Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study

Yıl: 2018 Cilt: 33 Sayı: 2 Sayfa Aralığı: 128 - 136 Metin Dili: İngilizce DOI: 10.5606/ArchRheumatol.2018.6480 İndeks Tarihi: 04-01-2019

Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study

Öz:
Objectives: This study aims to estimate the prevalence of rheumatoid arthritis (RA) and spondyloarthritis (SpA) in Turkey using the same telephone questionnaire developed for screening RA and SpA in France and used in Serbia and Lithuania. Material and methods: The study was performed in two steps. In step I, the French questionnaire was translated into Turkish and validated through a group of 200 patients (80 males, 120 females; mean age 44.0±13.1 years; range, 19 to 75 years) followed up at the rheumatology departments of University Hospitals in Antalya and Ankara. In step II, the validated Turkish questionnaire was administered face-to-face to randomly selected 4,012 subjects (1,670 males, 2,342 females; mean age 41.5±16.8 years; range, 16 to 97 years) by trained general practitioners across the country, in 25 provinces for case detection. The subjects who were suspected of having RA or SpA in accordance with the questionnaire were invited to the nearest university hospital for rheumatologic examination in order to confirm the diagnosis. Results: In step II, a total of 25 subjects (2 males, 23 females) were diagnosed as RA. The standardized RA prevalence for the general population of Turkey was calculated as 0.56% (95% confidence interval [CI]; 0.33-0.79), 0.10% (95% CI; -0.05-0.25) for males and 0.89% (95% CI; 0.51-1.27) for females. A total of 18 subjects (3 males, 15 females) were diagnosed as SpA. The standardized SpA prevalence for the general population of Turkey was 0.46% (95% CI; 0.25-0.67), 0.17% (95% CI; -0.03-0.37) for males and 0.65% (95% CI; 0.32-0.98) for females. The prevalence of RA was highest in the Northern region (2.00%) and the prevalence of SpA was highest in the Central region (1.49%). Conclusion: The prevalences of RA and SpA in Turkey are close to each other and there are significant inter-regional variations in prevalences of both RA and SpA.
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Simonsson M, Bergman S, Jacobsson LT, Petersson IF, Svensson B. The prevalence of rheumatoid arthritis in Sweden. Scand J Rheumatol 1999;28:340-3.
  • Haroon NN, Paterson JM, Li P, Haroon N. Increasing proportion of female patients with ankylosing spondylitis: a population-based study of trends in the incidence and prevalence of AS. BMJ Open 2014;15;4:6634.
  • Pirim I, Atasoy M, Ikbal M, Erdem T, Aliagaoglu C. HLA class I and class II genotyping in patients with Behcet's disease: a regional study of eastern part of Turkey. Tissue Antigens 2004;64:293-7.
  • Uyar FA, Dorak MT, Saruhan-Direskeneli G. Human leukocyte antigen-A, -B and -C alleles and human leukocyte antigen haplotypes in Turkey: relationship to other populations. Tissue Antigens 2004;64:180-7.
  • Exarchou S, Lindström U, Askling J, Eriksson JK, Forsblad-d'Elia H, Neovius M, et al. The prevalence of clinically diagnosed ankylosing spondylitis and its clinical manifestations: a nationwide register study. Arthritis Res Ther 2015;17:118.
  • Hukuda S, Minami M, Saito T, Mitsui H, Matsui N, Komatsubara Y, et al. Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society. J Rheumatol 2001;28:554-9.
  • Roux CH, Saraux A, Le Bihan E, Fardellone P, Guggenbuhl P, Fautrel B, et al. Rheumatoid arthritis and spondyloarthropathies: geographical variations in prevalence in France. J Rheumatol 2007;34:117-22.
  • Siemiatycki J. A comparison of mail, telephone, and home interview strategies for household health surveys. Am J Public Health 1979;69:238-45.
  • Cakır N, Pamuk ÖN, Dervi E, Imeryüz N, Uslu H, Benian Ö, et al. The prevalences of some rheumatic diseases in western Turkey: Havsa study. Rheumatol Int 2012;32:895-908.
  • Capkin E, Cakirbay H, Karkucak M, Topbas M, Serdaro¤lu M, Guler M, et al. Prevalence of rheumatoid arthritis in the eastern Black Sea region of Turkey. Int J Rheum Dis 2010;13:380-4.
  • Riffenburgh RH. Confidence Intervals. In: Statistics in Medicine. London: Academic Press; 2012. p.146-9.
  • 2000 Census of Population. T.C. Babakanlık Devlet ‹statistik Enstitüsü. Ankara: 2000.
  • Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993;46:1417-32.
  • Dougados M, van der Linden S, Juhlin R, Huitfeldt B, Amor B, Calin A, et al. The European Spondylarthropathy Study Group preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum 1991;34:1218-27.
  • Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988;31:315-24.
  • Zlatkovic-Svenda MI, Stojanovic RM, B SipeticGrujicic S, Guillemin F. Prevalence of rheumatoid arthritis in Serbia. Rheumatol Int 2014;34:649-58.
  • Adomaviciute D, Pileckyte M, Baranauskaite A, Morvan J, Dadoniene J, Guillemin F. Prevalence survey of rheumatoid arthritis and spondyloarthropathy in Lithuania. Scand J Rheumatol 2008;37:113-9. Erratum in: Scand J Rheumatol 2009;38:76.
  • Zlatkovic-Svenda MI, Stojanovic RM, Milenkovic MP, Vlajinac HD, Le Bihan E, Guillemin F. Adaptation and validation of a telephone questionnaire--Serbian version for case detection of rheumatoid arthritis and spondyloarthropathy (multicentric Eular study). Clin Exp Rheumatol 2007;25:75-84.
  • Saraux A, Guillemin F, Guggenbuhl P, Roux CH, Fardellone P, Le Bihan E, et al. Prevalence of spondyloarthropathies in France:2001. Ann Rheum Dis 2005;64:1431-5.
  • Guillemin F, Saraux A, Guggenbuhl P, Roux CH, Fardellone P, Le Bihan E,et al. Prevalence of rheumatoid arthritis in France: 2001. Ann Rheum Dis 2005;64:1427-30.
  • Saraux A, Guillemin F, Fardellone P, Guggenbuhl P, Behier JM, Cantagrel A, et al. Agreement between rheumatologist visit and lay interviewer telephone survey for screening for rheumatoid arthritis and spondyloarthropathy. Joint Bone Spine 2004;71:44-50.
  • Guillemin F, Saraux A, Fardellone P, Guggenbuhl P, Behier JM, Coste J. Detection of cases of inflammatory rheumatic disorders: performance of a telephone questionnaire designed for use by patient interviewers. Ann Rheum Dis 2003;62:957-63.
  • Guillemin F, Saraux A, Guggenbuhl P, Roux CH, Fardellone P, Le Bihan E, et al. Prevalence of rheumatoid arthritis in France: 2001. Ann Rheum Dis 2005;64:1427-30.
  • Onen F, Akar S, Birlik M, Sari I, Khan MA, Gurler O, et al. Prevalence of ankylosing spondylitis and related spondyloarthritides in an urban area of Izmir, Turkey. J Rheumatol 2008;35:305-9.
  • Kaçar C, Gilgil E, Tuncer T, Bütün B, Urhan S, Arikan V, et al. Prevalence of rheumatoid arthritis in Antalya, Turkey. Clin Rheumatol 2005;24:212-4.
  • Akar S, Birlik M, Gurler O, Sari I, Onen F, Manisali M, et al. The prevalence of rheumatoid arthritis in an urban population of Izmir-Turkey. Clin Exp Rheumatol 2004;22:416-20.
  • Stolwijk C, Boonen A, van Tubergen A, Reveille JD. Epidemiology of spondyloarthritis. Rheum Dis Clin North Am 2012;38:441-76.
  • Silman AJ, Pearson JE. Epidemiology and genetics of rheumatoid arthritis. Arthritis Res 2002;4:265-72.
APA tuncer t, GİLGİL E, KAÇAR C, KURTAİŞ Y, KUTLAY Ş, BÜTÜN B, YALÇIN P, AKARIRMAK Z, ALTAN İNCEOĞLU L, Ardic Yukruk F, ARDIÇOĞLU Ö, ALTAY Z, CANTÜRK F, CERRAHOĞLU A, ÇEVİK R, DEMIR H, DURMAZ B, Dursun N, DURUÖZ M, ERDOĞAN C, Evcik F, Gursoy S, HİZMETLİ S, KAPTANOĞLU E, Kayhan O, KIRNAP M, KOKİNO S, KOZANOĞLU M, KURAN K, NAS K, Oncel H, SİNDEL D, ORKUN S, SARPEL T, SAVAŞ S, ŞENDUR Ö, ŞENEL K, UĞURLU H, UZUNCA K, TEKEOGLU I, GUILLEMIN F (2018). Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. , 128 - 136. 10.5606/ArchRheumatol.2018.6480
Chicago tuncer tiraje,GİLGİL Erdal,KAÇAR Cahit,KURTAİŞ Yeşim,KUTLAY Şehim,BÜTÜN Bülent,YALÇIN Peyman,AKARIRMAK ZEYNEP ÜLKÜ,ALTAN İNCEOĞLU LALE,Ardic Yukruk Fisun,ARDIÇOĞLU Özge,ALTAY ZÜHAL,CANTÜRK Ferhan,CERRAHOĞLU AYŞE BEYHAN LALE,ÇEVİK REMZİ,DEMIR HÜSEYIN,DURMAZ Berrin,Dursun Nigar,DURUÖZ Mehmet Tuncay,ERDOĞAN Canan,Evcik Fatma Deniz,Gursoy Savas,HİZMETLİ Sami,KAPTANOĞLU Ece,Kayhan Onder,KIRNAP MEHMET,KOKİNO Siranuş,KOZANOĞLU MUSTAFA ERKAN,KURAN KADRİYE BANU,NAS Kemal,Oncel Hatice Sema,SİNDEL Dilşad,ORKUN Sevim,SARPEL TUNAY,SAVAŞ Serpil,ŞENDUR Ömer Faruk,ŞENEL Kazım,UĞURLU Hatice,UZUNCA Kaan,TEKEOGLU IBRAHIM,GUILLEMIN Francis Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. (2018): 128 - 136. 10.5606/ArchRheumatol.2018.6480
MLA tuncer tiraje,GİLGİL Erdal,KAÇAR Cahit,KURTAİŞ Yeşim,KUTLAY Şehim,BÜTÜN Bülent,YALÇIN Peyman,AKARIRMAK ZEYNEP ÜLKÜ,ALTAN İNCEOĞLU LALE,Ardic Yukruk Fisun,ARDIÇOĞLU Özge,ALTAY ZÜHAL,CANTÜRK Ferhan,CERRAHOĞLU AYŞE BEYHAN LALE,ÇEVİK REMZİ,DEMIR HÜSEYIN,DURMAZ Berrin,Dursun Nigar,DURUÖZ Mehmet Tuncay,ERDOĞAN Canan,Evcik Fatma Deniz,Gursoy Savas,HİZMETLİ Sami,KAPTANOĞLU Ece,Kayhan Onder,KIRNAP MEHMET,KOKİNO Siranuş,KOZANOĞLU MUSTAFA ERKAN,KURAN KADRİYE BANU,NAS Kemal,Oncel Hatice Sema,SİNDEL Dilşad,ORKUN Sevim,SARPEL TUNAY,SAVAŞ Serpil,ŞENDUR Ömer Faruk,ŞENEL Kazım,UĞURLU Hatice,UZUNCA Kaan,TEKEOGLU IBRAHIM,GUILLEMIN Francis Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. , 2018, ss.128 - 136. 10.5606/ArchRheumatol.2018.6480
AMA tuncer t,GİLGİL E,KAÇAR C,KURTAİŞ Y,KUTLAY Ş,BÜTÜN B,YALÇIN P,AKARIRMAK Z,ALTAN İNCEOĞLU L,Ardic Yukruk F,ARDIÇOĞLU Ö,ALTAY Z,CANTÜRK F,CERRAHOĞLU A,ÇEVİK R,DEMIR H,DURMAZ B,Dursun N,DURUÖZ M,ERDOĞAN C,Evcik F,Gursoy S,HİZMETLİ S,KAPTANOĞLU E,Kayhan O,KIRNAP M,KOKİNO S,KOZANOĞLU M,KURAN K,NAS K,Oncel H,SİNDEL D,ORKUN S,SARPEL T,SAVAŞ S,ŞENDUR Ö,ŞENEL K,UĞURLU H,UZUNCA K,TEKEOGLU I,GUILLEMIN F Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. . 2018; 128 - 136. 10.5606/ArchRheumatol.2018.6480
Vancouver tuncer t,GİLGİL E,KAÇAR C,KURTAİŞ Y,KUTLAY Ş,BÜTÜN B,YALÇIN P,AKARIRMAK Z,ALTAN İNCEOĞLU L,Ardic Yukruk F,ARDIÇOĞLU Ö,ALTAY Z,CANTÜRK F,CERRAHOĞLU A,ÇEVİK R,DEMIR H,DURMAZ B,Dursun N,DURUÖZ M,ERDOĞAN C,Evcik F,Gursoy S,HİZMETLİ S,KAPTANOĞLU E,Kayhan O,KIRNAP M,KOKİNO S,KOZANOĞLU M,KURAN K,NAS K,Oncel H,SİNDEL D,ORKUN S,SARPEL T,SAVAŞ S,ŞENDUR Ö,ŞENEL K,UĞURLU H,UZUNCA K,TEKEOGLU I,GUILLEMIN F Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. . 2018; 128 - 136. 10.5606/ArchRheumatol.2018.6480
IEEE tuncer t,GİLGİL E,KAÇAR C,KURTAİŞ Y,KUTLAY Ş,BÜTÜN B,YALÇIN P,AKARIRMAK Z,ALTAN İNCEOĞLU L,Ardic Yukruk F,ARDIÇOĞLU Ö,ALTAY Z,CANTÜRK F,CERRAHOĞLU A,ÇEVİK R,DEMIR H,DURMAZ B,Dursun N,DURUÖZ M,ERDOĞAN C,Evcik F,Gursoy S,HİZMETLİ S,KAPTANOĞLU E,Kayhan O,KIRNAP M,KOKİNO S,KOZANOĞLU M,KURAN K,NAS K,Oncel H,SİNDEL D,ORKUN S,SARPEL T,SAVAŞ S,ŞENDUR Ö,ŞENEL K,UĞURLU H,UZUNCA K,TEKEOGLU I,GUILLEMIN F "Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study." , ss.128 - 136, 2018. 10.5606/ArchRheumatol.2018.6480
ISNAD tuncer, tiraje vd. "Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study". (2018), 128-136. https://doi.org/10.5606/ArchRheumatol.2018.6480
APA tuncer t, GİLGİL E, KAÇAR C, KURTAİŞ Y, KUTLAY Ş, BÜTÜN B, YALÇIN P, AKARIRMAK Z, ALTAN İNCEOĞLU L, Ardic Yukruk F, ARDIÇOĞLU Ö, ALTAY Z, CANTÜRK F, CERRAHOĞLU A, ÇEVİK R, DEMIR H, DURMAZ B, Dursun N, DURUÖZ M, ERDOĞAN C, Evcik F, Gursoy S, HİZMETLİ S, KAPTANOĞLU E, Kayhan O, KIRNAP M, KOKİNO S, KOZANOĞLU M, KURAN K, NAS K, Oncel H, SİNDEL D, ORKUN S, SARPEL T, SAVAŞ S, ŞENDUR Ö, ŞENEL K, UĞURLU H, UZUNCA K, TEKEOGLU I, GUILLEMIN F (2018). Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. Archives of Rheumatology, 33(2), 128 - 136. 10.5606/ArchRheumatol.2018.6480
Chicago tuncer tiraje,GİLGİL Erdal,KAÇAR Cahit,KURTAİŞ Yeşim,KUTLAY Şehim,BÜTÜN Bülent,YALÇIN Peyman,AKARIRMAK ZEYNEP ÜLKÜ,ALTAN İNCEOĞLU LALE,Ardic Yukruk Fisun,ARDIÇOĞLU Özge,ALTAY ZÜHAL,CANTÜRK Ferhan,CERRAHOĞLU AYŞE BEYHAN LALE,ÇEVİK REMZİ,DEMIR HÜSEYIN,DURMAZ Berrin,Dursun Nigar,DURUÖZ Mehmet Tuncay,ERDOĞAN Canan,Evcik Fatma Deniz,Gursoy Savas,HİZMETLİ Sami,KAPTANOĞLU Ece,Kayhan Onder,KIRNAP MEHMET,KOKİNO Siranuş,KOZANOĞLU MUSTAFA ERKAN,KURAN KADRİYE BANU,NAS Kemal,Oncel Hatice Sema,SİNDEL Dilşad,ORKUN Sevim,SARPEL TUNAY,SAVAŞ Serpil,ŞENDUR Ömer Faruk,ŞENEL Kazım,UĞURLU Hatice,UZUNCA Kaan,TEKEOGLU IBRAHIM,GUILLEMIN Francis Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. Archives of Rheumatology 33, no.2 (2018): 128 - 136. 10.5606/ArchRheumatol.2018.6480
MLA tuncer tiraje,GİLGİL Erdal,KAÇAR Cahit,KURTAİŞ Yeşim,KUTLAY Şehim,BÜTÜN Bülent,YALÇIN Peyman,AKARIRMAK ZEYNEP ÜLKÜ,ALTAN İNCEOĞLU LALE,Ardic Yukruk Fisun,ARDIÇOĞLU Özge,ALTAY ZÜHAL,CANTÜRK Ferhan,CERRAHOĞLU AYŞE BEYHAN LALE,ÇEVİK REMZİ,DEMIR HÜSEYIN,DURMAZ Berrin,Dursun Nigar,DURUÖZ Mehmet Tuncay,ERDOĞAN Canan,Evcik Fatma Deniz,Gursoy Savas,HİZMETLİ Sami,KAPTANOĞLU Ece,Kayhan Onder,KIRNAP MEHMET,KOKİNO Siranuş,KOZANOĞLU MUSTAFA ERKAN,KURAN KADRİYE BANU,NAS Kemal,Oncel Hatice Sema,SİNDEL Dilşad,ORKUN Sevim,SARPEL TUNAY,SAVAŞ Serpil,ŞENDUR Ömer Faruk,ŞENEL Kazım,UĞURLU Hatice,UZUNCA Kaan,TEKEOGLU IBRAHIM,GUILLEMIN Francis Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. Archives of Rheumatology, vol.33, no.2, 2018, ss.128 - 136. 10.5606/ArchRheumatol.2018.6480
AMA tuncer t,GİLGİL E,KAÇAR C,KURTAİŞ Y,KUTLAY Ş,BÜTÜN B,YALÇIN P,AKARIRMAK Z,ALTAN İNCEOĞLU L,Ardic Yukruk F,ARDIÇOĞLU Ö,ALTAY Z,CANTÜRK F,CERRAHOĞLU A,ÇEVİK R,DEMIR H,DURMAZ B,Dursun N,DURUÖZ M,ERDOĞAN C,Evcik F,Gursoy S,HİZMETLİ S,KAPTANOĞLU E,Kayhan O,KIRNAP M,KOKİNO S,KOZANOĞLU M,KURAN K,NAS K,Oncel H,SİNDEL D,ORKUN S,SARPEL T,SAVAŞ S,ŞENDUR Ö,ŞENEL K,UĞURLU H,UZUNCA K,TEKEOGLU I,GUILLEMIN F Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. Archives of Rheumatology. 2018; 33(2): 128 - 136. 10.5606/ArchRheumatol.2018.6480
Vancouver tuncer t,GİLGİL E,KAÇAR C,KURTAİŞ Y,KUTLAY Ş,BÜTÜN B,YALÇIN P,AKARIRMAK Z,ALTAN İNCEOĞLU L,Ardic Yukruk F,ARDIÇOĞLU Ö,ALTAY Z,CANTÜRK F,CERRAHOĞLU A,ÇEVİK R,DEMIR H,DURMAZ B,Dursun N,DURUÖZ M,ERDOĞAN C,Evcik F,Gursoy S,HİZMETLİ S,KAPTANOĞLU E,Kayhan O,KIRNAP M,KOKİNO S,KOZANOĞLU M,KURAN K,NAS K,Oncel H,SİNDEL D,ORKUN S,SARPEL T,SAVAŞ S,ŞENDUR Ö,ŞENEL K,UĞURLU H,UZUNCA K,TEKEOGLU I,GUILLEMIN F Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study. Archives of Rheumatology. 2018; 33(2): 128 - 136. 10.5606/ArchRheumatol.2018.6480
IEEE tuncer t,GİLGİL E,KAÇAR C,KURTAİŞ Y,KUTLAY Ş,BÜTÜN B,YALÇIN P,AKARIRMAK Z,ALTAN İNCEOĞLU L,Ardic Yukruk F,ARDIÇOĞLU Ö,ALTAY Z,CANTÜRK F,CERRAHOĞLU A,ÇEVİK R,DEMIR H,DURMAZ B,Dursun N,DURUÖZ M,ERDOĞAN C,Evcik F,Gursoy S,HİZMETLİ S,KAPTANOĞLU E,Kayhan O,KIRNAP M,KOKİNO S,KOZANOĞLU M,KURAN K,NAS K,Oncel H,SİNDEL D,ORKUN S,SARPEL T,SAVAŞ S,ŞENDUR Ö,ŞENEL K,UĞURLU H,UZUNCA K,TEKEOGLU I,GUILLEMIN F "Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study." Archives of Rheumatology, 33, ss.128 - 136, 2018. 10.5606/ArchRheumatol.2018.6480
ISNAD tuncer, tiraje vd. "Prevalence of Rheumatoid Arthritis and Spondyloarthritis in Turkey: A Nationwide Study". Archives of Rheumatology 33/2 (2018), 128-136. https://doi.org/10.5606/ArchRheumatol.2018.6480