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International comparisons of the consultation prevalence of musculoskeletal conditions using population-based healthcare data from England and Sweden

Jordan, Kelvin P.; Jöud, Anna LU ; Bergknut, Charlotte LU ; Croft, Peter; Edwards, John J.; Peat, George; Petersson, Ingemar LU ; Turkiewicz, Aleksandra LU ; Wilkie, Ross and Englund, Martin LU (2014) In Annals of the Rheumatic Diseases 73(1). p.212-218
Abstract
Objectives To assess the consultation prevalence of musculoskeletal (MSK) conditions as presented in different healthcare systems, and to determine the feasibility of comparing prevalence figures between nations. Methods The settings were an English regional database (Consultations in Primary Care Archive (CiPCA)) and the Swedish Skane County Health Care Register. Case definitions, data extraction and analysis procedures were harmonised. The number of people consulting per 10000 registered population in primary care, and in primary or secondary care, in the year 2010 (annual consultation prevalence) were determined for doctor-diagnosed osteoarthritis (OA), rheumatoid arthritis (RA), low back pain, and spondyloarthritis including psoriatic... (More)
Objectives To assess the consultation prevalence of musculoskeletal (MSK) conditions as presented in different healthcare systems, and to determine the feasibility of comparing prevalence figures between nations. Methods The settings were an English regional database (Consultations in Primary Care Archive (CiPCA)) and the Swedish Skane County Health Care Register. Case definitions, data extraction and analysis procedures were harmonised. The number of people consulting per 10000 registered population in primary care, and in primary or secondary care, in the year 2010 (annual consultation prevalence) were determined for doctor-diagnosed osteoarthritis (OA), rheumatoid arthritis (RA), low back pain, and spondyloarthritis including psoriatic arthritis and ankylosing spondylitis (AS). Seven-year period consultation prevalences were also determined. Results Combining primary and secondary care, annual consultation prevalences of any MSK condition (2143 vs 1610/10000) and low back pain (587 vs 294/10000) were higher in England than in Sweden, but higher for RA, spondyloarthritis and psoriatic arthritis in Sweden. Annual primary care prevalence figures for OA (176 vs 196/10000), RA (25 vs 26/10000), spondyloarthritis (both 8/10000) and psoriatic arthritis (5 vs 3/10000) were similar between England and Sweden. AS was rarely recorded in Swedish primary care. These patterns were also observed for 7-year period consultation prevalences. Conclusions A rigorous methodological approach allowed feasible comparison of MSK consultation prevalence between England and Sweden. Differences in prevalence of inflammatory and unspecific pain conditions may be partially explained by known variations in healthcare systems and recording practice. Routine healthcare data offers potential for investigating variations in occurrence and outcome of MSK conditions between nations. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Epidemiology, Low Back Pain, Osteoarthritis, Rheumatoid Arthritis, Spondyloarthritis
in
Annals of the Rheumatic Diseases
volume
73
issue
1
pages
212 - 218
publisher
British Medical Association
external identifiers
  • wos:000327835100036
  • scopus:84889675764
ISSN
1468-2060
DOI
10.1136/annrheumdis-2012-202634
language
English
LU publication?
yes
id
b92fe7f3-9b21-4d61-8f83-401dedda4025 (old id 4272295)
date added to LUP
2014-02-10 12:19:09
date last changed
2017-10-22 04:14:20
@article{b92fe7f3-9b21-4d61-8f83-401dedda4025,
  abstract     = {Objectives To assess the consultation prevalence of musculoskeletal (MSK) conditions as presented in different healthcare systems, and to determine the feasibility of comparing prevalence figures between nations. Methods The settings were an English regional database (Consultations in Primary Care Archive (CiPCA)) and the Swedish Skane County Health Care Register. Case definitions, data extraction and analysis procedures were harmonised. The number of people consulting per 10000 registered population in primary care, and in primary or secondary care, in the year 2010 (annual consultation prevalence) were determined for doctor-diagnosed osteoarthritis (OA), rheumatoid arthritis (RA), low back pain, and spondyloarthritis including psoriatic arthritis and ankylosing spondylitis (AS). Seven-year period consultation prevalences were also determined. Results Combining primary and secondary care, annual consultation prevalences of any MSK condition (2143 vs 1610/10000) and low back pain (587 vs 294/10000) were higher in England than in Sweden, but higher for RA, spondyloarthritis and psoriatic arthritis in Sweden. Annual primary care prevalence figures for OA (176 vs 196/10000), RA (25 vs 26/10000), spondyloarthritis (both 8/10000) and psoriatic arthritis (5 vs 3/10000) were similar between England and Sweden. AS was rarely recorded in Swedish primary care. These patterns were also observed for 7-year period consultation prevalences. Conclusions A rigorous methodological approach allowed feasible comparison of MSK consultation prevalence between England and Sweden. Differences in prevalence of inflammatory and unspecific pain conditions may be partially explained by known variations in healthcare systems and recording practice. Routine healthcare data offers potential for investigating variations in occurrence and outcome of MSK conditions between nations.},
  author       = {Jordan, Kelvin P. and Jöud, Anna and Bergknut, Charlotte and Croft, Peter and Edwards, John J. and Peat, George and Petersson, Ingemar and Turkiewicz, Aleksandra and Wilkie, Ross and Englund, Martin},
  issn         = {1468-2060},
  keyword      = {Epidemiology,Low Back Pain,Osteoarthritis,Rheumatoid Arthritis,Spondyloarthritis},
  language     = {eng},
  number       = {1},
  pages        = {212--218},
  publisher    = {British Medical Association},
  series       = {Annals of the Rheumatic Diseases},
  title        = {International comparisons of the consultation prevalence of musculoskeletal conditions using population-based healthcare data from England and Sweden},
  url          = {http://dx.doi.org/10.1136/annrheumdis-2012-202634},
  volume       = {73},
  year         = {2014},
}