Comparative analysis of the detection of diseases of the muscular system in minors of Saint Petersburg
- Authors: Kokushin D.N.1, Sokolova V.V.2, Kirilenko V.V.2, Guryevа N.A.2, Sharafutdinova L.L.2
-
Affiliations:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- Saint Petersburg State Pediatric Medical University
- Issue: Vol 12, No 2 (2024)
- Pages: 205-216
- Section: Organization of trauma and orthopedic care
- URL: https://ogarev-online.ru/turner/article/view/265163
- DOI: https://doi.org/10.17816/PTORS623155
- ID: 265163
Cite item
Abstract
BACKGROUND: Diseases of the musculoskeletal system in children and their dynamics and structure are urgent health problems and have important scientific and practical significance. The epidemiological features of the detectability of pathology in different regions are of interest for detailed consideration.
AIM: This study aimed to conduct a comparative characterization of the primary morbidity of children with diseases of the musculoskeletal system in St. Petersburg in the 2017–2022 period.
MATERIALS AND METHODS: Official collections of statistical reports of the Central Research Institute of Organization and Informatization of Healthcare from 2017 to 2022 were analyzed. Indicators of diseases of the musculoskeletal system and connective tissue in children were analyzed, and a comparative assessment of the ratio of the probabilities of detecting pathologies in general and for individual nosologies presented in the collections in St. Petersburg and the Russian Federation was performed. Digital analysis was performed in Microsoft Office 2010 programs (Word and Excel).
RESULTS: The indicators of primary morbidity in St. Petersburg from 2017 to 2022 exceeded the national and regional averages and had a negative upward trend. In all age groups, over 6 years, the odds ratio in favor of St. Petersburg increased with arthropathies in general and deforming dorsopathies and decreased with spondylopathies and systemic connective tissue lesions. Moreover, in children aged 0–14 years, the chances of detection in St. Petersburg increased with respect to reactive arthropathies and fell with juvenile arthritis, whereas in adolescents the increase concerned juvenile arthritis and the decrease in reactive arthropathies. In rheumatoid arthritis, a transition was noted – the probabilities of detection have become lower in favor of the regions in Russia.
CONCLUSIONS: In St. Petersburg, an unfavorable trend in the probabilities of detecting diseases of the musculoskeletal system and connective tissue was registered among children. A two-stage increase in indicators was found in 2017–2019 and 2020–2022, and the rate of increase in the detectability of most nosologies during the COVID-19 pandemic exceeded the prepandemic values, indicating the conjugacy of the studied group of diseases with organizational limitations in the outpatient unit, quality and specificity of differential diagnosis, and viral component. The identified features indicate the need for a reassessment of organizational measures and management decisions.
Full Text
##article.viewOnOriginalSite##About the authors
Dmitriy N. Kokushin
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: partgerm@yandex.ru
ORCID iD: 0000-0002-2510-7213
SPIN-code: 9071-4853
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgVera V. Sokolova
Saint Petersburg State Pediatric Medical University
Author for correspondence.
Email: vera-Sokol@inbox.ru
ORCID iD: 0000-0001-7034-9281
SPIN-code: 9708-3639
MD, PhD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, Saint PetersburgVadim V. Kirilenko
Saint Petersburg State Pediatric Medical University
Email: vadimvlkir@bk.ru
ORCID iD: 0000-0001-7642-4561
SPIN-code: 4718-9184
ED, PhD, Cand. Sci. (Econ.), Assistant Professor
Russian Federation, Saint PetersburgNatalya A. Guryevа
Saint Petersburg State Pediatric Medical University
Email: socp_ozz@mail.ru
ORCID iD: 0000-0001-8827-3537
МD, PhD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, Saint PetersburgLyubov L. Sharafutdinova
Saint Petersburg State Pediatric Medical University
Email: socp_ozz@mail.ru
ORCID iD: 0000-0002-3478-6043
SPIN-code: 2230-8341
MD, PhD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, Saint PetersburgReferences
- Baindurashvili AG, Vissarionov SV, Zaletina AV, et al. Incidence of the musculoskeletal system diseases in children and the organization of specialized care in Saint Petersburg. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2024;12(1):43–52. doi: 10.17816/PTORS626498
- Kokushin DN. Analysis of the dynamics of primary morbidity of minors 0-14 years old with diseases of the musculoskeletal system in St. Petersburg during the COVID-19 pandemic. International Journal of Applied and Basic Research. 2024;(1):17–21. EDN: NDNJRF doi: 10.17513/mjpfi.13605
- Sokolovskaya TA, Armashevskaya OV, Sachek OI. Main trends in morbidity among children in the first year of life in the Russian Federation. Russian Bulletin of perinatology and pediatrics. 2021;66(6):39–45. EDN: XXGPMM doi: 10.21508/1027-4065-2021-66-6-39-45
- Proia P., Amato A., Drid P., et al. The impact of diet and physical activity on bone health in children and adolescents. Front Endocrinol (Lausanne). 2021;12. doi: 10.3389/fendo.2021.704647
- Akulin IM, Sokolova VV. Satisfaction of parents with the availability of preferential drug provision for minors. Menedzher zdravookhraneniya. 2022;(6):47–52. EDN: ZDMDEA doi: 10.21045/1811-0185-2022-6-47-52
- Kokushin DN, Khardikov MA, Vissarionov SV, et al. Comparative analysis of the quality of life of children with congenital scoliosis after surgical treatment: extirpation of a hemivertebra from the dorsal and combined approaches. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2021;9(2):153–162. EDN: HBOCOD doi: 10.17816/PTORS60339
- Lila AM, Lila VA. Social significance and economic consequences of rheumatic diseases. Hygiene and Sanitation, Russian journal. 2017;96(4):387–392. EDN: YKUQOF doi: 10.18821/0016-9900-2017-96-4-387-392
- Kirilenko VV. Problems of development of medical and preventive healthcare institutions in Russia. In: Collection of scientific works “Research and Educational Center “Technologies of Commodity, Customs and Forensic Expertise”. Saint Petersburg; 2015. P. 301–303. EDN: VUKMTR
- Mansurova GSh, Ryabchikov IV, Maltsev SV, et al. Violations of the musculoskeletal system in school-age children. Russian Bulletin of Perinatology and Pediatric. 2017;62(5):187–191. EDN: ZRPYUN doi: 10.21508/1027-4065-2017-62-5-187-191
- Kokushin DN. Features of primary morbidity of adolescents aged 15-17 years diseases of the musculoskeletal system and connective tissue in St. Petersburg during the COVID-19 pandemic. International Journal of Applied and Basic Research. 2023;(12):24–28. EDN: RQHDNL doi: 10.17513/mjpfi.13600
- Grigoryeva NN, Airapetov GA. Mechanisms of musculoskeletal consequences of COVID-19. Orthopaedic Genius. 2024;30(1):153–162. EDN: DAZQKU doi: 10.18019/1028-4427-2024-30-1-153-162
- Ganuzin VM, Maskova GS, Storozheva IV, et al. Analysis of the dynamics of the health status of children and adolescents based on the results of clinical examinations. Russian bulletin of hygiene. 2021;(3):9–12. EDN: LJMPKY doi: 10.24075/rbh.2021.019.
- Bogormistrova VA, Svoboda PN, Shestakova VN, et al. The structure of lesions of the musculoskeletal system in adolescent children, considering the somatic pathology and living environment. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2022;10(1):5–12. EDN: ORERAQ doi: 10.17816/PTORS96525
- Musina AA, Amirseitova FT, Ismailova AA. Impact of the COVID-19 pandemic on injury rates in the world and in Kazakhstan. Traumatology and Orthopaedics of Kazakhstan. 2021;(1):48–52. EDN: UZXXVX doi: 10.52889/1684-9280-2021-1-56-48-52
- Rossi L, Behme N, Breuer C. Physical activity of children and adolescents during the COVID-19 pandemic-a scoping review. Int J Environ Res Public Health. 2021;18(21):11440. doi: 10.3390/ijerph182111440
- Polyakova YuV, Papichev EV, Akhverdyan YuR, et al. New coronavirus infection – direct and indirect impact on patients with diseases of the musculoskeletal system and connective tissue. Sovremennye problemy nauki i obrazovaniya. 2021;6. (In Russ.) Available from: https://science-education.ru/ru/article/view?id=31342 Accessed: 1 Jun, 2024.
- Morbidity of the Russian child population (0–14 years old) with a diagnosis established for the first time in life in 2018–2022: statistical collection, Part V. Moscow: FGBU “TsNIIOIZ” Minzdrava Rossii; 2023. (In Russ.)
- Morbidity of the Russian child population (15–17 years old) with a diagnosis established for the first time in life in 2018-2022: statistical collection, Part V. Moscow. FGBU “TsNIIOIZ” Minzdrava Rossii; 2023. (In Russ.)
- Skvirskaya G. P., Volnukhin A. V., Reze A. G. The state and private sector of health care system of the Russian Federation: From competition to integration and partnership. Problems of Social Hygiene, Public Health and History of Medicine. 2022;30(2):275–280 EDN: SKNJCD doi: 10.32687/0869-866X-2022-30-2-275-280
- Miloserdov MA, Maslov NE, Erochina AS, et al. Prevalence of acute disorders of cerebral circulation in the Smolensk region in terms of the role of socio-economic factors and the state of the health care system. Health care of the Russian Federation. 2022;66(4):275–281. EDN: CJXCST doi: 10.47470/0044-197X-2022-66-4-275-281
- Yur’ev VK, Mezhidov KS, Moiseeva KE. Children’s appeal to medical organizations as a criterion for parents’ medical activity. Healthcare Manager. 2023;(9):71–79. EDN: WVQCBO doi: 10.21045/1811-0185-2023-9-71-79
- Goroshko NV, Emel’yanova EK, Patsala SV. The problem of medical activity of the Russian population in the era of COVID-19. Social Aspects of Population Health. 2022;68(3):15. EDN: QTYSRX doi: 10.21045/2071-5021-2022-68-3-15
- Borisenko EP, Romantsova EB, Babtseva AF. Vitamin D provision among children and adults in the Amur Region. Bulletin of physiology and pathology of respiration. 2016;(60):57–61. EDN: WDMVVP doi: 10.12737/20121
- Sharawat IK, Dawman L. Bone mineral density and its correlation with vitamin D status in healthy school-going children of Western India. Arch Osteoporos. 2019;14(1):13. doi: 10.1007/s11657-019-0568-3
- Davies JH, Reed JM, Blake E, et al. Epidemiology of vitamin D deficiency in children presenting to a pediatric orthopaedic service in the UK. J Pediatr Orthop. 2011;31(7):798–802. doi: 10.1097/BPO.0b013e31822f1af1
- Karonova TL, Mikheeva EP, Nikitina IL, et al. Level of vitamin D provision among residents of the North-Western region of the Russian Federation and the importance of vitamin D deficiency for health. Osteoporosis and Bone Diseases. 2016;19(2):45–46. EDN: XSCNOT doi: 10.14341/osteo2016245-46
- Khazova EL, Shirinyan LV, Zazerskaya IE, et al. Seasonal fluctuations in the level of 25-hydroxycholecalciferol in pregnant women living in St. Petersburg. Ginekologiya. 2015;17(4):38–42. EDN: ULUHQZ
- Taradin GG, Kugler TE, Malovichko IS, et al. Acute arthritis associated with COVID-19. Almanac of Clinical Medicine. 2022;50(2):139–148. EDN: BENHBH doi: 10.18786/2072-0505-2022-50-015
- Mobasheri L, Nasirpour MH, Masoumi E, et al. SARS-CoV-2 triggering autoimmune diseases. Cytokine. 2022;154. doi: 10.1016/j.cyto.2022.155873
- Yur’ev VK, Mezhidov KS, Sokolova VV. Features of the incidence of diseases of the musculoskeletal system and connective tissue in children in the Chechen Republic. Healthcare Manager. 2024;(1):32–40. EDN: JVADUT doi: 10.21045/1811-0185-2024-1-32-40
- Kontsevaya AV, Myrzamatova AO, Mukaneeva DK, et al. Physical activity of school-age children during the COVID-19 pandemic: results of the Russian part of an international study involving 9 European countries. Human Ecology. 2022;(10):729–738. EDN: EMLCZN doi: 10.17816/humeco109524
- Sibiryakova NV. Physiological risk factors caused by low physical activity. Ulyanovsk Medico-biological Journal. 2023;(2):132–144. EDN: CROCGT doi: 10.34014/2227-1848-2023-2-132-144
Supplementary files
