Population based studies of biological antirheumatic drug use in southern Sweden: comparison with pharmaceutical sales.
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Biomedical subjects
Publications and source records attributed to S Noltorp.
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The prevalence of depression in elderly people varies strongly with the diagnostic criteria and methodology used, but it is often reported 12-15%. During a period of 3 months 1189 patients at two primary care centres were asked to participate in a study there a Swedish version of the Geriatric Depression Scale, GDS-20, were used. One-thousand and two patients were rated, and further analysis showed that 12.9% suffered from affective disorders. Depression in elderly is underdiagnosed in primary care centres. A screening instrument such as the GDS-20 is of value in identifying patients with depression. The 10 doctors who participated in the study found the GDS-20 easy to handle and it is recommended to be used at every primary care centre.
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OBJECTIVE: The purpose of this study was to use a Swedish version of the Geriatric Depression Scale (GDS-20) for diagnosis of depression in the elderly in primary care. DESIGN: Elderly consecutive patients visiting two primary care centres (> or = 65 years of age; N = 1189) were rated by educated nurses using the GDS-20. SETTING: All elderly patients attending two primary care centres in an urban-based community in the south of Sweden. PATIENTS: Of the 1189 patients interviewed, 1002 were rated using the GDS-20. MEASURES: The GDS-20, and in 26 patients also the Geriatric Mental State Schedule--Depression Scale (GMSS-DS). RESULTS: Of 1002 rated patients, 93 had scores of 5 or above on the GDS-20. Further analysis showed that 158 (13.3%) suffered from affective disorders. CONCLUSION: Depression in the elderly is underdiagnosed in primary care centres. A screening instrument such as the GDS-20 is of value in identifying the patients.
The present study shows the occurrence of the trichorhinophalangeal syndrome type I in a Swedish family. Five members were affected and they were examined clinically and radiologically, and four of them were also cytogenetically examined. Three of them had dysplasia of the hip joints reminiscent of the Legg-Calvé-Perthes disease. Functional hand problems were common. High resolution G banding displayed normal chromosome complements. The inheritance was autosomal dominant. The data presented stress the importance of identifying the syndrome early in life so as to prevent the development of impaired hand and hip function.
The minimum incidence of polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) was studied during one year in a stable Caucasian population in southern Sweden. The data obtained show an incidence rate higher than that previously found in Sweden and almost as high as the rate recently found in Denmark. In addition, the finding of a low incidence of ocular complications during 3 years of follow-up suggests the positive influence of training primary health care physicians to identify and treat these patients early. Furthermore, the previously described transition from pure PMR into GCA was not seen which might imply a further effect of early treatment.