revalence of Rheumatoid Arthritis in two indigenous communities from Argentina. A community based study: “Two sides of the same coin”?

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Rheumatoid arthritis (RA) is a chronic pathology that generates functional limitation, impacting the quality of life of patients and their families. The objective of this study was to estimate the prevalence of RA in the qom and Wichi indigenous communities of the cities of Rosario and Misión Chaque...

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Autores principales: Quintana, Rosana, Juárez, Vicente, Silvestre, Adriana, Aciar, Mariana, Nieto, Romina, Crespo, María Elena, Goñi, Mario, Estrella, Natalia, Buschiazzo, Emilio, Mathern, Nora, Cucchiaro, Natalia, Pelaez-Ballestas, Ingris, Pons-Estel, Bernardo
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional de Rosario 2021
Materias:
Metodología COPCORD
Prevalencia
Artritis reumatoide
Poblaciones originarias
COPCORD methodology
Prevalence
Rheumatoid arthritis
Indigenous communities
Acceso en línea:https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/27
Aporte de:
FCM Científica de Universidad Nacional de Rosario
id I15-R235-article-27
record_format ojs
institution Universidad Nacional de Rosario
institution_str I-15
repository_str R-235
container_title_str FCM Científica
language Español
format Artículo revista
topic Metodología COPCORD
Prevalencia
Artritis reumatoide
Poblaciones originarias
COPCORD methodology
Prevalence
Rheumatoid arthritis
Indigenous communities
spellingShingle Metodología COPCORD
Prevalencia
Artritis reumatoide
Poblaciones originarias
COPCORD methodology
Prevalence
Rheumatoid arthritis
Indigenous communities
Quintana, Rosana
Juárez, Vicente
Silvestre, Adriana
Aciar, Mariana
Nieto, Romina
Crespo, María Elena
Goñi, Mario
Estrella, Natalia
Buschiazzo, Emilio
Mathern, Nora
Cucchiaro, Natalia
Pelaez-Ballestas, Ingris
Pons-Estel, Bernardo
revalence of Rheumatoid Arthritis in two indigenous communities from Argentina. A community based study: “Two sides of the same coin”?
topic_facet Metodología COPCORD
Prevalencia
Artritis reumatoide
Poblaciones originarias
COPCORD methodology
Prevalence
Rheumatoid arthritis
Indigenous communities
author Quintana, Rosana
Juárez, Vicente
Silvestre, Adriana
Aciar, Mariana
Nieto, Romina
Crespo, María Elena
Goñi, Mario
Estrella, Natalia
Buschiazzo, Emilio
Mathern, Nora
Cucchiaro, Natalia
Pelaez-Ballestas, Ingris
Pons-Estel, Bernardo
author_facet Quintana, Rosana
Juárez, Vicente
Silvestre, Adriana
Aciar, Mariana
Nieto, Romina
Crespo, María Elena
Goñi, Mario
Estrella, Natalia
Buschiazzo, Emilio
Mathern, Nora
Cucchiaro, Natalia
Pelaez-Ballestas, Ingris
Pons-Estel, Bernardo
author_sort Quintana, Rosana
title revalence of Rheumatoid Arthritis in two indigenous communities from Argentina. A community based study: “Two sides of the same coin”?
title_short revalence of Rheumatoid Arthritis in two indigenous communities from Argentina. A community based study: “Two sides of the same coin”?
title_full revalence of Rheumatoid Arthritis in two indigenous communities from Argentina. A community based study: “Two sides of the same coin”?
title_fullStr revalence of Rheumatoid Arthritis in two indigenous communities from Argentina. A community based study: “Two sides of the same coin”?
title_full_unstemmed revalence of Rheumatoid Arthritis in two indigenous communities from Argentina. A community based study: “Two sides of the same coin”?
title_sort revalence of rheumatoid arthritis in two indigenous communities from argentina. a community based study: “two sides of the same coin”?
description Rheumatoid arthritis (RA) is a chronic pathology that generates functional limitation, impacting the quality of life of patients and their families. The objective of this study was to estimate the prevalence of RA in the qom and Wichi indigenous communities of the cities of Rosario and Misión Chaqueña (Salta); in addition to comparing the characteristics between both. A cross—sectional, epidemiological, community—based study was carried out using the Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) methodology. Individuals with musculoskeletal pain (positive cases) were evaluated consecutively by a general physician and referred within a week to the rheumatologist for diagnosis and eventual treatment. The prevalence of RA was 3% (qom) and 3.2% (wichi). The characteristics of RA were similar in both communities in relation to activity measured by Disease Activity Score—28 (DAS 28) (p 0.341) but not in functional limitation measured by Health Assessment Questionnaire Disability Index (HAQ) (p 0.031). There means delay in diagnosis was 2 years. A 45% and 66% (p 0.100) of the qom and wichi patients had typical radiographic changes of advanced disease. More than 90% were seropositive for rheumatoid factor and cyclic citrullinated peptide antibodies. A 42% and 29% (p 0.246) of the qom and wichi patients had a family history of RA. The prevalence of RA in both communities was high, with marked aggressiveness of the disease, as well as functional limitation. The delay in diagnosis is a fundamental factor to improve the prognosis of this pathology.
publisher Universidad Nacional de Rosario
publishDate 2021
url https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/27
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first_indexed 2023-06-26T22:50:57Z
last_indexed 2024-08-12T21:45:31Z
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spelling I15-R235-article-272023-11-08T14:27:33Z revalence of Rheumatoid Arthritis in two indigenous communities from Argentina. A community based study: “Two sides of the same coin”? Prevalencia de Artrtitis Reumatoide en dos poblaciones originarias de Argentina. Estudio de base comunitaria: ¿“Dos caras de una misma moneda”? Quintana, Rosana Juárez, Vicente Silvestre, Adriana Aciar, Mariana Nieto, Romina Crespo, María Elena Goñi, Mario Estrella, Natalia Buschiazzo, Emilio Mathern, Nora Cucchiaro, Natalia Pelaez-Ballestas, Ingris Pons-Estel, Bernardo Metodología COPCORD Prevalencia Artritis reumatoide Poblaciones originarias COPCORD methodology Prevalence Rheumatoid arthritis Indigenous communities Rheumatoid arthritis (RA) is a chronic pathology that generates functional limitation, impacting the quality of life of patients and their families. The objective of this study was to estimate the prevalence of RA in the qom and Wichi indigenous communities of the cities of Rosario and Misión Chaqueña (Salta); in addition to comparing the characteristics between both. A cross—sectional, epidemiological, community—based study was carried out using the Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) methodology. Individuals with musculoskeletal pain (positive cases) were evaluated consecutively by a general physician and referred within a week to the rheumatologist for diagnosis and eventual treatment. The prevalence of RA was 3% (qom) and 3.2% (wichi). The characteristics of RA were similar in both communities in relation to activity measured by Disease Activity Score—28 (DAS 28) (p 0.341) but not in functional limitation measured by Health Assessment Questionnaire Disability Index (HAQ) (p 0.031). There means delay in diagnosis was 2 years. A 45% and 66% (p 0.100) of the qom and wichi patients had typical radiographic changes of advanced disease. More than 90% were seropositive for rheumatoid factor and cyclic citrullinated peptide antibodies. A 42% and 29% (p 0.246) of the qom and wichi patients had a family history of RA. The prevalence of RA in both communities was high, with marked aggressiveness of the disease, as well as functional limitation. The delay in diagnosis is a fundamental factor to improve the prognosis of this pathology. La artritis reumatoide (AR) es una patología crónica que genera limitación funcional, impactando en la calidad de vida de los pacientes y de su entorno familiar. El objetivo de este estudio fue estimar la prevalencia de AR en las comunidades de pueblos originarios qom y wichi de la ciudad de Rosario y Misión Chaqueña (Salta); además de comparar las características entre ambas. Se realizó un estudio transversal, epidemiológico, de base comunitaria, utilizando la metodología Community Oriented Program for the Control of Rheumatic Diseases (COPCORD). Los individuos con dolor músculo—esquelético (casos positivos) fueron evaluados en forma consecutiva por médicos generales y referenciados dentro de la semana al reumatólogo para diagnóstico y eventual tratamiento. La prevalencia de AR fue de 3% (qom) y 3.2% (wichi). Las características de la AR fueron similares en ambas comunidades en relación a la actividad medida por Disease Activity Score—28 (DAS 28) (p 0,341) pero no en la limitación funcional medida por Health Assessment Questionnaire Disability Index (HAQ) (p 0,031). Existió un retraso promedio en el diagnóstico de 2 años. El 45% y 66% (p 0,100) de los pacientes qom y wichi tuvieron cambios radiográficos propios de una enfermedad avanzada. Más del 90% fueron seropositivos para factor reumatoideo y anticuerpos antipéptido citrulinado cíclico. El 42% y 29% (p 0,246) de los pacientes qom y wichi tenían antecedentes familiares de AR. Las prevalencias de AR en ambas comunidades fueron altas, con marcada agresividad de la enfermedad, así como impactante limitación funcional. El retraso en el diagnóstico es un factor fundamental para mejorar el pronóstico de esta patología. Universidad Nacional de Rosario 2021-06-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/27 10.35305/fcm.v1i.27 Revista de la Facultad de Ciencias Médicas. Universidad Nacional de Rosario.; Vol. 1 (2020); 113-121 2796-7719 spa https://fcmcientifica.unr.edu.ar/index.php/revista/article/view/27/43 https://creativecommons.org/licenses/by-nc/4.0/

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