OA, which presented similar distribution by gender, age and geography when compared with the total discharges due to OA.

Conclusions Hospital discharges due to OA in Chile increased between 2012 and 2018, preferentially in cases of hip and knee-joint OA in the group of elderly women in the central area of the country

Level of evidence: Descriptive study.

Keywords

osteoarthritis - prevalence - hospital discharges - Chile - hip osteoarthritis - knee osteoarthritis


Publication History

Received: 21 August 2020

Accepted: 04 February 2021

Article published online:
30 September 2021

© 2021. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Cillero Pastor B, López Armada M, Caramés B, Blanco García F. Fisiopatología de la artrosis: ¿Cuál es la actualidad?. Rev Esp Reumatol 2004; 31 (06) 379-393
    PubMedGoogle Scholar
  • 2 Martínez Figueroa R, Martínez Figueroa C, Calvo Rodriguez R, Figueroa Poblete D. Osteoartritis (artrosis) de rodilla. Rev. Chil. Ortop. y Traumatol. 2015; 56 (03) 45-51
    CrossrefPubMedGoogle Scholar
  • 3 Hunter DJ, McDougall JJ, Keefe FJ. The symptoms of osteoarthritis and the genesis of pain. Rheum Dis Clin North Am 2008; 34 (03) 623-643
    CrossrefPubMedGoogle Scholar
  • 4 Nelson AE. Osteoarthritis year in review 2017: clinical. Osteoarthritis Cartilage 2018; 26 (03) 319-325
    CrossrefPubMedGoogle Scholar
  • 5 Garriga XM. Definición, etiopatogenia, clasificación y formas de presentación. Aten Primaria 2014; 46 (Suppl. 01) 3-10
    CrossrefPubMedGoogle Scholar
  • 6 Moskowitz RW. The burden of osteoarthritis: clinical and quality-of-life issues. Am J Manag Care 2009; 15 (8, Suppl) S223-S229
    PubMedGoogle Scholar
  • 7 Kloppenburg M, Berenbaum F. Osteoarthritis year in review 2019: epidemiology and therapy. Osteoarthritis Cartilage 2020; 28 (03) 242-248
    CrossrefPubMedGoogle Scholar
  • 8 Neogi T. The epidemiology and impact of pain in osteoarthritis. Osteoarthritis Cartilage 2013; 21 (09) 1145-1153
    CrossrefPubMedGoogle Scholar
  • 9 Neogi T, Zhang Y. Epidemiology of osteoarthritis. Rheum Dis Clin North Am 2013; 39 (01) 1-19
    CrossrefPubMedGoogle Scholar
  • 10 Arden N, Nevitt MC. Osteoarthritis: epidemiology. Best Pract Res Clin Rheumatol 2006; 20 (01) 3-25
    CrossrefPubMedGoogle Scholar
  • 11 Altman RD. Early management of osteoarthritis. Am J Manag Care 2010; 16 (Suppl Management): S41-S47
    PubMedGoogle Scholar
  • 12 Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003; 81 (09) 646-656
    PubMedGoogle Scholar
  • 13 Danielsson L, Hernborg J. Morbidity and mortality of osteoarthritis of the knee (gonarthrosis) in Malmö, Sweden. Clin Orthop Relat Res 1970; 69 (69) 224-226
    PubMedGoogle Scholar
  • 14 Peláez-Ballestas I, Sanin LH, Moreno-Montoya J. et al; Grupo de Estudio Epidemiológico de Enfermedades Músculo Articulares (GEEMA). Epidemiology of the rheumatic diseases in Mexico. A study of 5 regions based on the COPCORD methodology. J Rheumatol Suppl 2011; 86: 3-8
    CrossrefPubMedGoogle Scholar
  • 15 Senna ER, De Barros AL, Silva EO. et al. Prevalence of rheumatic diseases in Brazil: a study using the COPCORD approach. J Rheumatol 2004; 31 (03) 594-597
    Google Scholar
  • 16 Gamboa DR. et al. Prevalencia de enfermedades reumatologicas y discapacidad en una comunidad urbano-marginal : resultados del primer estudio CoPCord en el Perú. Rev Per Reum. 2009; 15 (01) 40-46
    PubMedGoogle Scholar
  • 17 Bilbeny N. Dolor Crónico En Chile. Rev Med Clin Las Condes 2019; 30 (06) 397-406
    PubMedGoogle Scholar
  • 18 GOBIERNO DE CHILE. Ministerio de Salud. Decreto 170. Aprueba Garantias Explicitas en Salud del Regimen General de Garantias en Salud. 2005
    PubMedGoogle Scholar
  • 19 MINISTERIO DE SALUD. Guía Clínica Tratamiento Médico en personas de 55 años y más con artrosis de cadera y/o rodilla, leve o moderada. 2009
    PubMedGoogle Scholar
  • 20 Kiadaliri AA, Rinaldi G, Lohmander LS, Petersson IF, Englund M. Temporal trend and regional disparity in osteoarthritis hospitalisations in Sweden 1998-2015. Scand J Public Health 2019; 47 (01) 53-60
    CrossrefPubMedGoogle Scholar
  • 21 Morgan OJ, Hillstrom HJ, Ellis SJ. et al. Osteoarthritis in England: Incidence Trends From National Health Service Hospital Episode Statistics. ACR Open Rheumatol 2019; 1 (08) 493-498
    CrossrefPubMedGoogle Scholar
  • 22 Solis Cartas U. et al. Rasgos demográficos en la osteoartritis de rodilla. Rev. Cuba. Reumatol . RCuR 2015; 17 (01) 32-39
    PubMedGoogle Scholar
  • 23 Instituto Nacional de Estadísticas. Resultados definitivos Censo 2017(Censo de Población y Vivienda 2017). https://www.censo2017.cl/wp-content/uploads/2017/12/Presentacion_Resultados_Definitivos_Censo2017.pdf
    PubMedGoogle Scholar
  • 24 Guillou M, Carabantes C J, Bustos F V. Disponibilidad de médicos y especialistas en Chile. Rev Med Chil 2011; 139 (05) 559-570
    CrossrefPubMedGoogle Scholar
  • 25 Oficina de Estudios y Políticas Agrarias. Region de la Araucanía, Informacion regional 2018. 2018
    PubMedGoogle Scholar
  • 26 Felson DT. Epidemiology of hip and knee osteoarthritis. Epidemiol Rev 1988; 10 (01) 1-28
    CrossrefPubMedGoogle Scholar
  • 27 Lespasio MJ, Sultan AA, Piuzzi NS. et al. Hip Osteoarthritis: A Primer. Perm J 2018; 22: 17-084
    CrossrefPubMedGoogle Scholar
  • 28 Dagenais S, Garbedian S, Wai EK. Systematic review of the prevalence of radiographic primary hip osteoarthritis. Clin Orthop Relat Res 2009; 467 (03) 623-637
    CrossrefPubMedGoogle Scholar
  • 29 Reginato AM, Riera H, Vera M. et al; Pan-American League of Associations for Rheumatology (PANLAR) Osteoarthritis Study Group. Osteoarthritis in Latin America: Study of Demographic and Clinical Characteristics in 3040 Patients. J Clin Rheumatol 2015; 21 (08) 391-397
    CrossrefPubMedGoogle Scholar
  • 30 Andrianakos AA, Miyakis S, Trontzas P. et al; ESORDIG study group. The burden of the rheumatic diseases in the general adult population of Greece: the ESORDIG study. Rheumatology (Oxford) 2005; 44 (07) 932-938
    CrossrefPubMedGoogle Scholar
  • 31 Ingvarsson T. Prevalence and inheritance of hip osteoarthritis in Iceland. Acta Orthop Scand 2001; 72 (01) 1-46
    CrossrefPubMedGoogle Scholar
  • 32 Ackerman IN, Kemp JL, Crossley KM, Culvenor AG, Hinman RS. Hip and knee osteoarthritis affects younger people, too. J Orthop Sports Phys Ther 2017; 47 (02) 67-79
    CrossrefPubMedGoogle Scholar
  • 33 Hernández BJC. Coxalgia en el niño: Diagnóstico diferencial. Rev Chil Pediatr 2004; 75 (02) 177-180
    PubMedGoogle Scholar
  • 34 Biblioteca del Congreso Nacional de Chile. Indicadores socio-demográficos y económicos Región de La Araucanía. 2017
    PubMedGoogle Scholar
  • 35 Pérez-Bravo F, Carrasco E, Santos JL, Calvillán M, Larenas G, Albala C. Prevalence of type 2 diabetes and obesity in rural Mapuche population from Chile. Nutrition 2001; 17 (03) 236-238
    CrossrefPubMedGoogle Scholar
  • 36 Pérez F, Carrasco E, Santos JL, Calvillán M, Albala C. Prevalencia de obesidad, hipertensión arterial y dislipidemia en grupos aborígenes rurales de Chile. Rev Med Chil 1999; 127 (10) 1169-1175
    CrossrefPubMedGoogle Scholar
  • 37 Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum 1987; 30 (08) 914-918
    CrossrefPubMedGoogle Scholar
  • 38 Schäfer T, Pritzkuleit R, Jeszenszky C. et al. Trends and geographical variation of primary hip and knee joint replacement in Germany. Osteoarthritis Cartilage 2013; 21 (02) 279-288
    CrossrefPubMedGoogle Scholar