RESEARCH PAPER
Juvenile idiopathic arthritis morbidity rate in rural and urban areas of Poland 2008–2012
 
More details
Hide details
1
Military Institute of Medicine in Warsaw, Poland
 
2
Public Health Department, Health Sciences Faculty, Medical University in Łódź, Poland
 
3
National Health Fund, Warsaw, Poland
 
4
Health Care Policy Department, Medical University in Łódź, Poland
 
5
K. Jonscher Hospital in Łódź, Poland
 
 
Corresponding author
Andrzej Śliwczyński   

Public Health Department, Health Sciences Faculty, Medical University in Łódź, Poland
 
 
Ann Agric Environ Med. 2015;22(4):704-707
 
KEYWORDS
ABSTRACT
Objective:
The aim of this study was to investigate the juvenile idiopathic arthritis (JIA) morbidity rate in the Polish population, calculated per 1,000 inhabitants of a given province, taking into account the differences between urban and rural areas, gender and area of residence (province) 2008–2012.

Material and Methods:
From the NFZ IT systems information was obtained on the treatment of patients who had M08 and M09 juvenile arthritis, diseases classified elsewhere by the ICD-10 diagnosis code in the settlement report of the hospital. The number of patients, their gender and age at individual diagnoses were calculated based on the PESEL number provided in the statistical reports of the patient with the analysed ICD-10 diagnosis. Urban and rural cases were compared using commune zip codes. The basic for classifying the patient as a member of a urban or rural population was the zip code of the declared place of residence.

Results:
In Poland, the number of patients suffering from juvenile idiopathic arthritis has been increasing since 2008 – from 9.2 thousand in 2008 to 11.4 thousand in 2012. The majority were girls (approx. 62%). Most patients were living in urban areas; in 2008, 5.9 thousand: urban areas – 64% of women and 36% of men; 3.2 thousand: rural areas – 62% of women, 38% of men); in 2012, 7.2 thousand – urban areas); 4.2 thousand – rural areas. The morbidity indicators ranged from 0.195 – 0.357 per 1,000 inhabitants, depending on the year, gender and place of residence (province and commune).

 
REFERENCES (20)
1.
Ravelli A, Martini A. Juvenile idiopathic arthritis. Lancet 2007; 369: 767–778.
 
2.
Romicka A. Młodzieńcze idiopatyczne zapalenie stawów – obraz kliniczny, przebieg i leczenie. Standardy medyczne. (Juvenile idiopathic arthritis – clinical picture, course and treatment. Medical standards.) Pediatria, 2010; 7(2): 189–193 (in Polish).
 
3.
Petty RE, Southwood TR, Manners P, et al. International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol. 2004; 31: 390–2.
 
4.
Rutkowska-Sak L, Gietka P, Wierzbowska M, et al. Reumatologia wieku rozwojowego. Zalecenia konsultanta krajowego w dziedzinie reumatologii dotyczące diagnostyki i leczenia chorób reumatycznych. (Rheumatology of developmental age. Recommendations of the national rheumatology consultant on the diagnostics and treatment of rheumatological diseases). Reumatologia 2012; 50(2): 142–161 (in Polish).
 
5.
Ustawa z dnia 27.08.2004 r. o świadczeniach opieki zdrowotnej finansowanych ze środków publicznych (Dz. U. z 2008 r. Nr 164, poz. 1027, z późn. zm.). 27 August 2004 Act on health care services financed from public means (Dz. U. of 2008, no. 164, item 1027 as amended).
 
6.
 
7.
 
8.
http://www.stat.gov.pl (access: 2013.06.30).
 
9.
Porta M. A Dictionary of Epidemiology, Oxford University Press, Oxford, 2008.
 
10.
Camuglia JE, Whitford CL, Hall AJ. Juvenile idiopathic arthritis associated uveitis in adults: a case series. Ocul Immunol Inflamm. 2009 Sep-Oct;17(5): 330–4.
 
11.
Skarin A, Elborgh R, Edlund E, et al. Long-term follow-up of patients with uveitis associated with juvenile idiopathic arthritis: a cohort study. Ocul Immunol Inflamm. 2009 Mar-Apr;17(2):104–8.
 
12.
L. Rutkowska-Sak, M. Majdan, M. Tłustochowicz, W. Tłustochowicz: Przewlekłe zapalenia stawów – przejście od reumatologa pediatry do reumatologa dorosłych. Zalecenia Zespołu Ekspertów przy Konsultancie Krajowym w dziedzinie reumatologii w kontekście uwarunkowań związanych z przestrzeganiem zapisów programów terapeutycznych. (Arthritis – from a paediatric rheumatologist to an adult rheumatologists. Recommendations of the National Consultant’s Team of Experts on rheumatology within the framework of therapeutic programmes). Reumatologia 2013; 51(4): 259–264 (in Polish).
 
13.
Puszczewicz M. Wielka interna – reumatologia. wyd. I (Internal medicine compendium – rheumatology, 1 st ed.), Medical Tribune Polska, Warszawa, 2000 (in Polish).
 
14.
Petty RE, Smith JR, Rosenbaum JT. Arthritis and uveitis in children:a pediatric rheumatology perspective. Am J Ophthamol. 2003;135(6): 879–84.
 
15.
Pruunsild C, Uibo K, Liivamagi H, Tarraste S, Talvik T, Pelkonen P. Incidence of juvenile idiopathic arthritis in children in Estonia: a prospective population-based study. Scand J Rheumatol. 2007; 36: 7–13. http://www.clinexprheumatol.or....
 
16.
Berntson L, Andersson GB, Fasth A, Herlin T, Kristinsson J, Lahdenne P, Marhaug G, Nielsen S, Pelkonen P, Rygg M, Nordic Study Group: Incidence of juvenile idiopathic arthritis in the Nordic countries. A population based study with special reference to the validity of the ILAR and EULAR criteria. J Rheumatol. 2003; 30: 2275–2282.
 
17.
Nielsen HE, Dorup J, Herlin T, Larsen K, Nielsen S, Pedersen FK. Epidemiology of juvenile chronic arthritis: risk dependent on sibship, parental income, and housing. J Rheumatol. 1999; 26(7): 1600–1605.
 
18.
Radon K, Windstetter D, Poluda D, Häfner R, Thomas S, Michels H, von Mutius E. Exposure to animals and risk of oligoarticular juvenile idiopathic arthritis: a multicenter case-control study. BMC Musculoskelet Disord. 2010 Apr 20; 11: 73.
 
19.
Drapała A, Grabowska Woźniak E, Gryglewicz J, et al. Stan opieki reumatologicznej w Polsce. Streszczenie raportu projektu badawczego. (Condition of rheumatological care in Poland. Abstract of a study project report). Uczelnia Łazarskiego, Warszawa 2011 (in Polish).
 
20.
Wilkinson N.Children Don’t Get Arthritis, Do They? Executive Member of British Society for Paediatric and Adolescent Rheumatology (BSPAR). Autumn 2012. http://www.nras.org.uk/about_r... (Accessed on 19.07.2013).
 
eISSN:1898-2263
ISSN:1232-1966
Journals System - logo
Scroll to top