| Sažetak (engleski) | The aim was to assess the prevalence of chronic multimorbidity in patients with chronic low back pain or other chronic back disorders (BD). We analyzed data from the population-based cross-sectional European Health Interview Survey (EHIS) performed in the Republic of Croatia 2014-2015 by the Croatian Institute of Public Health. Outcome was the point-prevalence of chronic multimorbidity defined as having ≥2 chronic illnesses out of 14 contained in the EHIS questionnaire, after adjustment for ten sociodemographic, anthropometric and lifestyle confounders. Amoung fourteen targeted illnesses were asthma, allergies, hypertension, urinary incontinence, kidney diseases, coronary heart disease or angina pectoris, neck disorder, arthrosis, chronic obstructive pulmonary disease, diabetes mellitus, myocardial infarction, stroke, depression, and the common category “other”. We analyzed data on 268 participants with BD and 511 without it. Participants with BD had a significantly higher relative risk of any chronic multimorbidity (RRadj=2.12; 95% CI 1.55, 2.99; p<0.001), as well as of non-musculoskeletal chronic multimorbidity (RRadj=2.29; 95% CI 1.70, 3.08; p=0.001) than participants without BD. All chronic comorbidities except for asthma and liver cirrhosis were significantly more prevalent in participants with BD than in participants without BD. In the population with BD, the participants with multimorbidity had three to four times higher odds for unfavorable self-reported health outcomes than the participants with no comorbid conditions, whereas the existence of only one comorbidity was not significantly associated with a worse outcome compared to the population with no comorbidities. In conclusion, the population suffering from BD has a higher prevalence of chronic multimorbidity than the population without BD and this multimorbidity is associated with unfavorable health outcomes. |
| Sažetak (hrvatski) | Cilj je bio procijeniti prevalenciju kroničnog multimorbiditeta u bolesnika s križoboljom ili drugim kroničnim poremećajima u leđima (KPL). Analizirali smo podatke populacijske presječne Europske zdravstvene ankete (EHIS) koju je u Republici Hrvatskoj tijekom 2014. i 2015. godine proveo Hrvatski zavod za javno zdravstvo. Ishod je bila trenutna prevalencija kroničnog multimorbiditeta, definiranog prisutnošću s dvije ili više kroničnih bolesti od ukupno četrnaest sadržanih u EHIS upitniku, nakon prilagodbe za deset sociodemografskih, antropometrijskih i poremećujućih varijabla povezanih sa životnim stilom. Između četrnaest ciljanih bolesti bile su obuhvaćene astma, alergije, hipertenzija, urinarna inkontinencija, bubrežne bolesti, koronarna bolest ili angina pectoris, vratobolja, artroza, kronična opstruktivna plućna bolest, moždani udar, šećerna bolest, srčani udar, depresija i zajednička kategorija „ostalo”. Analizirali smo podatke o 268 sudionika s KPL i 511 bez njih. Sudionici s KPL imali su značajno veći relativni rizik za bilo koji kronični multimorbiditet (RRadj = 2,12; 95% CI 1,55; 2,99; p<0,001) kao i za kronični nemuskuloskeletni multimobiditet (RRadj = 2,29; 95% CI 1,70, 3,08; p=0,001) od sudionika bez KPL. Svi kronični komorbiditeti osim astme i ciroze jetre, bili su značajno zastupljeniji u sudionika s KPL nego u sudionika bez KPL. U populaciji s KPL, sudionici s multimorbiditetom imali su tri do četiri puta veće izglede za samoprijavljene nepovoljne zdravstvene ishode, nego sudionici bez komorbidnih stanja, dok postojanje samo jednog komorbiditeta nije bilo značajno povezano s lošijim ishodima u usporedbi s populacijom bez kroničnih komorbiditeta. Zaključno, populacija s KPL ima veću prevalenciju kroničnog multimorbiditeta nego populacija bez KPL i taj je multimorbiditet povezan s nepovoljnim zdravstvenim ishodima. |
