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Prevalence of the Rheumatic Diseases in Urban Vietnam: A WHO-ILAR COPCORD Study
TRAN THI MINH HOA, JOHN DAMARWAN, CHEN SHUN LE, NGUYEN VAN HUNG, CAO THI NHI, and TRAN NGOC AN
ABSTRACT.
Methods. The Community Oriented Program for Control of Rheumatic Disease (COPCORD) Stage I study was carried out in 16 groups in the Trung Liet Commune, Dong Da District, Hanoi City, Vietnam. Phase 1: the WHO ILAR COPCORD Core Questionnaire was applied by primary health care workers to 2119 urban subjects aged 16 years and over. Phase 2: 276 positive responders who had musculoskeletal complaints were interviewed by nurses and examined one week later. Phase 3: 261 positive responders in phase II were examined by 3 rheumatologists and 38% of these subjects required radiographic and blood tests to classify rheumatic disease categories. Results. The response rates were 94.4%, 86.2%, and 94.6% in phases 1, 2, and 3, respectively. The prevalence of musculoskeletal pain was 14.9%. The most common musculoskeletal complaints were knee pain 18.2%, low back pain 11.2%, and soft tissue disorder 15.4%. Functional disability was reported in 6.04% of the survey population. The prevalence of rheumatic diseases was OA 4.1%, rheumatoid arthritis 0.28%, osteoporosis 0.47%, connective tissue disease 0.09%, and gout 0.14%. Conclusion. The prevalence of musculoskeletal pain in 2119 adults in an urban population in Vietnam was 14.5%, and osteoarthritis was the most commonly found arthritis. (J Rheumatol 2003;30:2252-6) Key Indexing Terms:
COPCORD
From The Department of Rheumatology, Bach Mai Hospital, Hanoi, Vietnam; the WHO Collaborating Center, Community-based Epidemiology, Prevention, and Treatment of Rheumatic Disease, Seroja Rheumatic Center, Semarang, Indonesia; and the Department of Rheumatology, Ren Ji Hospital, Shanghai Second Medical University, Shanghai, China. T.T. Minh Hoa, MD, Master of Medicine; N. Van Hung, MD, Master of Medicine; C. Thi Nhi, MD, PhD; T. Ngoc An, MD, PhD, Professor of Medicine; Department of Rheumatology, Bach Mai Hospital; J. Damarwan, MD, COPCORD Coordinator, WHO Collaborating Center, Community-based Epidemiology, Prevention, and Treatment of Rheumatic Disease, Seroja Rheumatic Center; C. Shun Le, MD, PhD, Professor of Medicine, Department of Rheumatology, Ren Ji Hospital, Shanghai Second Medical University. Address reprint requests to Dr. T.T. Minh Hoa, Department of Rheumatology, Bach Mai Hospital, Giai Phong Road, Dong Da District, Hanoi, Vietnam. Submitted April 5, 2002; revision accepted March 10, 2003. |