Abstract:
:Chronic pediatric musculoskeletal (MSK) conditions are a major cause of morbidity. The burden of pediatric rheumatic diseases in East Africa is largely unknown. The purposes of this study were to estimate frequencies and assess the spectrum of MSK-related diagnoses using ICD-10 diagnostic codes among outpatients at a pediatric hospital in Kenya and to evaluate the accuracy of the assigned codes used for the 'arthropathies' category. All pediatric outpatient diagnoses classified under the ICD-10 codes for 'diseases of the MSK system and connective tissue' (M00-M99) recorded between January and December 2011 were extracted from the electronic medical record system at Gertrude's Children's Hospital (GCH). For each of the ten MSK disease categories, frequencies were calculated. The assigned ICD10 code for cases in the 'arthropathies' (M00-M25) category was assessed by two rheumatologists. MSK diagnoses (n = 1078) accounted for 0.5% of all GCH outpatient consults available for analysis. 'Soft tissue disorders' were the most frequent MSK diagnoses (n = 614, 57%), followed by 'arthropathies' (n = 332, 30.8%), 'dorsopathies' (n = 81, 7.5%), 'osteopathies and chondropathies' (n = 39, 3.6%), and 'other' disorders (n = 12, 1.1%). No patients were classified in the category of 'systemic connective tissue disorders'. In cases classified as 'arthropathies', there was poor agreement (Kappa 0.136) between the ICD10 code assigned by the treating physicians and that assigned by the rheumatologists. However, when the rheumatologists' classification was loosened, agreement was moderate (Kappa 0.533). This study provides estimates of the frequency of outpatient MSK diagnoses at a pediatric hospital in Kenya in 2011. MSK diagnoses were not rare. Despite limitations of administrative databases to estimate frequencies of specific diagnoses, they provide a snapshot of the overall burden and spectrum of MSK conditions.
journal_name
Clin Rheumatoljournal_title
Clinical rheumatologyauthors
Scuccimarri R,Broten L,Migowa A,Ngwiri T,Wachira J,Bernatsky S,Hitchon C,Colmegna Idoi
10.1007/s10067-018-4376-8subject
Has Abstractpub_date
2019-04-01 00:00:00pages
1195-1200issue
4eissn
0770-3198issn
1434-9949pii
10.1007/s10067-018-4376-8journal_volume
38pub_type
杂志文章abstract:OBJECTIVES:Our aim was to investigate the prevalence value of a high-avidity antinuclear antibody (ANA) of the IgG isotype (HA IgG ANA) compared with that of ANAs of other isotypes in patients with systemic lupus erythematosus (SLE) and to assess the associations of HA IgG ANA with the activity of SLE and lupus nephrit...
journal_title:Clinical rheumatology
pub_type: 杂志文章
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doi:10.1007/s10067-004-1052-y
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journal_title:Clinical rheumatology
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pub_type: 杂志文章,多中心研究
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pub_type: 已发布勘误
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
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更新日期:2020-02-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 临床试验,杂志文章
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更新日期:1998-01-01 00:00:00
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