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, El Bcheraoui, Charbel, Daoud, Farah, Afshin, Ashkan, Charara, Raghid, Khalil, Ibrahim, Higashi, Hideki, El Razek, Mohamed Magdy Abd
et al (show 84 more authors) (2017) Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990-2013: findings from the Global Burden of Disease Study 2013. ANNALS OF THE RHEUMATIC DISEASES, 76 (8). pp. 1365-1373.

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Abstract

<h4>Objectives</h4>We used findings from the Global Burden of Disease Study 2013 to report the burden of musculoskeletal disorders in the Eastern Mediterranean Region (EMR).<h4>Methods</h4>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).<h4>Results</h4>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.<h4>Conclusions</h4>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.

Item Type: Article
Uncontrolled Keywords: Humans, Musculoskeletal Diseases, Arthritis, Rheumatoid, Gout, Osteoarthritis, Low Back Pain, Neck Pain, Prevalence, Mortality, Quality-Adjusted Life Years, Adult, Aged, Middle Aged, Africa, Northern, Djibouti, Somalia, Middle East, Mediterranean Region, Female, Male, Global Burden of Disease
Depositing User: Symplectic Admin
Date Deposited: 13 May 2019 09:56
Last Modified: 19 Jan 2023 00:46
DOI: 10.1136/annrheumdis-2016-210146
Open Access URL: http://doi.org/10.1136/annrheumdis-2016-210146
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3041021