Abstract
The objective is to determine the prevalence of self-reported physician-diagnosed osteoarthritis (OA) and musculoskeletal symptoms (pain, stiffness or discomfort) in specific joints among adults in British Columbia (BC), Canada. We carried out a cross-sectional mixed-mode survey in a random population sample of persons 18 years of age and older. Estimates were weighted to reflect the age and sex distribution of the population of BC. We obtained responses from 2,233 individuals. Overall, 18.4% (95% CI 16.8–20.1) of the adult population reported OA. Of those, more than 40% had OA in multiple sites. Prevalence ranged from 8.8% (95% CI 7.6–10.1) in the knee to 2.7% (2.1–3.5) in the foot. One-year prevalence of symptoms ranged from 49.1% (47.0–51.2) in the lower back to 23.3% (21.5–25.1) in the hip. Females reported more symptoms and OA than males in all joints. The most common site of self-reported physician-diagnosed OA in BC is the knee, but OA in the hands, hips, and feet is also common. Having OA in one joint is a strong predictor of OA in other joints.
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References
Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA et al (2008) Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II Arthritis Rheum 58(1):26–35. https://doi.org/10.1002/art.23176
Safiri S, Kolahi AA, Smith E, Hill C, Bettampadi D, Mansournia MA et al (2020) Global, regional and national burden of osteoarthritis 1990–2017: a systematic analysis of the Global Burden of Disease Study 2017. Ann Rheum Dis 79(6):819–828. https://doi.org/10.1136/annrheumdis-2019-216515
Kopec JA, Rahman MM, Berthelot J-M, Le Petit C, Aghajanian J, Sayre EC et al (2007) Descriptive epidemiology of osteoarthritis in British Columbia. Canada J Rheumatol 34(2):386–393
Canadian Chronic Disease Surveillance System (CCDSS). Government of Canada. https://health-infobase.canada.ca/ccdss/data-tool/. Accessed on March 21, 2021
Birtwhistle R, Morkem R, Peat G, Williamson T, Green ME, Khan S et al (2015) Prevalence and management of osteoarthritis in primary care: an epidemiologic cohort study from the Canadian Primary Care Sentinel Surveillance Network. CMAJ Open 3(3):E270–E275. https://doi.org/10.9778/cmajo.20150018
Plotnikoff R, Karunamuni N, Lytvyak E, Penfold C, Schopflocher D, Imayama I et al (2015) Osteoarthritis prevalence and modifiable factors: a population study. BMC Public Health 15:1195. https://doi.org/10.1186/s12889-015-2529-0
Global Burden of Disease; Institute of Health Metrix and Evaluation. GBD Compare website. Available from: https://vizhub.healthdata.org/gbd-compare/. Accessed on October 7, 2020.
Hannan MT, Felson DT, Pincus T (2000) Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee. J Rheumatol 27(6):1513–1517
Øverås CK, Johansson MS, de Campos TF, Ferreira ML, Natvig B, Mork PJ et al (2021) Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review. BMC Musculoskelet Disord 22(1):91. https://doi.org/10.1186/s12891-020-03893-z
Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F et al (2012) A systematic review of the global prevalence of low back pain. Arthritis Rheum 64(6):2028–2037. https://doi.org/10.1002/art.34347
French HP, Smart KM, Doyle F (2017) Prevalence of neuropathic pain in knee or hip osteoarthritis: A systematic review and meta-analysis. Semin Arthritis Rheum 47(1):1–8. https://doi.org/10.1016/j.semarthrit.2017.02.008
Ferguson R, Riley ND, Wijendra A, Thurley N, Carr AJ, Bjf D (2019) Wrist pain: a systematic review of prevalence and risk factors - what is the role of occupation and activity? BMC Musculoskelet Disor 20(1):542. https://doi.org/10.1186/s12891-019-2902-8
Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM (2011) The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain 152(12):2870–2880. https://doi.org/10.1016/j.pain.2011.09.019
Fejer R, Kyvik KO, Hartvigsen J (2006) The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J 15(6):834–848. https://doi.org/10.1007/s00586-004-0864-4
GBD 2019 Diseases and Injuries Collaborators (2020) Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 396(10258):1204–1222. https://doi.org/10.1016/S0140-6736(20)30925-9
Cassidy JD, Carroll LJ, Côté P (1998) The Saskatchewan health and back pain survey. The prevalence of low back pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976) 23(17):1860–6. https://doi.org/10.1097/00007632-199809010-00012.
Côté P, Cassidy JD, Carroll L. (1998) The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976) 23(15):1689–98. https://doi.org/10.1097/00007632-199808010-00015.
Leroux I, Dionne CE, Bourbonnais R, Brisson C (2005) Prevalence of musculoskeletal pain and associated factors in the Quebec working population. Int Arch Occup Environ Health 78(5):379–386. https://doi.org/10.1007/s00420-004-0578-2
Hawker GA, Wright JG, Coyte PC, Williams JI, Harvey B, Glazier R et al (2000) Differences between men and women in the rate of use of hip and knee arthroplasty. New Engl J Med 342(14):1016–1022. https://doi.org/10.1056/NEJM200004063421405
Schopflocher D, Taenzer P, Jovey R (2011) The prevalence of chronic pain in Canada. Pain Res Manag 16(6):445–450. https://doi.org/10.1155/2011/876306
Nguyen US, Zhang Y, Zhu Y, Niu J, Zhang B, Felson DT (2011) Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data. Ann Intern Med 55(11):725–732. https://doi.org/10.7326/0003-4819-155-11-201112060-00004
Gates LS, Arden NK, Hannan MT, Roddy E, Gill TK, Hill CL et al (2019) Prevalence of foot pain across an international consortium of population-based cohorts. Arthritis Care Res (Hoboken) 71(5):661–670. https://doi.org/10.1002/acr.23829
van den Hoven LH, Gorter KJ, Picavet HS (2010) Measuring musculoskeletal pain by questionnaires: the manikin versus written questions. Eur J Pain 14(3):335–338. https://doi.org/10.1016/j.ejpain.2009.06.002
O’Neill TW, Felson DT (2018) Mechanisms of osteoarthritis (OA) pain. Curr Osteoporos Rep 16(5):611–616. https://doi.org/10.1007/s11914-018-0477-1
Bedson J, Croft PR (2008) The discordance between clinical and radiographic knee osteoarthritis: A systematic search and summary of the literature. BMC Musculoskelet Disord 9:116. https://doi.org/10.1186/1471-2474-9-116
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This work was supported by a grant from the Canada Foundation for Innovation.
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JAK designed the study, supervised data acquisition and analysis, and drafted the manuscript. AJH collected the data and reviewed and edited the manuscript. ECS analyzed the data, and reviewed and edited the manuscript. JC co-designed the study and reviewed and edited the manuscript. LCL co-designed the study and reviewed and edited the manuscript. CAM co-designed the study and reviewed and edited the manuscript. RRL helped collect the data and reviewed and edited the manuscript. JME co-designed, co-supervised and administered the study, and reviewed and edited the manuscript. All authors read and approved the final version of the manuscript.
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The study was approved by the University of British Columbia Behavioral Research Ethics Board (UBC BREB Number: H11-02246).
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Kopec, J.A., Heath, A.J., Sayre, E.C. et al. Prevalence of joint-specific osteoarthritis and joint pain in British Columbia, Canada. Rheumatol Int 42, 1623–1628 (2022). https://doi.org/10.1007/s00296-021-05031-x
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DOI: https://doi.org/10.1007/s00296-021-05031-x