Scientific articleIncidence of de Quervain's Tenosynovitis in a Young, Active Population
Section snippets
Materials and Methods
The Defense Medical Epidemiology Database (DMED) maintains ICD-9-CM coding information for every patient encounter occurring in the population of active duty U.S. service members. The DMED database also incorporates the total number of U.S. service members on active duty at any given time. This database also contains patient demographic and military-specific data that may be used for epidemiological purposes.
To determine the total number of presentations of de Quervain's disease, we queried the
Results
A total of 11,332 cases of de Quervain's tenosynovitis were documented in our population at risk of 12,117,749 person-years. This equates to an unadjusted incidence rate in our population of 0.94 per 1000 person-years.
The effect of gender as a demographic risk factor was significant. The unadjusted incidence rate for male patients was 0.62 per 1000 person-years, compared with 2.81 for female patients (p < .0001). The adjusted incidence rate ratio for females, with male patients as the referent
Discussion
Despite its frequent presentation as an upper extremity musculoskeletal problem, the epidemiology of de Quervain's tenosynovitis is not well known. It is thought to occur more frequently in women between the ages of 20 and 40,8 including the variant that occurs during pregnancy and the postpartum period.9 Beyond this, little information on the demographic distribution of de Quervain's disease is available. In an industrial medicine study, Thompson et al. noted that 544 factory workers (in a
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The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of Defense or United States government. Some of the authors are employees of the U.S. government.
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.