Oscar Vega-Hinojosa1, Mario H Cardiel2, Pilar Ochoa-Miranda3. 1. Unidad de Investigación, Clínica Reumacenter, Juliaca, Puno, Perú. Electronic address: vegalines@hotmail.com. 2. Centro de Investigación Clínica de Morelia, Morelia, Mich, México. 3. Departamento de Medicina, Hospital III, EsSalud Red Asistencial Puno, Puno, Perú.
Abstract
OBJECTIVE: Estimate the prevalence of musculoskeletal manifestations and related disabilities of an urban population living at high altitude in Juliaca, Puno, Peru, using the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) questionnaire and Health Assessment Questionnaire (HAQ) disability index. METHODS: A cross-sectional study was performed in a sample of 1095 people. In each interview, the COPCORD methodology and the HAQ were applied. The city was divided into 8 sectors. RESULTS: In all, 614 (56.1%) women were evaluated; 44% were from the Quechua community and 5.1% were Aymara. Before the final 7 days of the study, 132 people (12.05%; 95% CI 9.99-14.11) reported musculoskeletal pain. During the final 7 days of the study, 347 people (31.69%; 95% CI 28.36-35.02) who were predominately women (218; 35.5%; 95% CI 30.8-40.2) reported musculoskeletal pain. The most frequent rheumatic diseases were rheumatoid arthritis (1.27%), gout (0.64%), hand osteoarthritis (OA) (2.83%), knee OA (1.55%), hip OA (0.37%), fibromyalgia (1.09%), and soft tissue rheumatism (8.86%). The HAQ showed an incremental increase proportional to age. The HAQ average for the population was 0.18 (±0.36). Ten people (5.71%) of 175 with rheumatic disease received the services of a shaman. CONCLUSION: It is the first COPCORD study in an urban native population living at high altitude in Peru. The population affected by chronic rheumatic disease preferred professional rather than traditional care; this population had access to limited medical services. Impaired functional capacity measured by HAQ was associated with advanced age.
OBJECTIVE: Estimate the prevalence of musculoskeletal manifestations and related disabilities of an urban population living at high altitude in Juliaca, Puno, Peru, using the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) questionnaire and Health Assessment Questionnaire (HAQ) disability index. METHODS: A cross-sectional study was performed in a sample of 1095 people. In each interview, the COPCORD methodology and the HAQ were applied. The city was divided into 8 sectors. RESULTS: In all, 614 (56.1%) women were evaluated; 44% were from the Quechua community and 5.1% were Aymara. Before the final 7 days of the study, 132 people (12.05%; 95% CI 9.99-14.11) reported musculoskeletal pain. During the final 7 days of the study, 347 people (31.69%; 95% CI 28.36-35.02) who were predominately women (218; 35.5%; 95% CI 30.8-40.2) reported musculoskeletal pain. The most frequent rheumatic diseases were rheumatoid arthritis (1.27%), gout (0.64%), hand osteoarthritis (OA) (2.83%), knee OA (1.55%), hip OA (0.37%), fibromyalgia (1.09%), and soft tissue rheumatism (8.86%). The HAQ showed an incremental increase proportional to age. The HAQ average for the population was 0.18 (±0.36). Ten people (5.71%) of 175 with rheumatic disease received the services of a shaman. CONCLUSION: It is the first COPCORD study in an urban native population living at high altitude in Peru. The population affected by chronic rheumatic disease preferred professional rather than traditional care; this population had access to limited medical services. Impaired functional capacity measured by HAQ was associated with advanced age.
Authors: Alfonso Gastelum Strozzi; Ingris Peláez-Ballestas; Ysabel Granados; Rubén Burgos-Vargas; Rosana Quintana; John Londoño; Sergio Guevara; Oscar Vega-Hinojosa; José Alvarez-Nemegyei; Vicente Juarez; César Pacheco-Tena; Ligia Cedeño; Mario Garza-Elizondo; Ana María Santos; María Victoria Goycochea-Robles; Astrid Feicán; Hazel García; Flor Julian-Santiago; María Elena Crespo; Jacqueline Rodriguez-Amado; Juan Camilo Rueda; Adriana Silvestre; Jorge Esquivel-Valerio; Celenia Rosillo; Susana Gonzalez-Chavez; Everardo Alvarez-Hernández; Adalberto Loyola-Sanchez; Eduardo Navarro-Zarza; Marco Maradiaga; Julio Casasola-Vargas; Natalia Sanatana; Imelda Garcia-Olivera; Mario Goñi; Luz Helena Sanin; Rocío Gamboa; Mario Humberto Cardiel; Bernardo A Pons-Estel Journal: Clin Rheumatol Date: 2020-03-30 Impact factor: 2.980