Epidemiology of rheumatoid arthritis in the elderly

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  • Kojima Masayo
    Department of Frailty Research, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology

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  • 高齢関節リウマチ患者の疫学

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Abstract

<p>The number of elderly patients with rheumatoid arthritis RA is increasing due to the improvement of the long-term prognosis, the progress of treatment strategy and the increase of elderly onset cases in recent years. We recently reported the percentage of the population with RA by age using the data of the 2016 National Life Basic Survey. It was confirmed that the proportion of elderly patients increased for both males and females, with 80–84 years being the highest. The most common age of onset of RA is the 60s and 70s in males, and 40s, 50s and late 60s in females. The proportion of late-stage elderly people aged 75 and over in the population aged 16 and over was 15.0% for non-RA males and 19.1% for non-RA females, while it was 40.1% for males and 36.6% for females in RA patients. In RA patients aged 75 and over, 60 percent of males and nearly 70% of females feel disabilities in daily life, and 30% of male RA patients and 40% of female RA patients may have mental problems such as depression and anxiety. RA patients are at high risk of frailty, locomotive syndrome, and sarcopenia, and preventive strategies against these are essential for maintaining ADL / QOL of RA patients.</p>

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