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Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990-2013 : findings from the Global Burden of Disease Study 2013

Moradi-Lakeh, Maziar; Forouzanfar, Mohammad H.; Vollset, Stein Emil; Bcheraoui, Charbel El; Daoud, Farah; Afshin, Ashkan; Charara, Raghid; Khalil, Ibrahim; Higashi, Hideki and Abd El Razek, Mohamed Magdy, et al. (2017) In Annals of the Rheumatic Diseases 76. p.1365-1373
Abstract

OBJECTIVES: We used findings from the Global Burden of Disease Study 2013 to report the burden of musculoskeletal disorders in the Eastern Mediterranean Region (EMR).

METHODS: The burden of musculoskeletal disorders was calculated for the EMR's 22 countries between 1990 and 2013. A systematic analysis was performed on mortality and morbidity data to estimate prevalence, death, years of live lost, years lived with disability and disability-adjusted life years (DALYs).

RESULTS: For musculoskeletal disorders, the crude DALYs rate per 100 000 increased from 1297.1 (95% uncertainty interval (UI) 924.3-1703.4) in 1990 to 1606.0 (95% UI 1141.2-2130.4) in 2013. During 1990-2013, the total DALYs of musculoskeletal disorders increased... (More)

OBJECTIVES: We used findings from the Global Burden of Disease Study 2013 to report the burden of musculoskeletal disorders in the Eastern Mediterranean Region (EMR).

METHODS: The burden of musculoskeletal disorders was calculated for the EMR's 22 countries between 1990 and 2013. A systematic analysis was performed on mortality and morbidity data to estimate prevalence, death, years of live lost, years lived with disability and disability-adjusted life years (DALYs).

RESULTS: For musculoskeletal disorders, the crude DALYs rate per 100 000 increased from 1297.1 (95% uncertainty interval (UI) 924.3-1703.4) in 1990 to 1606.0 (95% UI 1141.2-2130.4) in 2013. During 1990-2013, the total DALYs of musculoskeletal disorders increased by 105.2% in the EMR compared with a 58.0% increase in the rest of the world. The burden of musculoskeletal disorders as a proportion of total DALYs increased from 2.4% (95% UI 1.7-3.0) in 1990 to 4.7% (95% UI 3.6-5.8) in 2013. The range of point prevalence (per 1000) among the EMR countries was 28.2-136.0 for low back pain, 27.3-49.7 for neck pain, 9.7-37.3 for osteoarthritis (OA), 0.6-2.2 for rheumatoid arthritis and 0.1-0.8 for gout. Low back pain and neck pain had the highest burden in EMR countries.

CONCLUSIONS: This study shows a high burden of musculoskeletal disorders, with a faster increase in EMR compared with the rest of the world. The reasons for this faster increase need to be explored. Our findings call for incorporating prevention and control programmes that should include improving health data, addressing risk factors, providing evidence-based care and community programmes to increase awareness.

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Journal Article
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Annals of the Rheumatic Diseases
volume
76
pages
1365 - 1373
publisher
British Medical Association
external identifiers
  • scopus:85019670184
ISSN
1468-2060
DOI
10.1136/annrheumdis-2016-210146
language
English
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yes
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df6d8807-5bc0-445c-b547-c93188111faf
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2017-02-18 13:18:28
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2018-07-29 04:24:24
@article{df6d8807-5bc0-445c-b547-c93188111faf,
  abstract     = {<p>OBJECTIVES: We used findings from the Global Burden of Disease Study 2013 to report the burden of musculoskeletal disorders in the Eastern Mediterranean Region (EMR).</p><p>METHODS: The burden of musculoskeletal disorders was calculated for the EMR's 22 countries between 1990 and 2013. A systematic analysis was performed on mortality and morbidity data to estimate prevalence, death, years of live lost, years lived with disability and disability-adjusted life years (DALYs).</p><p>RESULTS: For musculoskeletal disorders, the crude DALYs rate per 100 000 increased from 1297.1 (95% uncertainty interval (UI) 924.3-1703.4) in 1990 to 1606.0 (95% UI 1141.2-2130.4) in 2013. During 1990-2013, the total DALYs of musculoskeletal disorders increased by 105.2% in the EMR compared with a 58.0% increase in the rest of the world. The burden of musculoskeletal disorders as a proportion of total DALYs increased from 2.4% (95% UI 1.7-3.0) in 1990 to 4.7% (95% UI 3.6-5.8) in 2013. The range of point prevalence (per 1000) among the EMR countries was 28.2-136.0 for low back pain, 27.3-49.7 for neck pain, 9.7-37.3 for osteoarthritis (OA), 0.6-2.2 for rheumatoid arthritis and 0.1-0.8 for gout. Low back pain and neck pain had the highest burden in EMR countries.</p><p>CONCLUSIONS: This study shows a high burden of musculoskeletal disorders, with a faster increase in EMR compared with the rest of the world. The reasons for this faster increase need to be explored. Our findings call for incorporating prevention and control programmes that should include improving health data, addressing risk factors, providing evidence-based care and community programmes to increase awareness.</p>},
  author       = {Moradi-Lakeh, Maziar and Forouzanfar, Mohammad H. and Vollset, Stein Emil and Bcheraoui, Charbel El and Daoud, Farah and Afshin, Ashkan and Charara, Raghid and Khalil, Ibrahim and Higashi, Hideki and Abd El Razek, Mohamed Magdy and Kiadaliri, Aliasghar Ahmad and Alam, Khurshid and Akseer, Nadia and Al-Hamad, Nawal and Ali, Raghib and AlMazroa, Mohammad AbdulAziz and Alomari, Mahmoud A and Rabeeah, Abdullah A Al and Alsharif, Ubai and Altirkawi, Khalid A and Atique, Suleman and Badawi, Alaa and Barrero, Lope H. and Basulaiman, Mohammed Omar and Bazargan-Hejazi, Shahrzad and Bedi, Neeraj and Bensenor, Isabela M. and Buchbinder, Rachelle and Danawi, Hadi and Dharmaratne, Samath D. and Zannad, Faiez and Farvid, Maryam S and Fereshtehnejad, Seyed-Mohammad and Farzadfar, Farshad and Fischer, Florian and Gupta, Rahul and Hamadeh, Randah Ribhi and Hamidi, Samer and Horino, Masako and Hoy, Damian G. and Hsairi, Mohamed and Husseini, Abdullatif and Javanbakht, Mehdi and Jonas, Jost B. and Kasaeian, Amir and Khan, Ejaz Ahmad and Khubchandani, Jagdish and Knudsen, Ann Kristin and Kopec, Jacek A and Lunevicius, Raimundas and Abd El Razek, Hassan Magdy and Majeed, Azeem and Malekzadeh, Reza and Mate, Kedar and Mehari, Alem and Meltzer, Michele and Memish, Ziad A. and Mirarefin, Mojde and Mohammed, Shafiu and Naheed, Aliya and Obermeyer, Carla Makhlouf and Oh, In-Hwan and Park, Eun-Kee and Peprah, Emmanuel Kwame and Pourmalek, Farshad and Qorbani, Mostafa and Rafay, Anwar and Rahimi-Movaghar, Vafa and Shiri, Rahman and Rahman, Sajjad Ur and Rai, Rajesh Kumar and Rana, Saleem M. and Sepanlou, Sadaf G. and Shaikh, Masood Ali and Shiue, Ivy and Sibai, Abla Mehio and Silva, Diego Augusto Santos and Singh, Jasvinder A. and Skogen, Jens Christoffer and Terkawi, Abdullah Sulieman and Ukwaja, Kingsley N. and Westerman, Ronny and Yonemoto, Naohiro and Yoon, Seok-Jun and Younis, Mustafa Z. and Zaidi, Zoubida and Zaki, Maysaa El Sayed and Lim, Stephen and Wang, Haidong and Vos, Theo and Naghavi, Mohsen and Lopez, Alan D. and Murray, Christopher J. L. and Mokdad, Ali H.},
  issn         = {1468-2060},
  keyword      = {Journal Article},
  language     = {eng},
  month        = {02},
  pages        = {1365--1373},
  publisher    = {British Medical Association},
  series       = {Annals of the Rheumatic Diseases},
  title        = {Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990-2013 : findings from the Global Burden of Disease Study 2013},
  url          = {http://dx.doi.org/10.1136/annrheumdis-2016-210146},
  volume       = {76},
  year         = {2017},
}