Incidence of fatigue symptoms and diagnoses presenting in UK primary care from 1990 to 2001
| Autor: | Janice M Thomas, Peter D White, Arlene M. Gallagher, William Hamilton |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
musculoskeletal diseases
Change over time Adult Male medicine.medical_specialty Pediatrics Fibromyalgia Primary care 03 medical and health sciences 0302 clinical medicine Age Distribution Epidemiology medicine Chronic fatigue syndrome Humans 030212 general & internal medicine Letters Medical diagnosis Sex Distribution Fatigue Fatigue Syndrome Chronic business.industry Incidence (epidemiology) Incidence Original Articles General Medicine medicine.disease United Kingdom 030227 psychiatry Physical therapy Regression Analysis Female Fatigue symptoms business |
| Zdroj: | Journal of the Royal Society of Medicine. 97(12) |
| ISSN: | 0141-0768 |
| Popis: | Little is known about whether the incidence of symptoms of fatigue presented in primary care, and the consequent diagnoses made, change over time. The UK General Practice Research Database was used to investigate the annual incidence of both fatigue symptoms and diagnoses recorded in UK primary care from 1990 to 2001. The overall incidence of all fatigue diagnoses decreased from 87 per 100000 patients in 1990 to 49 in 2001, a reduction of 44%, while postviral fatigue syndromes decreased from 81% of all fatigue diagnoses in 1990 to 60% in 2001. Chronic fatigue syndrome (CFS) and myalgic encephalomyelitis (ME) together increased from 9% to 26% of all fatigue diagnoses. The incidence of fibromyalgia increased from less than 1 per 100000 to 35 per 100000. In contrast, there was no consistent change in the incidence of all recorded symptoms of fatigue, with an average of 1503 per 100000, equivalent to 1.5% per year. CFS/ME and fibromyalgia were rarely diagnosed in children and were uncommon in the elderly. All symptoms and diagnoses were more common in females than in males. The overall incidence of fatigue diagnoses in general has fallen, but the incidence rates of the specific diagnoses of CFS/ME and fibromyalgia have risen, against a background of little change in symptom reporting. This is likely to reflect fashions in diagnostic labelling rather than true changes in incidence. |
| Databáze: | OpenAIRE |
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