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Epidemiology of Polymyalgia Rheumatica in Korea
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논문 기본 정보

Type
Academic journal
Author
Journal
Elementary Education Research Center 대한류마티스학회지 대한류마티스학회지 제21권 제6호 KCI Accredited Journals
Published
2014.1
Pages
297 - 302 (6page)

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Epidemiology of Polymyalgia Rheumatica in Korea
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Objective. Polymyalgia rheumatica is a chronic inflammatory disease that affects people older than 50 years of age. The diagnosis is made based on clinical features, and the current standard of treatment is low-dose glucocorticoids. PMR is more commonly reported in Caucasians and females. However, epidemiological studies of PMR in Asian countries are scarce. We aimed to estimate the epidemiology of PMR in Korea. Methods. This study was conducted by analyzing the Health Insurance Review and Assessment databases. We verified all claims between 2007 and 2012. Cases were included when PMR ICD-10 code (M 35.3) was recorded more than twice, and glucocorticoids were prescribed for ≥30 days. Results. We identified 1,463 newly diagnosed cases of PMR during the 5 years. Among them, 992 (67.8%) were female, and the mean age at diagnosis was 66.9 years old. The annual incidence rate was 2.06 per 100,000 individuals aged over 50 years. The prevalence rate was 8.21 per 100,000 individuals in 2012. Incidence and prevalence appeared to increase with age. Prednisolone was the most commonly prescribed glucocorticoid. In half of the patients, the daily starting dose was 6∼15 mg as prednisolone equivalents. Conclusion. This is the first study to investigate the epidemiology of PMR in Korea. The incidence and prevalence appeared to be considerably lower than those in Western populations. Both genetic and environmental factors might influence disease occurrence. In addition, the actual incidence may have been underestimated due to lack of awareness of PMR in clinical practice.
#Polymyalgia rheumatica #Epidemiology #Korea

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Kermani TA / 2013 / Polymyalgia rheumatica / Lancet 381:63~72 google schola Gonzalez-Gay MA / 2009 / Epidemiology of giant cell arteritis and polymyalgia rheumatica / Arthritis Rheum 61:1454~1461 google schola Doran MF / 2002 / Trends in the incidence of polymyalgia rheumatica over a 30 year period in Olmsted County, Minnesota, USA / J Rheumatol 29:1694~1697 google schola Okumura T / 2012 / The rate of polymyalgia rheumatica (PMR) and remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome in a clinic where primary care physicians are working in Japan / Rheumatol Int 32:1695~1699 google schola 김현아 / 2012 / Induction of Remission is Difficult due to Frequent Relapse during Tapering Steroids in Korean Patients with Polymyalgia Rheumatica / Journal of Korean Medical Science 27(1):22~26 google schola

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