Browsing by Author "Feican Alvarado, Elsa Astrid"

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Estudio descriptivo: detección del dolor músculo - esquelético y enfermedades reumáticas aplicando el COPCORD en la población indígena de Saraguro - Ecuador
(2018) Pelaez Ballestas, Ingris
DESCRIPTIVE RESEARCH: PAIN MUSCLE – ESQUELECTIC DETECCTION AND COPCORD APLICATION REUMATICS COPCORD REUMATICS ILLNESS IN INDIGENA POPULATION OF THE SARAGURO - ECUADOR BACKGROUND: The COPCORD instrument allows the identification of musculoskeletal pain and rheumatic diseases such as osteoarthritis, rheumatoid arthritis, low back pain. The aim of this research is to validate and cross-culturally adapt the COPCORD instrument in the indigenous population as a screening test for the detection of these diseases. METHODS: It is a descriptive study, the universe of 210 indigenous people over 18 years residing in Saraguro - Loja, Ecuador. During the period from December 1, 2016 to January 30, 2017. The COPCORD was adjusted to the Spanish language, a transcultural adaptation and validation was made to the context of the indigenous group. The information was entered into the statistical program of Stata Version 11, analyzed: Cronbach's alpha, correlation matrixes with the Spearman test. The variables were correlated with the diagnosis established by the rheumatologist. RESULTS: The average age was 46.1 years, 64.7 % of the female gender, the screening test to detect a rheumatic disease has sensitivity of 92.3 % and specificity of 57.9 %. The internal consistency of the questionnaire presented a dimensionality in the biomechanical load and functional capacity sections; and multidimensionality in the path of musculoskeletal pain and comorbidities. Significant correlations of the COPCORD were observed compared with the rheumatologist's evaluation. CONCLUSIONS: By carrying out the cross-cultural validation and adaptation of the COPCORD questionnaire, its usefulness could be demonstrated as a screening test for the detection of musculoskeletal pain and rheumatic diseases in the population of Saraguro.of approach including the laparoscopic approach
Prevalence of disability in patients with musculoskeletal pain and rheumatic diseases in a population from Cuenca, Ecuador
(2017) Delgado Pauta, Jorge Antonio
Objective: The aim of this study was to determine the prevalence of disability in patients with musculoskeletal pain and rheumatic diseases in Cuenca, Ecuador. Methods: We performed a cross-sectional analytical study with randomized sampling in 4877 subjects, from urban and rural areas. COPCORD (Community Oriented Program for Control of Rheumatic Diseases)- validated questionnaire was administered house-to-house to identify subjects with nontraumatic musculoskeletal pain and rheumatic diseases. The subjects were assessed by rheumatologists for diagnostic accuracy, and the Health Assessment Questionnaire Disability Index was administered to assess functional capacity. A logistic regression analysis was conducted to determine the association of rheumatic diseases with functional disability. Results: Functional disability was found in 221 subjects (73.1% women), with mean age 62 (SD, 18.2)years, residing in rural areas (201 [66.5%]), with education of 6.9 (SD, 5.3)years, and of low income (77 [47.2%]). The value of HAQ-DI was a mean of 0.2 (0-2.9). The real prevalence of physical disability was 9.5%. Moderate and severe disability predominated in activities such as kneeling (4.9% and 3.3%), squatting (4.8% and 2.7%), and leaning to pick up objects (3.7% and 0.9%), respectively. Rheumatic diseases associated with physical disabilities were knee osteoarthritis (95 [31.4%]) and hand osteoarthritis (69 [22.8%]), mechanical low-back pain (43 [14.2%]), fibromyalgia (27 [9.5%]), and rheumatoid arthritis (11 [3.6%]; P < 0.001). Conclusions: Physical disability was associated with older age, female sex, rural residence, lower education, and lower income. Moderate and severe disability predominated in the dimensions of kneeling, squatting, and picking up objects. Rheumatic diseases associated with disabilitywere hand and knee osteoarthritis, back pain, fibromyalgia, and rheumatoid arthritis. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
Prevalence of musculoskeletal disorders and rheumatic diseases in Cuenca, Ecuador: a WHO-ILAR COPCORD study
(2016) Guevara Pacheco, Sergio Vicente; Feican Alvarado, Elsa Astrid; Sanín, Luz Helena; Vintimilla Ugalde, Jaime Fernando; Vintimilla Moscoso, Oscar Fernando; Delgado Pauta, Jorge Antonio; Lliguisaca Segarra, Maria Angelita; Dutan Erraez, Holger Gonzalo; Guevara Mosquera, Sergio Daniel; Ochoa Robles, Maria Veronica; Cardiel, Mario H; Pelaez Ballestas, Ingris
The aim of this study was to determine the prevalence of musculoskeletal pain and rheumatic diseases in subjects over 18 years of age from the canton of Cuenca, Ecuador. Cross-sectional analytical community-based study was conducted in subjects over 18 years of age using the validated Community-Oriented Program for the Control of Rheumatic Diseases (COPCORD) questionnaire. Random sampling was used. The questionnaire was administered by standardized health workers. Subjects were visited house by house. Subjects positive for musculoskeletal (MSK) pain in the last 7 days and at some point in life were assessed by rheumatologists to confirm the diagnosis. A total of 4877 subjects participated, with an average age of 42.8 (SD 18.8) years of age; 59.7 % were women; 69.7 % lived in urban areas. 32.5 % reported MSK pain in the last 7 days and 45.7 % at some point in life. The prevalence of knee osteoarthritis was 7.4 %, hand osteoarthritis 5.3 %, low back pain 9.3 %, rheumatoid arthritis 0.8 %, fibromyalgia 2 %, gout 0.4 %, and lupus 0.06 %. Subjects from rural areas reported experiencing more MSK pain in the last 7 days and at some point in life, lower income, poorer health-care coverage, and increased physical activity involving repetitive tasks such as lifting weights or cooking with firewood. MSK pain prevalence was high. Osteoarthritis and low back pain were the most common diseases. Age, sex, physical activity, repetitive tasks, living in a rural area, and lack of health-care coverage were found to be associated with MSK pain. © 2016, Springer-Verlag Berlin Heidelberg.
Prevalence of rheumatic diseases and quality of life in the Saraguro indigenous people, Ecuador: a cross-sectional community-based study
(2020) Guevara Pacheco, Sergio Vicente; Feican Alvarado, Elsa Astrid; Pelaez Ballestas, Ingris; Valdiviezo Vicuña, Wilson Aquiles; Montaleza Neira, Maria Augusta; Molina Alvarado, Gladis Margarita; Ortega Mendoza, Nelly Rosa; Delgado Pauta, Jorge Antonio; Chimbo Pullaguari, Lidia Eugenia; Hernández, María Victoria; Sanin Aguirre, Luz Helena; Cervera, Ricard
Rheumatic diseases are more prevalent and aggressive in indigenous population groups, providing medical attention for which poses a challenge for the rheumatologist. OBJECTIVE: To estimate the prevalence of musculoskeletal (MSK) disorders and rheumatic diseases in the Saraguro indigenous people in Ecuador, as well as to identify the main factors associated with the health status of this population. METHODS: This observational, cross-sectional study focused on the community was conducted using the COPCORD (Community-Oriented Program for Control of Rheumatic Diseases) methodology. The required data were obtained using the following instruments: (1) a screening for MSK disorders and rheumatic diseases; (2) a sociodemographic questionnaire; (3) a functional capacity Health Assessment Questionnaire Disability Index questionnaire; and (4) the quality of life EQ-5D-3L (EuroQoL) questionnaire. The rheumatologists working with the indigenous community were responsible for examining and treating study participants suffering from MSK disorders. RESULTS: The study sample comprised 2687 individuals, with mean age of 44 (SD, 19.9) years, 1690 (62.9%) of whom were women; Kichwa speakers comprised 32.4% (872), and 1244 (46.3%) reported MSK pain. The most prevalent conditions were as follows: low back pain (9.3%), hand osteoarthritis (OA, 7.2%), knee OA (6.5%), rheumatic regional pain syndrome (5.8%), fibromyalgia (1.8%), and rheumatoid arthritis (1.3%). Lower education level, unemployment, cooking with firewood, and rheumatic diseases were associated with a lower quality of life. CONCLUSIONS: Musculoskeletal disorders, rheumatic diseases, and rheumatoid arthritis were found to be highly prevalent in the studied population. Rheumatoid arthritis and hand OA had the most significant impact on the quality of life.
Syndemic and syndemogenesis of low back pain in Latin-American population: a network and cluster analysis
(2020) Gastelum Strozzi, Alfonso; Pelaez Ballestas, Ingris; Granados, Ysabel; Burgos Vargas, Rubén; Quintana, Rosana; Londoño, John; Guevara Pacheco, Sergio Vicente; Vega Hinojosa, Oscar; Alvarez Nemegyei, José; Juárez, Vicente; Pacheco Tena, César; Cedeño, Ligia; Garza Elizondo, Mario; Santos Granados, Ana María; Goycochea Robles, María Victoria; Feican Alvarado, Elsa Astrid; García, Hazel; Julian Santiago, Flor; Crespo, María Elena; Rodriguez Amado, Jacqueline; Pons Estel, Bernardo A.
Introduction: Although low back pain (LBP) is a high-impact health condition, its burden has not been examined from the syndemic perspective. Objective: To compare and assess clinical, socioeconomic, and geographic factors associated with LBP prevalence in low-income and upper-middle-income countries using syndemic and syndemogenesis frameworks based on network and cluster analyses. Methods: Analyses were performed by adopting network and cluster design, whereby interrelations among the individual and social variables and their combinations were established. The required data was sourced from the databases pertaining to the six Latin-American countries. Results: Database searches yielded a sample of 55,724 individuals (mean age 43.38 years, SD = 17.93), 24.12% of whom were indigenous, and 60.61% were women. The diagnosed with LBP comprised 6.59% of the total population. Network analysis showed higher relationship individuals’ variables such as comorbidities, unhealthy habits, low educational level, living in rural areas, and indigenous status were found to be significantly associated with LBP. Cluster analysis showed significant association between LBP prevalence and social variables (e.g. Gender inequality Index, Human Development Index, Income Inequality). Conclusions:LBP is a highly prevalent condition in Latin-American populations with a high impact on the quality of life of young adults. It is particularly debilitating for women, indigenous individuals, and those with low educational level, and is further exacerbated by the presence of comorbidities, especially those in the mental health domain. Thus, the study findings demonstrate that syndemic and syndemogenesis have the potential to widen the health inequities stemming from LBP in vulnerable populations.
Validación del cuestionario COPCORD para detección de enfermedades reumáticas CUENCA - ECUADOR
(2014) Pelaez Ballestas, Ingris
Objective: To validate the cultural adaptation of the instrument (Community Orientate Pro-gram in the Rheumatic Diseases) COPCORD to detect musculoskeletal pain and rheumatic diseases in the population of Cuenca.Methodology: A COPCORD transcultural ques-tionnaire validation and its application were made in the community to identify rheumatic symptoms. A rheumatologist doctor checked people to define the diagnosis. A descriptive statistical analysis of each variable was per-formed. Chronbach alpha, analysis screening test (sensitivity, specificity, and positive predic-tive value and roc curves) was measured.Results: A total of 201 people participated, 106 in urban areas and 95 in rural areas. The 67.6% were women with an average age of 50.3 years with 7.5 years in school. The 57.7% reported musculoskeletal pain with an inten-sity of 5.8 for VSA. Comparing the COPCORD questionnaire with the clinical assessment of the rheumatologist an 83.72% of sensitivity, was observed, specificity of 61.14%, probability of 2.18 and area under the curve of 0.72; with a Cronbach’s alpha of 0.7 for pain characteris-tics and 0,9 for functional capacity.Conclusion: The COPCORD questionnaire is valid for using in rural and urban populations in Ecuador; it demonstrated good performance as a screening test.