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Available online 26 June 2022
Decrease in osteoarticular tuberculosis in Spain between 1997 and 2018
Disminución de la tuberculosis osteoarticular en España entre 1997 y 2018
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Isabel León Rubio
Corresponding author
isabel.leon.rubio@hotmail.com

Corresponding author.
, Guerrero Espejo
Grupo de Investigación de Enfermedades Infecciosas, Facultad de Medicina y Odontología, Universidad Católica de Valencia «San Vicente Mártir», Valencia, Spain
Received 15 September 2021. Accepted 09 December 2021
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Abstract
Background and objective

osteoarticular tuberculosis represents 2%–5% of the manifestations of tuberculosis. The objective was to calculate the incidence and describe the epidemiological characteristics of patients with osteoarticular tuberculosis who received hospital care in Spain between 1997–2018.

Methods

A retrospective study was conducted of patients treated with osteoarticular tuberculosis in Spanish hospitals between 1997 and 2018, using the data from the Minimum Basic Data Set at hospital discharge, using the ICD-9-CM and ICD-10 codes.

Results

5710 patients with osteoarticular tuberculosis were detected over the 22 years in Spain. The mean annual incidence for the period was 6 cases per million inhabitants (95% CI 5.58–6.30). There was a significant difference between the mean annual incidence per million inhabitants of the first period (1997–2007) of 6.95 and that of the second (2008–2018) of 5.35 (p<.001).

Conclusions

The incidence of osteoarticular tuberculosis in Spain is low, has reduced over 22 years and predominates in men.

Keywords:
Osteoarticular tuberculosis
Tuberculosis
Epidemiology
Incidence
Spain
Resumen
Antecedentes y objetivo

la tuberculosis osteoarticular representa el 2-5% de las presentaciones de la tuberculosis. El objetivo fue calcular la incidencia y describir las características epidemiológicas de los pacientes con tuberculosis osteoarticular que recibieron atención hospitalaria en España entre 1997-2018.

Método

Se realizó un estudio retrospectivo de los pacientes atendidos con tuberculosis osteoarticular en los hospitales españoles entre los años 1997 y 2018, a través del Conjunto Mínimo Básico de Datos al alta hospitalaria, usando los códigos del CIE-9-MC y CIE-10.

Resultados principales

Se detectaron 5710 pacientes con tuberculosis osteoarticular durante los 22 años. La incidencia anual media del periodo se situó en 6 casos por millón de habitantes (IC95% 5,58-6,30). Existió una diferencia significativa entre la incidencia media anual por millón de habitantes del primer periodo (1997-2007) de 6,95 y la del segundo (2008-2018) de 5,35 (p<0,001).

Conclusión

La incidencia de la tuberculosis osteoarticular en España es baja, se ha reducido a lo largo de 22 años y predomina en hombres.

Palabras clave:
tuberculosis osteoarticular
tuberculosis
epidemiología
incidencia
España

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