ObjectiveTo analyze the current status and trends of the disease burden of knee osteoarthritis (KOA) in China from 1990 to 2023, and to examine the epidemiological characteristics of age, gender differences, and attribution to high body mass index (BMI), in order to provide a basis for formulating prevention and treatment strategies to reduce the disease burden of knee KOA in China. Methods Based on the Global Burden of Disease (GBD) database, data on the number, rate, and age-standardized rate of incidence, prevalence, disability-adjusted life years (DALYs) for KOA, and DALYs for KOA attributable to high BMI in the Chinese population from 1990 to 2023 were integrated. The Joinpoint 5.4.0.0 software was used to analyze the age and gender differences in KOA and the epidemiological characteristics attributable to high BMI. Results The standardized incidence, prevalence, and DALYs rates of KOA in China in 2023 increased by 6.46%, 6.43%, and 6.93%, respectively, compared with 1990. In terms of age, the disease burden of KOA in China was lowest in the age group of 30-34 years, with the highest incidence rate in the age group of 50-54 years, whereas the prevalence rate and DALYs rate continued to increase with age, and both were highest in the age group of ≥70 years. In terms of gender, all disease burden standardized rate indicators were higher in females than in males, and the difference widened with age. The rate of BMI-attributable DALYs increased at an annual average rate of 1.57% (95%CI: 1.55, 1.59) from 1990 to 2023, again with significant age and gender differences. ConclusionThe continued growth of the KOA disease burden and significant population differences characterizing China call for focused attention on the female middle-aged and elderly population, enhanced weight management, and implementation of targeted preventive and control measures.
【摘要】 目的 了解四川省基層醫療衛生機構基本醫療功能開展情況，以便有針對性地采取措施，提高基層醫療衛生機構的服務能力。 方法 2008年8月采用自填式問卷調查的方法，對基層醫療衛生機構開展的基本醫療功能情況進行調查。 結果 基層醫療衛生機構提供的三類基本醫療功能（基本檢查項目、常見病診療、家庭診療及轉診）總體情況不甚理想，基本檢查項目開展情況社區衛生服務中心好于鄉鎮/街道衛生院。一級項目中除社區衛生服務中心轉出服務開展比例達100%外，大部分醫療衛生機構一級、二級項目開展不全，社區衛生服務中心與鄉鎮/街道衛生院X線檢查開展比例均在50%左右，常見病診療部分一級項目開展機構的比例不到30%。家庭診療及轉診二級項目兩類機構開展比例均較低。 結論 基層醫療衛生機構提供的基本醫療功能特別是常見病診療項目有待加強。【Abstract】 Objective To understand the situation of basic medical services in primary medical institutions of Sichuan province so as to take related measures to improve the medical services in primary medical institutions. Methods We used self-administered questionnaires to investigate the basic medical services in primary medical institutions in August, 2008. Results The general situation of the three types of basic medical services (basic examination items, common disease diagnosis and treatment, family diagnosis and treatment and referrals) was not very good, but the development of basic examination items in the community health service center was better than that in villages and town hospitals or street service center. Among all kinds of first-grade medical health services, except for that the referral service in community health service center accounted for 100%, most of the first and second-grade medical health services were not fully developed. The proportion of X ray detection in community health service center and villages and town hospitals or street service center was about 50%, and the development of common disease diagnosis and treatment among the first grade medical health services accounted for only 30%. The proportion of family diagnosis and treatment and referrals was low. Conclusion The basic medial services in primary medical institutions should be strengthened, especially for the common disease diagnosis and treatment.