Temporal Trends and Demographic Evaluation of Hospitalizations Due to Osteoarthritis

Abstract

Objective To describe the temporal trends of osteoathritis (OA) according to hospital discharges considering anatomical location, distribution by gender, age, more frequent conditions, and geographic location in Chile between 2012 and 2018.

Methodology A retrospective, descriptive and population study which analyzed the public databases of the Department of Health Statistics and Information (Departamento de Estadísticas e Información en Salud, DEIS, in Spanish) of the Ministry of Health of Chile, in particular the records with codes M15 through M19. Rates per 100 thousand hospital discharges were calculated, as well as the percentage of OA according to the categories analyzed.

Results A total of 11,622,605 hospital discharges were found between 2012 and 2018. The total number of hospital discharges due to OA was of 78,700. The distribution by gender was similar over the years (∼ 40% and 60% among men and women respectively). Adults aged between 65 and 79 years were the most affected, and their average rate was of 2,046 per 100 thousand discharges. It was also the group that presented the highest increase (60%) in rate from 2012 to 2018. The Metropolitan Region (291.7 discharges) and Valparaíso (89.6 discharges) presented the highest rates in Chile. The hip (56.6%) and knee (31%) were the most frequent locations of OA, which presented similar distribution by gender, age and geography when compared with the total discharges due to OA.

Conclusions Hospital discharges due to OA in Chile increased between 2012 and 2018, preferentially in cases of hip and knee-joint OA in the group of elderly women in the central area of the country

Level of evidence: Descriptive study.

Keywords

osteoarthritis - prevalence - hospital discharges - Chile - hip osteoarthritis - knee osteoarthritis

Publication History

Received: 21 August 2020

Accepted: 04 February 2021

Article published online:
30 September 2021

• References

• 1 Cillero Pastor B, López Armada M, Caramés B, Blanco García F. Fisiopatología de la artrosis: ¿Cuál es la actualidad?. Rev Esp Reumatol 2004; 31 (06) 379-393
• 2 Martínez Figueroa R, Martínez Figueroa C, Calvo Rodriguez R, Figueroa Poblete D. Osteoartritis (artrosis) de rodilla. Rev. Chil. Ortop. y Traumatol. 2015; 56 (03) 45-51
• 3 Hunter DJ, McDougall JJ, Keefe FJ. The symptoms of osteoarthritis and the genesis of pain. Rheum Dis Clin North Am 2008; 34 (03) 623-643
• 4 Nelson AE. Osteoarthritis year in review 2017: clinical. Osteoarthritis Cartilage 2018; 26 (03) 319-325
• 5 Garriga XM. Definición, etiopatogenia, clasificación y formas de presentación. Aten Primaria 2014; 46 (Suppl. 01) 3-10
• 6 Moskowitz RW. The burden of osteoarthritis: clinical and quality-of-life issues. Am J Manag Care 2009; 15 (8, Suppl) S223-S229
• 7 Kloppenburg M, Berenbaum F. Osteoarthritis year in review 2019: epidemiology and therapy. Osteoarthritis Cartilage 2020; 28 (03) 242-248
• 8 Neogi T. The epidemiology and impact of pain in osteoarthritis. Osteoarthritis Cartilage 2013; 21 (09) 1145-1153
• 9 Neogi T, Zhang Y. Epidemiology of osteoarthritis. Rheum Dis Clin North Am 2013; 39 (01) 1-19
• 10 Arden N, Nevitt MC. Osteoarthritis: epidemiology. Best Pract Res Clin Rheumatol 2006; 20 (01) 3-25
• 11 Altman RD. Early management of osteoarthritis. Am J Manag Care 2010; 16 (Suppl Management): S41-S47
• 12 Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003; 81 (09) 646-656
• 13 Danielsson L, Hernborg J. Morbidity and mortality of osteoarthritis of the knee (gonarthrosis) in Malmö, Sweden. Clin Orthop Relat Res 1970; 69 (69) 224-226
• 14 Peláez-Ballestas I, Sanin LH, Moreno-Montoya J. et al; Grupo de Estudio Epidemiológico de Enfermedades Músculo Articulares (GEEMA). Epidemiology of the rheumatic diseases in Mexico. A study of 5 regions based on the COPCORD methodology. J Rheumatol Suppl 2011; 86: 3-8
• 15 Senna ER, De Barros AL, Silva EO. et al. Prevalence of rheumatic diseases in Brazil: a study using the COPCORD approach. J Rheumatol 2004; 31 (03) 594-597
• 16 Gamboa DR. et al. Prevalencia de enfermedades reumatologicas y discapacidad en una comunidad urbano-marginal : resultados del primer estudio CoPCord en el Perú. Rev Per Reum. 2009; 15 (01) 40-46
• 17 Bilbeny N. Dolor Crónico En Chile. Rev Med Clin Las Condes 2019; 30 (06) 397-406
• 18 GOBIERNO DE CHILE. Ministerio de Salud. Decreto 170. Aprueba Garantias Explicitas en Salud del Regimen General de Garantias en Salud. 2005
• 19 MINISTERIO DE SALUD. Guía Clínica Tratamiento Médico en personas de 55 años y más con artrosis de cadera y/o rodilla, leve o moderada. 2009
• 20 Kiadaliri AA, Rinaldi G, Lohmander LS, Petersson IF, Englund M. Temporal trend and regional disparity in osteoarthritis hospitalisations in Sweden 1998-2015. Scand J Public Health 2019; 47 (01) 53-60
• 21 Morgan OJ, Hillstrom HJ, Ellis SJ. et al. Osteoarthritis in England: Incidence Trends From National Health Service Hospital Episode Statistics. ACR Open Rheumatol 2019; 1 (08) 493-498
• 22 Solis Cartas U. et al. Rasgos demográficos en la osteoartritis de rodilla. Rev. Cuba. Reumatol . RCuR 2015; 17 (01) 32-39
• 23 Instituto Nacional de Estadísticas. Resultados definitivos Censo 2017(Censo de Población y Vivienda 2017). https://www.censo2017.cl/wp-content/uploads/2017/12/Presentacion_Resultados_Definitivos_Censo2017.pdf
• 24 Guillou M, Carabantes C J, Bustos F V. Disponibilidad de médicos y especialistas en Chile. Rev Med Chil 2011; 139 (05) 559-570
• 25 Oficina de Estudios y Políticas Agrarias. Region de la Araucanía, Informacion regional 2018. 2018
• 26 Felson DT. Epidemiology of hip and knee osteoarthritis. Epidemiol Rev 1988; 10 (01) 1-28
• 27 Lespasio MJ, Sultan AA, Piuzzi NS. et al. Hip Osteoarthritis: A Primer. Perm J 2018; 22: 17-084
• 28 Dagenais S, Garbedian S, Wai EK. Systematic review of the prevalence of radiographic primary hip osteoarthritis. Clin Orthop Relat Res 2009; 467 (03) 623-637
• 29 Reginato AM, Riera H, Vera M. et al; Pan-American League of Associations for Rheumatology (PANLAR) Osteoarthritis Study Group. Osteoarthritis in Latin America: Study of Demographic and Clinical Characteristics in 3040 Patients. J Clin Rheumatol 2015; 21 (08) 391-397
• 30 Andrianakos AA, Miyakis S, Trontzas P. et al; ESORDIG study group. The burden of the rheumatic diseases in the general adult population of Greece: the ESORDIG study. Rheumatology (Oxford) 2005; 44 (07) 932-938
• 31 Ingvarsson T. Prevalence and inheritance of hip osteoarthritis in Iceland. Acta Orthop Scand 2001; 72 (01) 1-46
• 32 Ackerman IN, Kemp JL, Crossley KM, Culvenor AG, Hinman RS. Hip and knee osteoarthritis affects younger people, too. J Orthop Sports Phys Ther 2017; 47 (02) 67-79
• 33 Hernández BJC. Coxalgia en el niño: Diagnóstico diferencial. Rev Chil Pediatr 2004; 75 (02) 177-180
• 34 Biblioteca del Congreso Nacional de Chile. Indicadores socio-demográficos y económicos Región de La Araucanía. 2017
• 35 Pérez-Bravo F, Carrasco E, Santos JL, Calvillán M, Larenas G, Albala C. Prevalence of type 2 diabetes and obesity in rural Mapuche population from Chile. Nutrition 2001; 17 (03) 236-238
• 36 Pérez F, Carrasco E, Santos JL, Calvillán M, Albala C. Prevalencia de obesidad, hipertensión arterial y dislipidemia en grupos aborígenes rurales de Chile. Rev Med Chil 1999; 127 (10) 1169-1175
• 37 Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum 1987; 30 (08) 914-918
• 38 Schäfer T, Pritzkuleit R, Jeszenszky C. et al. Trends and geographical variation of primary hip and knee joint replacement in Germany. Osteoarthritis Cartilage 2013; 21 (02) 279-288