Comorbidity burden in terms of disability in patients with osteoarthritis in Mexico. The IMPACTAR registry.

Autor: Vega-Morales D; Universidad Autónoma de Nuevo León, Rheumatology Service and Internal Medicine Department at Hospital Universitario 'Dr. José Eleuterio González', Ave. Gonzalitos 235 Norte, Colonia Mitras Centro, Monterrey, C.P. 64020 Nuevo León, Mexico; Instituto Mexicano del Seguro Social, IMSS Hospital General de Zona Número 17, Fortunato Lozano 2627, Benito Juárez, Monterrey, C.P. 64420 Nuevo León, Mexico., Esquivel-Valerio JA; Universidad Autónoma de Nuevo León, Rheumatology Service and Internal Medicine Department at Hospital Universitario 'Dr. José Eleuterio González', Ave. Gonzalitos 235 Norte, Colonia Mitras Centro, Monterrey, C.P. 64020 Nuevo León, Mexico., Vázquez-Fuentes BR; Universidad Autónoma de Nuevo León, Rheumatology Service and Internal Medicine Department at Hospital Universitario 'Dr. José Eleuterio González', Ave. Gonzalitos 235 Norte, Colonia Mitras Centro, Monterrey, C.P. 64020 Nuevo León, Mexico., Díaz-Borjón A; Hospital Angeles Lomas, Av. Vialidad de la Barranca S/N. Col. Valle de las Palmas, C.P. 52763 Mexico City, Mexico., Arce-Salinas CA; Hospital Central Sur PEMEX, Division of Internal Medicine, Fuentes del Pedregal, Tlalpan, C.P. 14140 Mexico City, Mexico., Álvarez-Hernández E; Hospital General de Mexico, Doctor Balmis 148, Doctores, Delegación Cuahutemoc, C.P. 06726 Mexico City, Mexico., Torres-Roldán JF; Hospital Star Medica, San Luis Potosí 143, Roma Nte., C.P. 06700 Mexico City, Mexico., Aguilera-Zepeda JM; Hospital Médica Sur; Puente de Piedra 150, Pueblo Quieto, Tlalpan, C.P. 14050 Mexico City, Mexico., Toledo-Infanson V; Hospital General Agua Prieta, Servicios de Salud Sonora, Calle 12 y 13 Av 22S/NInt. 3, Agua Prieta, C.P. 84200 Sonora, Mexico., Alcántar-Luna E; Hospital Angeles del Carmen, Fracc. Monraz, Monraz, Guadalajara, C.P. 44670 Jalisco, Mexico., Aldrete-Velasco JA; Hospital Español de la Ciudad de México, Ejercito Nacional # 613, Granada, C.P. 11520 Mexico City, Mexico., Martínez Hernández JL; Hospital Angeles del Pedregal, Camino de Sta, Teresa 1055, Héroes de Padierna, C.P. 10700 Mexico City, Mexico., Gutiérrez-Gómez JJ; Private Practice, Av. 4a. Nte. Pte. 836, Guadalupe, Tuxtla Gutierrez, C.P. 29000 Chiapas, Mexico., Espinosa-Morales R; Instituto Nacional de Rehabilitación, Departamento de Reumatología, Calz México-Xochimilco 289, Arenal Tepepan, C.P. 14389 Mexico City, Mexico. Electronic address: rolespi@yahoo.com.
Jazyk: English; Spanish; Castilian
Zdroj: Reumatologia clinica [Reumatol Clin (Engl Ed)] 2020 Jun 17. Date of Electronic Publication: 2020 Jun 17.
DOI: 10.1016/j.reuma.2020.03.005
Abstrakt: Objective: To determine the comorbidities associated with disability in patients with OA in Mexico (2013-2015).
Material and Methods: A cross-sectional, retrospective and multicentre IMPACTAR study (n=7703) in Mexican patients (2013-2015). Comorbidities associated with disability were identified in 4971 patients diagnosed with OA from the IMPACTAR registry (n=7073). An adjusted logistic regression analysis was carried out by demographic, economic, clinical and medical variables.
Results: Mean age was 63 years; and 75% of the patients were women. Subjects with OA and presence of comorbidities are 42% more likely to develop disabilities than patients without associated comorbidity, considering age, sex, family income, OA diagnosis duration, and education level. The highest rate of people with disability (28.9%) was concentrated in Region 7, which corresponds to Mexico City. There are also significant differences between median family incomes, when the income of persons with disability is under $13 000 (IQR: 9000-16 000) Mexican pesos, compared to patients without disability. Almost half of the subjects (49.6%) reported having at least one comorbidity. Arterial hypertension was the risk factor with a statistically significant difference (32.8%) among those with disability (34.7%).
Conclusions: Programs and interventions for OA patients should take into consideration comorbidity factors, being female, family income, and the region of residence as variables that may increase the possibility of developing an OA-associated disability.
(Copyright © 2020 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.)
Databáze: MEDLINE
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