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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">El estudio ArtRoCad analiza el consumo de recursos sanitarios y la repercusi&#243;n socioecon&#243;mica de la artrosis de rodilla y cadera en atenci&#243;n primaria en Espa&#241;a&#46; En este trabajo se describe la metodolog&#237;a del estudio ArtRoCad&#44; y se presentan las principales caracter&#237;sticas de la poblaci&#243;n incluida&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio transversal&#44; de pacientes ambulantes&#44; de 50 o m&#225;s a&#241;os&#44; diagnosticados de artrosis de rodilla o cadera y dolor durante 3 meses en el &#250;ltimo a&#241;o en atenci&#243;n primaria&#59; seleccionados de forma consecutiva a escala estatal&#44; de forma proporcional a la poblaci&#243;n general de 50 o m&#225;s a&#241;os&#46; La localizaci&#243;n m&#225;s importante de demanda de atenci&#243;n sanitaria se consider&#243; articulaci&#243;n se&#241;al&#46; El estudio se realiz&#243; en octubre y noviembre de 2003&#46; Se recogi&#243; informaci&#243;n acerca de los datos cl&#237;nicos&#44; de calidad de vida&#44; y consumo de recursos sanitarios y bajas laborales o d&#237;as de incapacidad en los &#250;ltimos 6 meses&#44; mediante 2 entrevistas estructuradas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Particip&#243; el 87&#37; de los m&#233;dicos previstos por el muestreo&#44; que aport&#243; un 82&#37; del tama&#241;o muestral predeterminado&#46; En total se entrevistaron 1&#46;071 pacientes&#44; con la siguiente distribuci&#243;n por articulaciones se&#241;al&#58; rodilla 710 &#40;66&#44;3&#37;&#41;&#44; cadera 252 &#40;23&#44;5&#37;&#41; y ambas 109 &#40;10&#44;2&#37;&#41;&#46; El 75&#37; de la muestra ten&#237;a 65 o m&#225;s a&#241;os y el 74&#37; eran mujeres&#46; La mayor&#237;a de los enfermos estaba afectada de artrosis moderada o severa&#44; con una mediana de evoluci&#243;n del dolor de entre 6 y 10 a&#241;os&#46; En m&#225;s de la mitad de los casos&#44; los pacientes ten&#237;an limitaci&#243;n adicional por problemas osteomusculares distintos a la artrosis de rodilla y&#47;o cadera&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">ArtRoCad obtuvo una excelente participaci&#243;n&#46; La muestra obtenida es representativa de la poblaci&#243;n con artrosis sintom&#225;tica de rodilla y cadera moderada o grave atendida en atenci&#243;n primaria&#44; con una importante comorbilidad&#46;</p>"
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Información de la revista
Vol. 2. Núm. 5.
Páginas 224-234 (septiembre - octubre 2006)
Vol. 2. Núm. 5.
Páginas 224-234 (septiembre - octubre 2006)
Originales
Acceso a texto completo
Implementación y características de la población del estudio ArtRoCad, una aproximación al consumo de recursos y repercusión socioeconómica de la artrosis de rodilla y cadera en atención primaria
ArtRoCad: health resources utilization and socioeconomic impact of knee and hip osteoarthritis. I. Methods and population characteristics
Visitas
11461
Enrique Batlle-Gualdaa,
Autor para correspondencia
batlle_enr@gva.es

Correspondencia: Dr. E. Batlle-Gualda. Servicio de Reumatología. Hospital General de Alicante. Pintor Baeza, s/n. 03010 Alicante. España.
, Loreto Carmonab, Diana Gavrilac, Emilio Ildefonso García Criadod, Raquel Ruiz Miravallesb, Jordi Carbonell Abellóe, Grupo Artrocad *
a Sección de Reumatología. Hospital General Universitario de Alicante. Alicante. España
b Unidad de Investigación. Fundación Española de Reumatología. Madrid. España
c Servicio Epidemiología. Consejería de Sanidad y Consumo. Murcia. España
d Médico de Familia. Centro de Salud de El Carpio. Córdoba. España
e Servicio de Reumatología. Hospital del Mar i de l’Esperança. Barcelona. España
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Resumen
Bibliografía
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Estadísticas
Objetivo

El estudio ArtRoCad analiza el consumo de recursos sanitarios y la repercusión socioeconómica de la artrosis de rodilla y cadera en atención primaria en España. En este trabajo se describe la metodología del estudio ArtRoCad, y se presentan las principales características de la población incluida.

Métodos

Estudio transversal, de pacientes ambulantes, de 50 o más años, diagnosticados de artrosis de rodilla o cadera y dolor durante 3 meses en el último año en atención primaria; seleccionados de forma consecutiva a escala estatal, de forma proporcional a la población general de 50 o más años. La localización más importante de demanda de atención sanitaria se consideró articulación señal. El estudio se realizó en octubre y noviembre de 2003. Se recogió información acerca de los datos clínicos, de calidad de vida, y consumo de recursos sanitarios y bajas laborales o días de incapacidad en los últimos 6 meses, mediante 2 entrevistas estructuradas.

Resultados

Participó el 87% de los médicos previstos por el muestreo, que aportó un 82% del tamaño muestral predeterminado. En total se entrevistaron 1.071 pacientes, con la siguiente distribución por articulaciones señal: rodilla 710 (66,3%), cadera 252 (23,5%) y ambas 109 (10,2%). El 75% de la muestra tenía 65 o más años y el 74% eran mujeres. La mayoría de los enfermos estaba afectada de artrosis moderada o severa, con una mediana de evolución del dolor de entre 6 y 10 años. En más de la mitad de los casos, los pacientes tenían limitación adicional por problemas osteomusculares distintos a la artrosis de rodilla y/o cadera.

Conclusiones

ArtRoCad obtuvo una excelente participación. La muestra obtenida es representativa de la población con artrosis sintomática de rodilla y cadera moderada o grave atendida en atención primaria, con una importante comorbilidad.

Palabras clave:
Artrosis rodilla
Artrosis cadera
Costes
Epidemiología
Atención primaria
Objective

The ArtRoCad study analyzes healthcare resource utilization and the socioeconomic impact of knee and hip osteoarthritis in primary care in Spain. The present study describes the methodology of the ArtRoCad study and presents the main characteristics of the population included.

Methods

We performed a cross-sectional study of ambulatory patients in primary care, aged ≥ 50 years old, with a diagnosis of knee or hip osteoarthritis and a history of pain for 3 months in the previous year. The patients were selected consecutively on a country-wide basis, proportional to the general population aged ≥ 50 years. The most important localization for healthcare demand was considered the main affected joint. The study was performed in October and November, 2003. Information on clinical data, quality of life and resource consumption, sick leave from work or days of disability in the previous 6 months were gathered through 2 structured interviews.

Results

Eighty-seven percent of the physicians predicted by sampling participated in the study, accounting for 82% of the predetermined sample size. A total of 1,071 patients were interviewed. The distribution of the main affected joint was as follows: knee 710 (66.3%), hip 252 (23.5%) and both knee and hip 109 (10.2%). Seventy-five percent of the sample was aged 65 years or older and 74% were women. Most of the patients had moderate or severe osteoarthritis with a median pain duration of between 6 and 10 years. More than half the patients experienced additional limitations due to musculoskeletal problems other than knee and/or hip osteoarthritis.

Conclusions

Participation in the ArtRoCad study was excellent. The sample obtained was representative of the population with symptomatic moderate or severe osteoarthritis of the knee and hip in primary care, with substantial comorbidity.

Key words:
Knee osteoarthritis
Hip osteoarthritis
Costs
Epidemiology
Primary care
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Al final del manuscrito se relaciona la lista de participantes del Grupo ArtRoCad.

Copyright © 2006. Elsevier España S.L. Barcelona
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