[Prevalence of rheumatoid arthritis in Germany based on health insurance data : Regional differences and first results of the PROCLAIR study].

Abstract:

BACKGROUND:Rheumatoid arthritis (RA) is the most common chronic inflammatory joint disease with a prevalence of up to 1 % in the adult population. OBJECTIVE:This study describes the prevalence of RA diagnoses in outpatient health insurance claims data, based on different case definitions and stratified by age, sex and region of residence. METHODS:Based on data from a nationwide statutory health insurance fund (BARMER GEK) from the year 2013, a cross-sectional study of insurants aged 18 years or older was conducted. The following case definitions were applied: A) a diagnosis of seropositive rheumatoid arthritis (M05) or other rheumatoid arthritis (M06) according to the international classification of diseases 10 German modification (ICD-10-GM) in at least two quarterly periods of the year 2013, B) case definition A plus determination of C‑reactive protein (CRP) or erythrocyte sedimentation rate (ESR) at least once, C) case definition B plus specific drug therapy and D) case definition A plus treatment by a rheumatologist. Raw as well as age and sex-standardized prevalences were calculated and stratified according to the federal state. RESULTS:The study population consisted of 7,155,315 insurants of whom 60.2 % were female. Overall, RA prevalences for the respective case definitions were 1.62 % (A), 1.11 % (B), 0.94 % (C) and 0.64 % (D). When standardized to the German population the prevalences were 1.38 % (A), 0.95 % (B), 0.81 % (C) and 0.55 % (D). The proportion of women was approximately 80 % for all case definitions. Prevalences increased with age, peaking in the age group 70-79 years old and showing the highest values in eastern and the lowest in southern Germany for raw as well as standardized measures. CONCLUSION:Regional differences in the prevalence of RA diagnoses in health insurance claims data were observed independent of age, sex and case definition. The expected prevalence according to the results of international studies was best achieved when case definitions with CRP or ESR were considered.

journal_name

Z Rheumatol

authors

Hense S,Luque Ramos A,Callhoff J,Albrecht K,Zink A,Hoffmann F

doi

10.1007/s00393-016-0088-0

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

819-827

issue

8

eissn

0340-1855

issn

1435-1250

pii

10.1007/s00393-016-0088-0

journal_volume

75

pub_type

杂志文章
  • [The enterprising Irishman Bernard Connor (1666-1698)].

    abstract::In the thesis of the Irish physician Bernard Connor (1666-1698) from 1693 in Rheims he describes the torso of a man whose bones were joined together due to ankylosing spondylitis which is considered to be the first example of such skeletal findings. This communication must however be seen in connection with earlier an...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 传,历史文章,杂志文章

    doi:10.1007/s00393-010-0657-6

    authors: Keitel W

    更新日期:2012-06-01 00:00:00

  • [Rheumatoid arthritis: new developments in the pathogenesis with special reference to synovial fibroblasts].

    abstract::Rheumatoid arthritis (RA) is a chronic inflammatory disease, which is mainly characterized by synovial hyperplasia, pathological immune phenomena and progressive destruction of the affected joints. Various cell types are involved in the pathogenesis of RA including T cells, antigen presenting cells, and endothelial ce...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s003930170030

    authors: Seemayer CA,Distler O,Kuchen S,Müller-Ladner U,Michel BA,Neidhart M,Gay RE,Gay S

    更新日期:2001-10-01 00:00:00

  • [Surgical therapy of osteoporotic vertebral body fractures].

    abstract::Osteoporosis is an age-related systemic disease leading to increased bone fragility. The vertebral bodies of the transitional area between the thoracic and lumbar spine are often involved. A large number of unreported or late-diagnosed fractures have to be assumed. If risk factors such as advanced age or comorbidities...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-010-0739-5

    authors: Boluki D

    更新日期:2011-01-01 00:00:00

  • [Trends in rehabilitation of patients with rheumatic diseases in Germany].

    abstract::Recent Deutsche Gesellschaft für Rheumatologie (DGRh, German Society of Rheumatology) guidelines emphasized the significance of coordinated multidisciplinary care and rehabilitation of patients with inflammatory rheumatic diseases. Nationwide data from the German pension insurance funds showed that inpatient rehabilit...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-013-1259-x

    authors: Mau W,Beyer W,Ehlebracht-König I,Engel JM,Genth E,Jäckel WH,Lange U,Thiele K

    更新日期:2014-03-01 00:00:00

  • [Methotrexate toxicity. Myths and facts].

    abstract::Methotrexate (MTX) is a safe and well-tolerated drug for the treatment of rheumatic diseases, even if the strictest safety standards are considered. Initial apprehension as to severe pulmonary or hepatic side-effects has not been confirmed. The risk of infection is not elevated compared with other disease-modifying an...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-010-0687-0

    authors: Keysser G

    更新日期:2011-02-01 00:00:00

  • Relative efficacy and safety of apremilast, secukinumab, and ustekinumab for the treatment of psoriatic arthritis.

    abstract:OBJECTIVE:To assess the relative efficacy and safety of apremilast, secukinumab, and ustekinumab at different doses in patients with active psoriatic arthritis (PsA). METHOD:A Bayesian network meta-analysis was conducted, which included randomized controlled trials (RCTs) that examined the efficacy and safety of aprem...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00393-017-0355-8

    authors: Song GG,Lee YH

    更新日期:2018-09-01 00:00:00

  • [Mode of action of D-penicillamine on collagen metabolism].

    abstract::The effect of D-penicillamine, given for 14 days in doses of 100 mg/kg and 225 mg/kg, upon the collagen metabolism of skin and bone tissues was studied in rats. The smaller dosage of D-penicillamine did not effect the collagen synthesis in skin or bone. When the higher dosage was used, however, an increase of collagen...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Trnavská Z,Trnavský K

    更新日期:1977-05-01 00:00:00

  • [Mission statement from rheumatologists in the German Society of Rheumatology (DGRh e. V.) : We live rheumatology. German version].

    abstract::Systemic disease demands systemic thinkers. In this mission statement we define rheumatology, describe the role of the German Society of Rheumatology and the rheumatologist's spirit to their discipline. Rheumatologists are dedicated to improving the quality of life of their acute, chronic, and rehabilitative patients ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-020-00919-8

    authors: Lorenz HM,Aringer M,Braun J,Hoyer BF,Krause A,Meyer-Olson D,Mucke J,Rudwaleit M,Schneider M,Sewerin P,Späthling-Mestekemper S,Specker C,Voormann A,Wagner U,Wendler J,Schulze-Koops H

    更新日期:2020-12-01 00:00:00

  • [German 2012 guidelines for the sequential medical treatment of rheumatoid arthritis. Adapted EULAR recommendations and updated treatment algorithm].

    abstract::Following the EULAR recommendations published in 2010 German guidelines for the medical treatment of rheumatoid arthritis were developed based on an update of the systematic literature search and expert consensus. Methotrexate is the standard treatment option at the time of diagnosis, preferably in combination with lo...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,实务指引

    doi:10.1007/s00393-012-1038-0

    authors: Krüger K,Wollenhaupt J,Albrecht K,Alten R,Backhaus M,Baerwald C,Bolten W,Braun J,Burkhardt H,Burmester G,Gaubitz M,Gause A,Gromnica-Ihle E,Kellner H,Kuipers J,Krause A,Lorenz HM,Manger B,Nüßlein H,Pott HG,Rubbert-

    更新日期:2012-09-01 00:00:00

  • [Pathogenesis of spontaneous chronic polyarthritis in MRL mice].

    abstract::In a sequential study the pathogenesis of chronic polyarthritis occurring spontaneously in MRL mice was analysed by light microscopy. A total of 128 MRL mice of both substrains (MRL/Mp-lpr/lpr and +/+) and different age groups was studied. In 50 lpr/lpr mice, tinctorial and histochemical methods were applied for the i...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Hewicker M,Garcés LH,Kromschröder E,Trautwein G

    更新日期:1988-07-01 00:00:00

  • The cytokine-HPA axis feed-back circuit.

    abstract::Due to their anti-inflammatory effects and their capacity to affect the synthesis of most cytokines and the Th1/Th2 balance, endogenous glucocorticoids contribute to control the basal operation of immune cells. Immune processes result in the production of cytokines, such as IL-1, IL-2, IL-6, IL-11, IL-12, TNF-alpha, a...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s003930070014

    authors: Besedovsky HO,del Rey A

    更新日期:2000-01-01 00:00:00

  • [Studies on mobility and prognosis in spondylitis ankylosans].

    abstract::278 patients with ankylosing spondylitis have been studied in order to find a basis for prognosis by setting a mobility function index of the vertebral column. This index does not depend on manifestation age or on the blood sedimentation rate. It increases with progression of x-ray findings. A coincidence of impaired ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Schöffel J,Pohl W

    更新日期:1975-11-01 00:00:00

  • [B-cell depletion in the treatment of rheumatoid arthritis].

    abstract::New strategies including the blockade of TNFalpha showed excellent therapeutic effects even in so far refractory rheumatic diseases. Moreover, these approaches provided us with important informations about the pathogenic role of the mediators involved and distinct autoimmune cellular subsets. Here, we discuss recent d...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-003-0539-2

    authors: Feist E,Burmester GR,Dörner T

    更新日期:2003-08-01 00:00:00

  • Joint manifestations of Lyme borreliosis in Czechoslovakian patients.

    abstract::Involvement of the musculoskeletal system in 50 Lyme borreliosis patients seen in Czechoslovakia is described. Thirty-three patients reported tick bites or that they had removed a tick, four patients had been bitten by some other insect. Skin reaction following tick bite were found in 29 patients. Neurologic involveme...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Valesová M,Trnavský K

    更新日期:1990-07-01 00:00:00

  • Orthopädische Rheumatologie.

    abstract:: ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 新闻

    doi:10.1007/s00393-018-0509-3

    authors:

    更新日期:2018-11-01 00:00:00

  • [Biosimilars : Current state of the build up to series production].

    abstract::When patents expire, usually after 10 years in Germany, generic medicines routinely enter the market in place of conventional medications leading to significant reductions in prices. Currently the first biologicals are approaching patent expiry. Because of the biochemical complexities truly identical imitators are unr...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-013-1140-y

    authors: Aringer M,Dörner T

    更新日期:2013-11-01 00:00:00

  • [Prospective study of JCR-Oligo I of the Child and Adolescence Rheumatology Working Group].

    abstract::Intra-articular injection of corticosteroids is a powerful anti-inflammatory treatment with relatively few side effects. To date no prospective RCT exists on its use in children with oligoarthritis type I. Thus, in January 2000 the Arbeitsgemeinschaft started a multicenter RCT to compare in children with this diagnosi...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1007/s003930050216

    authors: Forster J

    更新日期:2000-04-01 00:00:00

  • Current status of D-penicillamine therapy in Japan.

    abstract::A multicentric post-marketing surveillance study over 7 years including 5,124 patients is presented. According to clinical and laboratory data, the drug D-penicillamine was effective, with a tendency of loss of efficacy after therapy of 5 years or longer. Response was better in the early stage of the disease. Side eff...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Kashiwazaki S

    更新日期:1988-01-01 00:00:00

  • [Inflammation mediated osteopenia (IMO): therapeutic effect of D-hormone and the role of cytokines].

    abstract::Inflammation-mediated osteopenia is an animal model for bone mass reduction following chronic inflammation. We found a reduction of calcitriol serum concentrations during the inflammatory process, in addition cytokines are increased. Treatment of the animals with calcitriol is able to prevent bone mass reduction and t...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s003930070033

    authors: Scharla SH,Lempert UG,Kamilli I

    更新日期:2000-01-01 00:00:00

  • [Paradigm shift in ANCA diagnostics : New international consensus recommendations].

    abstract:BACKGROUND:Up to now indirect immunofluorescence (IIF) followed by an antigen-specific assay specific for proteinase 3 (PR3) or myeloperoxidase (MPO) has been the standard method for the detection of antineutrophil cytoplasmic antibodies (ANCA). The development of more sensitive and highly specific PR3-ANCA and MPO-ANC...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-016-0240-x

    authors: Csernok E,Kempiners N,Hellmich B

    更新日期:2017-03-01 00:00:00

  • [Characteristics of pharmacotherapy of rheumatic diseases in advanced age].

    abstract::Drug treatment in the polymorbid elderly should focus on the more important symptoms. Pharmacokinetic differences should be considered, e.g. a reduced volume of distribution and decreased liver and renal function. Special alterations in the pharmacodynamics with respect to the central nervous system and other organs a...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:

    authors: Breithaupt H

    更新日期:1992-11-01 00:00:00

  • The treatment of rheumatoid arthritis with OM-8930, a bacterial immunostimulating agent.

    abstract::OM 8930, a bacterial product with immunostimulatory capacities, was studied for its efficacy in the long-term treatment of rheumatoid arthritis (RA). Ten (10) patients with active seropositive rheumatoid arthritis were treated intermittently for six months with the agent and were evaluated according to clinical, labor...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Rosenthal M,Plattner S

    更新日期:1981-09-01 00:00:00

  • [Ocular sarcoidosis].

    abstract::Ocular manifestation of sarcoidosis occurs in up to 60% of patients with confirmed systemic sarcoidosis and represents one of the most common forms of noninfectious uveitis. In known pulmonary sarcoidosis, ocular involvement can occur in up to 80% of cases. Sarcoidosis can also present only in the eye, without a syste...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-017-0303-7

    authors: Springer-Wanner C,Brauns T

    更新日期:2017-06-01 00:00:00

  • [Biomarkers and personalized medicine].

    abstract::Biomarkers form the basis for patient stratification and the development of individualized treatment strategies. As the understanding of the pathophysiological processes underlying rheumatic diseases increases, novel biomarkers will become available and established markers can be used more efficiently. Autoantibodies ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-011-0884-5

    authors: Scherer HU,Burmester GR,Häupl T

    更新日期:2013-02-01 00:00:00

  • [The course and topography of pain in generalized tendomyopathies].

    abstract::The generalized tendomyopathy (fibromyalgia) is characterized by the characteristic picture of multilocular pain symptoms, severe pressure-type pain in the tendon insertions and muscles, vitality deficiency, sleep disturbance and other vegetative disorders as well as functional complaints and is often also characteriz...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:

    authors: Brückle W,Lautenschläger J,Müller W

    更新日期:1991-01-01 00:00:00

  • An overwhelming pulmonary fungus ball in a systemic lupus erythematosus patient.

    abstract::Impaired host immunity has been regarded as a predisposing factor in post-primary tuberculosis in adults. Patients with systemic lupus erythematosus (SLE) are usually exposed to high doses of corticosteroids and eventually develop defective cellular immunity that increases the risk for active tuberculosis. SLE-associa...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-003-0492-0

    authors: Kocakoc E,Ozgocmen S,Kiris A,Ozcakar L,Boztosun Y,Yildirim N

    更新日期:2003-12-01 00:00:00

  • [Imaging modalities in psoriatic arthritis].

    abstract::This review presents an overview of the range of imaging modalities used in the diagnostic evaluation of patients with psoriatic arthritis (PsA). Conventional radiography is used to detect structural changes of the joints and tendon attachments. These changes occur late in the course of PsA hence conventional radiogra...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-013-1188-8

    authors: Hermann KG,Ohrndorf S,Werner SG,Finzel S,Backhaus M

    更新日期:2013-10-01 00:00:00

  • [Off-label therapy from the perspective of the medical insurance service].

    abstract::The assessment of off-label medications is one of the most common reasons for assessment of drugs for individual patients in the German medical services. Tension is not uncommon because of great expectations of patients and doctors on the one hand and the requirements of the law on the other. They often do not match. ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-011-0900-9

    authors: Grell L,Rieger M

    更新日期:2012-02-01 00:00:00

  • [COVID-19: treatment strategies of German-speaking pediatric rheumatologists : Results of an online survey].

    abstract:BACKGROUND:Reliable data on the course and treatment of pediatric COVID-19 ("corona virus disease 2019") in immunosuppressed patients with rheumatic diseases are missing. AIM:Delineation of individual strategies of the members of the Society for Pediatric Rheumatology (GKJR) in cases of COVID-19. METHODS:In May 2020 ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-020-00854-8

    authors: Janda A,Schuetz C,Heeg M,Minden K,Hedrich CM,Kallinich T,Hinze C,Schulz A,Speth F

    更新日期:2020-09-01 00:00:00

  • [Enzyme studies on the pathogenesis of experimental mycoplasma arthritis].

    abstract::Biochemical studies of rats with mycoplasma arthritis revealed new findings in pathogenesis and pathophysiology. Preliminary examinations showed that mycoplasmas release specific endonucleases and exonucleases. In evaluating the isoenzymes of the lactate dehydrogenases, malate dehydrogenases as well as of the esterase...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Klein G

    更新日期:1975-05-01 00:00:00