Advertisement

Irish Journal of Medical Science

, Volume 168, Issue 3, pp 197–200 | Cite as

Prevalence of rheumatoid arthritis in Dublin, Ireland: A population based survey

  • D. Power
  • M. Codd
  • L. Ivers
  • S. Sant
  • M. Barry
Article

Abstract

The prevalence of Rheumatoid Arthritis (RA) in Ireland has never been established. Studies from different countries show varying rates, being almost 100 per cent greater in the highlands of Scotland (10/1,000) than in rural Lesotho (6/1,000). A recent study also suggests a fall in the prevalence of RA among women in the London urban area. Given these variations the validity of extrapolating prevalence rates established for other countries to Ireland is questionable. This study aimed to establish a prevalence rate for RA in a defined Dublin population. A self-administered questionnaire was sent to 2,500 people chosen at random from the electoral register. The questionnaire was designed to select out both undiagnosed patients and those with definite arthritis. Respondents whose replies indicated an arthritic process, but in whom no diagnosis had been made, were asked to attend for further assessment and investigations as appropriate. Those who responded that they had been diagnosed with arthritis were asked for consent to inspect their hospital or general practitioner records. A diagnosis of RA was based on American Rheumatism Association (ARA) criteria. Valid responses were received from 1,227 people surveyed (response rate = 49 per cent). Six cases of RA were identified including 2 previously undiagnosed cases. A prevalence rate of 5/1,000 has been estimated based on these findings.

Keywords

Rheumatoid Arthritis Rheumatol Previous Diagnosis American Rheumatism Association Electoral Register 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Lau, E., Symmons, D., Bankhead, C., MacGregor, A., Donnan, S., Silman, A. Low prevalence of rheumatoid arthritis in the urbanised Chinese of Hong Kong. J. Rheumatol. 1993; 20(7): 1133–7,PubMedGoogle Scholar
  2. 2.
    Laine, V. A. I. Rheumatic complaints in an urban population in Finland. Acta Rheum. Scand. 1962; 8: 81–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Spector, T. D., Hart, D. J., Powel, R. J. Prevalence of rheumatoid arthritis and rheumatoid factor in women: evidence for a secular decline. Ann. Rheum. Dis. 1993; 52(4): 254–7,PubMedCrossRefGoogle Scholar
  4. 4.
    Jacobsson, L. T., Hanson, R. I., Knowle, W. C., Pillemer, S., Pettitt, D. J., McCance, D. R., Bennett, P. H. Decreasing incidence and prevalence of rheumatoid arthritis in Pima Indians over a twenty-five year period. Arthritis Rheum. 1994; 37(8): 1158–65.PubMedCrossRefGoogle Scholar
  5. 5.
    Steven, M. M. Prevalence of chronic arthritis in four geographical areas of the Scottish Highlands. Ann. Rheum. Dis. 1992; 51(2): 186–94.PubMedCrossRefGoogle Scholar
  6. 6.
    Beasley, R. P., Wilkens, R. F., Bennet, P. H. High prevalence of rheumatoid arthritis in Yakima Indians. Arthritis Rheum. 1973; 16: 743–8.PubMedCrossRefGoogle Scholar
  7. 7.
    Allander, E. Epidemiology of the rheumatic diseases. Current Opin. Rheum. 1994: 6: 122–131.CrossRefGoogle Scholar
  8. 8.
    Chou, C. T., Pei, L., Lee, C. F., Schumacher, H. R., Liang, M. H. Prevalence of rheumatic diseases in Taiwan: a population study of urban, suburban and rural differences. J. Rheumatol. 1994; 2 (2): 302–6.Google Scholar
  9. 9.
    Badley, E. M., Tennant, A. Impact of disablement due to rheumatic disorders in a British population. Ann. Rheum. Dis. 1993; 52: 6–13.PubMedCrossRefGoogle Scholar
  10. 10.
    Whelan, B. RANSAM: A random sample designed for Ireland. The Economic and Social Review 1979: 10(2).Google Scholar
  11. 11.
    Collen, M. F., Cutler, J. L., Siegelaub, A. B. Reliability of a self-administered medical questionnaire. Arch. Intern. Med. 1969: 123: 664–675.PubMedCrossRefGoogle Scholar
  12. 12.
    Silman, A. J., Ollier, W. Absence of rheumatoid arthritis in a rural Nierian population. J. Rheumatol. April 1993; 20(4): 618–22.PubMedGoogle Scholar
  13. 13.
    Arnett, F. C., Edworthy, S. M., Bloch, D. A. et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988; 31: 315–23.PubMedCrossRefGoogle Scholar
  14. 14.
    Kelsey, J. L., Thompson, W. D., Evans, A. S. Methods in Observational Epidemiology. Oxford University Press 1986; 281–2.Google Scholar
  15. 15.
    Carey, N. C. SAS Users Guide. Version 6.11. SAS Institute Incorporated, 1988.Google Scholar
  16. 16.
    Hameed, K., Gibson, T., Kadir, M., Sultana, S. The prevalence of rheumatoid arthritis in affluent and poor urban communities of Pakistan. Br. J. Rheumatol. 1995; 34(3): 252–6.PubMedCrossRefGoogle Scholar
  17. 17.
    Malaviya, A. N., Kapoor, S. K., Singh, R. R., Kumar, A., Pande, I. Prevalence of rheumatoid arthritis in the adult Indian population. Rheumatol. Int. 1993; 13(4): 131–4.PubMedCrossRefGoogle Scholar

Copyright information

© Springer 1999

Authors and Affiliations

  • D. Power
    • 1
  • M. Codd
    • 2
  • L. Ivers
    • 1
  • S. Sant
    • 1
  • M. Barry
    • 3
  1. 1.Department of RheumatologyMater Misericordiae HospitalDublin
  2. 2.Department of Epidemiology and Bio statisticsMater Misericordiae HospitalDublin
  3. 3.Department of RheumatologyJames Connolly Memorial HospitalDublin

Personalised recommendations