Gouveia N(1), Rodrigues A(2), Mendonça S (3), Costa LP(4), Canhão H(5), Branco JC(6) 1 EpiReumaPt Investigation Team - Sociedade Portuguesa de Reumatologia 2 Rheumatology Research Unit, Instituto de Medicina Molecular, Lisboa; EpiReumaPt Investigation Team - Sociedade Portuguesa de Reumatologia 3 Sociedade Portuguesa de Reumatologia 4 Centro de Estudos e Sondagens de Opinião da Universidade Católica Portuguesa 5 EpiReumaPt Investigation Team - Sociedade Portuguesa de Reumatologia; Instituto de Medicina Molecular da Faculdade de Medicina da Universidade de Lisboa; Serviço de Reumatologia do Centro Hospitalar de Lisboa Norte, Hospital Santa Maria 6 EpiReumaPt Investigation Team - Sociedade Portuguesa de Reumatologia; CEDOC, Faculdade de Ciências Médicas da Universidade Nova de Lisboa, Lisbon; Rheumatology, Centro Hospitalar de Lisboa Ocidental, Hospital Egas Moniz EpiReumaPt
Years lived with disability (YLDs) Source: Global Burden of Diseases
Low Back Pain and Fibromyalgia: Source: Global Burden of Diseases
Aims Aims:. to determine the prevalence of Chronic Low Back Pain (CLBP) and Fibromyalgia (FM) in Portugal. to compare function, health status, health care consumptions and early retirement between chronic low back pain Chronic LBP and FM in Portuguese patients.
Main Study - EpiReumaPt Low Back Pain and Fibromyalgia: Methodology EpiReumaPt Population 10.661 participants (CESOP survey face to face interview). Sociodemographic. Life style. Ansiety and depression. Comorbidities. Health status. Socioeconomic factors. Health consumption. Function Self-reported Chronic Low Back Pain n = 1336 Self-reported & screening Fibromyalgia n = 1445 Clinical observation: Rheumatologist Appointment Diagnosis validation Case definition: CLBP - having LBP in majority of time in at least 7 weeks FM - previous FM diagnosis or fulfillment of 2010 ACR diagnostic criteria (according to EpiReumaPt protocol) Study population Inclusion criteria: Participants with available information on LBP (Y/N) and FM symptoms self-reported questionnaire Exclusion criteria: Patients diagnosed with previous Spa and concomitant CLBP and FM (self-reported)
Variables All analyses were weighted to ensure the correctly representativeness of the population.
Results Face to face interview results self reported prevalence n = 10.661 CLBP n = 1336 9,7% * FM screening n = 1445 10,4% * * National weight was used
n=2781 CLBP (%) (n=1336) FM (%) (n= 1445) P value Demographic characteristics Age (SD) 57.0 (55.4-57.4 (56.4-58.64) 58.4) 0.6888 Female (%) 63.7 82.3 <0.0001 BMI 27.4 (27-27.6 (27.2-27.9) 27.9) 0.6647 Ethnicity (Caucasian) 98 98.1 0.9094 NUTS II Norte Centro Lisboa Alentejo 40 20.8 23.3 6.9 31.8 30.3 22.7 7.3 Algarve 3.9 3.8 RAA 2.4 1.6 0.0002 RAM 2.7 2.5 Life Style Habits Present Smoking habits Daily/Occasionally No 16.9 83.1 17 83 0.9570 Present Alcohol intake Daily 24.9 12.3 <0.0001 Regular Exercise 21 27.5 0.0034 Socioeconomic characteristics Education level (years) 0-4 5-12 >12 57 34.6 8.4 57.7 33 9.3 0.7551 Results Low Back Pain and Fibromyalgia:
Results n=2781 CLBP (%) (n=1336) FM (%) (n= 1445) P value Quality of life & Funtion HAQ 0.60 0.95 <0.0001 QoL (VAS) Health status 61.9 0.63 54.1 0.53 <0.0001 <0.0001 Multivariate regression analysis adjusted for:. age. gender. BMI. Exercise. alcohol intake and. educational level
Results n=2781 CLBP (%) (n=1336) FM (%) (n= 1445) P value Health Consumption Early retirement 6.5 10.5 0.0023 Unemployment due RD Outpatient clinic appointment 0-3 4-6 7-12 13-24 >24 0.8 1.2 0.4380 51.6 25.1 12.7 7.9 2.7 32.1 27.7 21.1 14.6 4.5 <0.0001 Home care 4.1 5.3 0.2325 Multivariate regression analysis adjusted for:. age. gender. BMI. Exercise. alcohol intake and. educational level Physical therapy 12.5 16.8 0.0144
Conclusions. Portuguese self-reported prevalence of FM and CLBP is similar to other European countries.. FM patients have more burden with lower function and health status and more health consumption when compared to CLBP patients.. In Portugal, one in 10 patients with fibromyalgia are early retired due to RD.
Agradecimento especial: A todos os Reumatologistas que colaboraram na realização de consultas