ABSTRACT
OBJETIVO: Calcular la prevalencia y describir las principales características demográficas del síndrome de Sjögren en Colombia. MATERIAL Y MÉTODOS: Estudio descriptivo de corte transversal en el que se tomaron los datos del Sistema Integral de Información de la Protección Social del Ministerio de Salud de Colombia, durante los años 2012 a 2016. RESULTADOS: Se identificaron 58.680 casos, calculándose una prevalencia en mayores de 18 años de 0,12%. El 82% son mujeres, con una relación mujer:hombre de 4,6:1, con prevalencia mayor entre el grupo etario de 65 a 69 años. Los departamentos con mayor número de casos son Bogotá DC (24.885), Antioquia (9.040) y Valle del Cauca (5.277), sin embargo, los departamentos con mayor prevalencia fueron Caldas (0,42%), Bogotá DC (0,32%) y Antioquia (0,14%). CONCLUSIONES: Se presenta información demográfica y epidemiológica del síndrome de Sjögren en Colombia. Existen muy pocos estudios epidemiológicos de esta enfermedad, sin embargo, se documentó una prevalencia similar a la reportada a países de la región como Brasil (0,17%) y Argentina (0,17%)
OBJECTIVE: To calculate the prevalence and describe the main demographic characteristics of Sjögren's syndrome in adults in Colombia. MATERIAL AND METHODS: Descriptive cross-sectional study which utilized data from the Integral Information System of Social Protection of the Ministry of Health of the Republic of Colombia during the years 2012 to 2016. RESULTS: 58,680 cases of Sjögren's syndrome were identified, with a prevalence in those over 18 years of age of 0.12%; 82% were women, with a female:male ratio of 4.6:1, with a higher prevalence in the age group of 65 to 69 years. The departments with the highest numbers of cases were Bogotá DC (24,885), Antioquia (9,040) and Valle del Cauca (5,277); however, the departments with the highest prevalences were Caldas (0.42%), Bogotá DC (0.32%) and Antioquia (0.14%). CONCLUSIONS: We present demographic and epidemiological information on Sjögren's syndrome in Colombia. There are very few epidemiological studies of this disorder. However, a prevalence similar to that reported in countries of the region such as Brazil (0.17%) and Argentina (0.17%) was documented
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Young Adult , Adult , Middle Aged , Aged , Aged, 80 and over , Sjogren's Syndrome/epidemiology , Cross-Sectional Studies , Information Systems , Colombia/epidemiology , PrevalenceABSTRACT
OBJECTIVE: To calculate the prevalence and describe the main demographic characteristics of Sjögren's syndrome in adults in Colombia. MATERIAL AND METHODS: Descriptive cross-sectional study which utilized data from the Integral Information System of Social Protection of the Ministry of Health of the Republic of Colombia during the years 2012 to 2016. RESULTS: 58,680 cases of Sjögren's syndrome were identified, with a prevalence in those over 18 years of age of 0.12%; 82% were women, with a female:male ratio of 4.6:1, with a higher prevalence in the age group of 65 to 69 years. The departments with the highest numbers of cases were Bogotá DC (24,885), Antioquia (9,040) and Valle del Cauca (5,277); however, the departments with the highest prevalences were Caldas (0.42%), Bogotá DC (0.32%) and Antioquia (0.14%). CONCLUSIONS: We present demographic and epidemiological information on Sjögren's syndrome in Colombia. There are very few epidemiological studies of this disorder. However, a prevalence similar to that reported in countries of the region such as Brazil (0.17%) and Argentina (0.17%) was documented.
Subject(s)
Sjogren's Syndrome/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Colombia/epidemiology , Cross-Sectional Studies , Female , Humans , Infant , Infant, Newborn , Male , Middle Aged , Prevalence , Registries , Young AdultABSTRACT
Our study describes the clinical characteristics of patients with fragility fractures. It also shows there is a low knowledge about osteoporosis and its relation to fractures, in addition to the very poor adherence to medical advice and treatment. INTRODUCTION: Osteoporosis is a systemic skeletal disease associated with an increased risk of fragility fractures and is a public health problem worldwide due to population aging. Early osteoporosis diagnosis and treatment is very important for reducing the incidence of fragility fractures and the resulting complications. Our study describes the clinical characteristics of patients with fragility fractures and their risk factors, evaluates the level of knowledge that patients have about osteoporosis, and follows-up on each case to establish if, after the fracture, a densitometric diagnosis was made and the patient received specific treatment in his outpatient follow-up through his health insurance plan. METHODS: A descriptive cross-sectional study was carried out in a university hospital in Bogotá, Colombia. The data was collected by means of a questionnaire, administered to all patients admitted by the orthopedic emergency department with a diagnosis of fragility fracture. After discharge, a telephone follow-up was done every 3 months for 1 year, and patients were asked if they had already had the dual X-ray absorptiometry (DXA) scan and if they had begun osteoporosis treatment. RESULTS: A total of 111 patients with an average age of 74.4 years (± 11.3 years), of which 84 (75.6%) were women, all consulted for osteoporotic fracture at the orthopedic emergency department of the hospital. Hip fracture was the most frequent (51.4%), followed by vertebral (23.4%), wrist (22.5%), and humerus (4.5%) fracture. A total of 49.5% (n = 55) of the patients did not know what osteoporosis is; 58.6% (n = 65) did not know that fracture is the main complication of this disease, and 62.2% (n = 69) did not associate fractures with osteoporosis. All patients were educated about osteoporosis and the importance of diagnosing and treating it. Patients were given a medical order to have a DXA scan upon discharge; however, only 24.3% (n = 27) had the DXA scan in the first year of the fracture. A total of 33.3% (n = 37) received calcium plus vitamin D, and only 9.9% (n = 11) received osteoporosis treatment (7 bisphosphonate patients and 4 denosumab). No patient received osteoformative therapy. CONCLUSIONS: Our study shows that Colombian patients have little knowledge about osteoporosis and its relationship with fragility fractures. It also shows that densitometries are not done and, what is worse, patients with a diagnosis of fracture have limited access to treatment after discharge.
Subject(s)
Bone Density Conservation Agents/therapeutic use , Osteoporosis/prevention & control , Osteoporotic Fractures/prevention & control , Absorptiometry, Photon , Aged , Aged, 80 and over , Colombia/epidemiology , Cross-Sectional Studies , Denosumab/therapeutic use , Diphosphonates/therapeutic use , Emergency Service, Hospital/statistics & numerical data , Female , Hip Fractures/epidemiology , Hip Fractures/physiopathology , Hip Fractures/prevention & control , Hospitalization/statistics & numerical data , Humans , Incidence , Male , Middle Aged , Osteoporosis/epidemiology , Osteoporosis/physiopathology , Osteoporotic Fractures/physiopathology , Risk Factors , Vitamin D/therapeutic useABSTRACT
RESUMEN Objetivo: Calcular la prevalencia y describir las principales características demográficas de la artritis reumatoide en adultos en Colombia. Materiales y métodos: Estudio descriptivo de corte transversal en el que se tomaron los datos del Sistema Integral de Información de la Protección Social del Ministerio de Salud, durante los arios 2012-2016. Resultados: Se identificaron 248.995 casos, lo que permite calcular una prevalencia en mayores de 18 años del 0,52%, de los cuales el 80,7% son mujeres, con una relación mujer: hombre de 4,2: 1, con mayor prevalencia entre el grupo etario de 70 a 74 años. Los departamentos con mayor número de casos son Bogotá D.C. (64.121), seguido de Antioquia (43.771); sin embargo, los departamentos con mayor prevalencia fueron Cesar (1,13%), Casanare (0,96%) y Risaralda (0,93%). Conclusiones: Se presenta información demográfica y epidemiológica de artritis reumatoide en Colombia. Se documentó una prevalencia concordante con datos de la región, similar a Brasil (0,46%), Venezuela (0,4%) y Perú (0,55%), menor que Argentina (0,94%) y México (1,6%).
ABSTRACT Objective: To estimate the prevalence and describe the main demographic characteristics of rheumatoid arthritis in adults in Colombia. Material and methods: A descriptive cross-sectional study was conducted using the data taken from the Integral Information System of Social Protection of the Ministry of Health during the years 2012-2016. Results: A total of 248,995 cases were identified, which gave an estimated prevalence of 0.52% in those older than 18 years of age. The large majority (80.7% were women, with a female: male ratio of 4.2:1, and there was a higher prevalence in the 70-74 years age group. The departments with the highest number of cases were Bogota DC (64,121), followed by Antioquia (43,771), but the departments with the highest prevalence were Cesar (1.13%), Casanare (0.96%), and Risaralda (0.93%). Conclusions: Demographic and epidemiological information on rheumatoid arthritis in Colombia is presented. A similar prevalence is reported in other studies from the region, like Brazil (0.46%), Venezuela (0.4%), or Peru (0.55%), but lower than Argentina (0.94%) or Mexico (1.6%).
