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Open Access 01-10-2022 | Enthesopathy | Musculoskeletal Radiology

Prevalence and characteristics of diffuse idiopathic skeletal hyperostosis (DISH) in Italy

Authors: Jacopo Ciaffi, Elena Borlandelli, Gaia Visani, Giancarlo Facchini, Marco Miceli, Piero Ruscitti, Paola Cipriani, Roberto Giacomelli, Francesco Ursini

Published in: La radiologia medica | Issue 10/2022

Abstract

Purpose

Diffuse idiopathic skeletal hyperostosis (DISH) is a benign condition characterized by ossification of the spine and prominent enthesopathies. Highly heterogeneous epidemiological figures have been reported in the literature, while in Italy the largest study has been conducted in 1992. The aim of our research is to contribute updated information about prevalence of DISH in Italy and to describe the clinical and radiographic characteristics associated with the disorder.

Material and methods

A retrospective review of lumbosacral spine, thoracic spine and pelvis radiographs was performed. Consecutive patients visiting the emergency department of our Institution over 3 years were enrolled. Presence of DISH was evaluated applying the Resnick and Niwayama criteria. Clinical and radiological features were also assessed.

Results

We included 1012 individuals (60.6% women), and DISH was present in 130 cases. The overall prevalence of DISH was 12.8% (95% CI 10.8–15.1), with higher figures in the male sample (16.8%) than in females (10.3%). In binary logistic regression adjusted for age, BMI (OR 1.50, p < 0.001) diabetes (OR 1.85, p = 0.003), hypertension (OR 2.04, p = 0.007) ischiopubic enthesopathy (OR 7.08, p < 0.001), iliac crest enthesopathy (OR 4.63, p < 0.001) and greater trochanter enthesopathy (OR 3.51, p < 0.001), were significantly associated with the condition.

Conclusion

The prevalence of DISH observed in our study is consistent with previous literature, and we confirm that the disorder is more frequently retrieved in men and that it is associated with the presence of metabolic disorders and pelvic enthesopathy. Knowledge about the epidemiology and characteristics of DISH is needed to properly identify the condition.

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Title: Prevalence and characteristics of diffuse idiopathic skeletal hyperostosis (DISH) in Italy
Authors: Jacopo Ciaffi
Elena Borlandelli
Gaia Visani
Giancarlo Facchini
Marco Miceli
Piero Ruscitti
Paola Cipriani
Roberto Giacomelli
Francesco Ursini
Publication date: 01-10-2022
Publisher: Springer Milan
Keywords: Enthesopathy
Osteitis Pubis
Spondyloarthropathy
Osteoarthrosis
Osteoarthrosis
Published in: La radiologia medica / Issue 10/2022
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI: https://doi.org/10.1007/s11547-022-01545-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Prevalence and characteristics of diffuse idiopathic skeletal hyperostosis (DISH) in Italy

Abstract

Purpose

Material and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Material and methods

Results

Conclusion

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