Email this article Prevalence of rheumatoid arthritis in Russia (according to epidemiological findings)
- Authors: Galushko E.A.1, Erdes S.F.1, Bazorkina D.I.1, Bol'shakova T.Y.1, Vinogradova I.B.1, Lesnyak O.M.1, Men'shikova L.V.1, Myasoedova S.E.1, Protopopova R.N.1, Chernykh T.M.1, Galushko EA2, Erdes S.F2, Bazorkina DI3, Bolshakova TY.4, Vinogradova IB5, Lesnyak OM6, Menshikova LV7, Myasodoyeva SE8, Protopopova RN9, Chernykh TM10
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Affiliations:
- Institute of Rheumatology, Russian Academy of Medical Sciences
- Regional Clinical Hospital
- Krasnoyarsk State Medical Academy
- Ulyanovsk Regional Clinical Hospital One
- Department of Family Medicine, Urals State Medical Academy
- Ikrutsk Institute for Postgraduate Training of Physicians
- Ivanovo Medical Academy
- Institute of Health, Academy of Sciences of the Republic of Sakha
- Voronezh State Medical Academy
- Issue: Vol 82, No 5 (2010)
- Pages: 9-14
- Section: Editorial
- URL: https://ter-arkhiv.ru/0040-3660/article/view/30562
- ID: 30562
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Abstract
Subjects and methods. During a questionnaire survey of 37057 adults of Russia, patients with complaints of articular swelling (n = 4975) were selected; of the latter a group (n = 3420) was randomly formed to be clinically examined by rheumatologists in order to detect RA. The 1987 ACR criteria were used for its diagnosis.
Results. According to the data of the questionnaire survey, RA was diagnosed in 159 (4.6%) of the 3420 patients with complaints of articular swelling. The prevalence of RA in Russia averaged 0.61%. Among the respondents who complained about articular swelling during the questionnaire survey, 258 (7.5%) respondents considered to have RA before rheumatological examination. While comparing the diagnoses reported by the respondents during the survey and the final diagnosis established by a specialist, RA was confirmed only in 61 (24%) patients. Out of all the identified patients with RA (n = 159), only 61 (38%) were aware of their diagnosis. In RA patients with less than one-year articular complaints (n = 24), 17% were familiar with their diagnosis; the diagnosis was first made in the others (n = 20). Among the patients with long-term articular complaints (n = 135), 42% were aware of their diagnosis.
Conclusion. The epidemiological survey indicated that the number of patients with RA were twice higher than those given in the official statistics of the Russian Federation (671,000 versus 300,000, respectively). In outpatient practice, RA is correctly diagnosed only in 38% of cases. There is a significant hyperdiagnosis of this disease. The duration of articular complaints affects the establishment of the diagnosis of RA.
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About the authors
Elena Andreevna Galushko
Shandor Fedorovich Erdes
Danna Idrisovna Bazorkina
Tat'yana Yur'evna Bol'shakova
Irina Borisovna Vinogradova
Ol'ga Mikhaylovna Lesnyak
Larisa Vasil'evna Men'shikova
Svetlana Evgen'evna Myasoedova
Raisa Nikolaevna Protopopova
Tat'yana Mikhaylovna Chernykh
E A Galushko
Institute of Rheumatology, Russian Academy of Medical SciencesInstitute of Rheumatology, Russian Academy of Medical Sciences
Sh F Erdes
Institute of Rheumatology, Russian Academy of Medical SciencesInstitute of Rheumatology, Russian Academy of Medical Sciences
D I Bazorkina
Regional Clinical HospitalRegional Clinical Hospital
T Yu Bolshakova
Krasnoyarsk State Medical AcademyKrasnoyarsk State Medical Academy
I B Vinogradova
Ulyanovsk Regional Clinical Hospital OneUlyanovsk Regional Clinical Hospital One
O M Lesnyak
Department of Family Medicine, Urals State Medical AcademyDepartment of Family Medicine, Urals State Medical Academy
L V Menshikova
Ikrutsk Institute for Postgraduate Training of PhysiciansIkrutsk Institute for Postgraduate Training of Physicians
S E Myasodoyeva
Ivanovo Medical AcademyIvanovo Medical Academy
R N Protopopova
Institute of Health, Academy of Sciences of the Republic of SakhaInstitute of Health, Academy of Sciences of the Republic of Sakha
T M Chernykh
Voronezh State Medical AcademyVoronezh State Medical Academy
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