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Vol. 14. Num. 5.September - October 2018
Pages 251-316
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Vol. 14. Num. 5.September - October 2018
Pages 251-316
Original Article
DOI: 10.1016/j.reumae.2017.01.013
Prevalence of Musculoskeletal Manifestations and Related Disabilities in a Peruvian Urban Population Living at High Altitude. COPCORD Study. Stage I
Prevalencia de manifestaciones musculoesqueléticas y discapacidad asociada en una población peruana urbana habitante a gran altura. Estudio COPCORD. Estadio I
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Oscar Vega-Hinojosaa,
Corresponding author
vegalines@hotmail.com

Corresponding author.
, Mario H. Cardielb, Pilar Ochoa-Mirandac
a Unidad de Investigación, Clínica Reumacenter, Juliaca, Puno, Peru
b Centro de Investigación Clínica de Morelia, Morelia, Mich, Mexico
c Departamento de Medicina, Hospital III, EsSalud Red Asistencial Puno, Puno, Peru
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Figures (2)
Tables (3)
Table 1. Main Demographic Characteristics, n=1095.
Table 2. Site and Level of Pain During the Preceding 7 Days, by Sex. N=1095 (%).
Table 3. Site and Level of Pain Prior to the Preceding 7 Days, by Sex. N=1095 (%).
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Abstract
Objective

Estimate the prevalence of musculoskeletal manifestations and related disabilities of an urban population living at high altitude in Juliaca, Puno, Peru, using the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) questionnaire and Health Assessment Questionnaire (HAQ) Disability Index.

Methods

A cross-sectional study was performed in a sample of 1095 people. In each interview, the COPCORD methodology and the HAQ were applied. The city was divided into 8 sectors.

Results

In all, 614 (56.1%) women were evaluated; 44% were from the Quechua community and 5.1% were Aymara. Before the final 7 days of the study, 132 people (12.05%; 95% CI 9.99–14.11) reported musculoskeletal pain. During the final 7 days of the study, 347 people (31.69%; 95% CI 28.36–35.02) who were predominately women (218; 35.5%; 95% CI 30.8–40.2) reported musculoskeletal pain. The most frequent rheumatic diseases were rheumatoid arthritis (1.27%), gout (0.64%), hand osteoarthritis (OA) (2.83%), knee OA (1.55%), hip OA (0.37%), fibromyalgia (1.09%), and soft tissue rheumatism (8.86%). The HAQ showed an incremental increase proportional to age. The HAQ average for the population was 0.18 (±0.36). Ten people (5.71%) of 175 with rheumatic disease received the services of a shaman.

Conclusion

It is the first COPCORD study in an urban native population living at high altitude in Peru. The population affected by chronic rheumatic disease preferred professional rather than traditional care; this population had access to limited medical services. Impaired functional capacity measured by HAQ was associated with advanced age.

Keywords:
Prevalence
Native Peruvians
Rheumatic diseases
Resumen
Objetivo

Estimar la prevalencia de manifestaciones musculoesqueléticas y discapacidad en la población urbana habitante a gran altura de Juliaca, Puno, Perú; utilizando el cuestionario COPCORD y HAQ-DI.

Métodos

Se realizó un estudio transversal en muestra de 1.095 personas. En cada entrevista se desarrolló la metodología COPCORD y el Health Assessment Questionnaire (HAQ) Disability Index (DI). El plano urbano fue dividido en ocho sectores.

Resultados

Fueron evaluadas 614 (56,1%) mujeres; 44% pertenecieron a la raza quechua y 5,1% a aymara. Reportaron dolor ME en los últimos 7 días 347 personas (31,69%; IC 95% 28,36–35,02), con predominio en mujeres (218; 35,5%; IC 95% 30,8–40,2); y 132 personas, antes de los 7 días (12,05%; IC 95% 9,99–14,11). Las patologías reumáticas más frecuentes fueron AR: 1,27%, gota de 0,64%, OA de manos: 2,83%, OA de rodillas: 1,55%, OA de cadera 0,37%, fibromialgia: 1,09%, reumatismo de partes blandas: 8,86%. La evolución del HAQ-DI tuvo un incremento progresivo proporcional a la edad. El promedio de HAQ-DI de la población fue 0,18 (±0,36). De ciento setenta y cinco personas con una condición reumática, 10 (5,71%) acudían al servicio de un chamán.

Conclusión

Es el primer estudio COPCORD en una población originaria urbana habitante a gran altura en el Perú. La población afectada de una enfermedad reumática crónica, prefería la atención profesional en lugar a la tradicional; población que a su vez contaba con escasa oferta de servicios médicos. El deterioro de la capacidad funcional medida por HAQ-DI se asoció con el incremento de la edad.

Palabras clave:
Prevalencia
Nativos peruanos
Enfermedades reumáticas

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