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

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Title: Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990-2013: findings from the Global Burden of Disease Study 2013.
Authors: Moradi-Lakeh, M
Forouzanfar, MH
Vollset, SE
El Bcheraoui, C
Daoud, F
Afshin, A
Charara, R
Khalil, I
Higashi, H
Abd El Razek, MM
Kiadaliri, AA
Alam, K
Akseer, N
Al-Hamad, N
Ali, R
AlMazroa, MA
Alomari, MA
Al-Rabeeah, AA
Alsharif, U
Altirkawi, KA
Atique, S
Badawi, A
Barrero, LH
Basulaiman, M
Bazargan-Hejazi, S
Bedi, N
Bensenor, IM
Buchbinder, R
Danawi, H
Dharmaratne, SD
Zannad, F
Farvid, MS
Fereshtehnejad, SM
Farzadfar, F
Fischer, F
Gupta, R
Hamadeh, RR
Hamidi, S
Horino, M
Hoy, DG
Hsairi, M
Husseini, A
Javanbakht, M
Jonas, JB
Kasaeian, A
Khan, EA
Khubchandani, J
Knudsen, AK
Kopec, JA
Lunevicius, R
Abd El Razek, HM
Majeed, A
Malekzadeh, R
Mate, K
Mehari, A
Meltzer, M
Memish, ZA
Mirarefin, M
Mohammed, S
Naheed, A
Obermeyer, CM
Oh, IH
Park, EK
Peprah, EK
Pourmalek, F
Qorbani, M
Rafay, A
Rahimi-Movaghar, V
Shiri, R
Rahman, SU
Rai, RK
Rana, SM
Sepanlou, SG
Shaikh, MA
Shiue, I
Sibai, AM
Silva, DA
Singh, JA
Skogen, JC
Terkawi, AS
Ukwaja, KN
Westerman, R
Yonemoto, N
Yoon, SJ
Younis, MZ
Zaidi, Z
Zaki, ME
Lim, SS
Wang, H
Vos, T
Naghavi, M
Lopez, AD
Murray, CJ
Mokdad, AH
Item Type: Journal Article
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 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.
Issue Date: 16-Feb-2017
Date of Acceptance: 19-Jan-2017
URI: http://hdl.handle.net/10044/1/45605
DOI: https://dx.doi.org/10.1136/annrheumdis-2016-210146
ISSN: 1468-2060
Publisher: BMJ Publishing Group
Start Page: 1365
End Page: 1373
Journal / Book Title: Annals of the Rheumatic Diseases
Volume: 76
Copyright Statement: © 2017 The Author(s). This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Keywords: Science & Technology
Life Sciences & Biomedicine
Rheumatology
LOW-BACK-PAIN
RHEUMATOID-ARTHRITIS
DEVELOPING-WORLD
MSK HEALTH
DISABILITY
COUNTRIES
COPCORD
OSTEOARTHRITIS
DETERMINANTS
ADOLESCENTS
Epidemiology
Gout
Low Back Pain
Osteoarthritis
Rheumatoid Arthritis
Adult
Africa, Northern
Aged
Arthritis, Rheumatoid
Djibouti
Female
Global Burden of Disease
Humans
Male
Mediterranean Region
Middle Aged
Middle East
Mortality
Musculoskeletal Diseases
Neck Pain
Prevalence
Quality-Adjusted Life Years
Somalia
1103 Clinical Sciences
1107 Immunology
1117 Public Health And Health Services
Arthritis & Rheumatology
Publication Status: Published
Open Access location: http://ard.bmj.com/content/early/2017/02/16/annrheumdis-2016-210146.long
Appears in Collections:Faculty of Medicine
Epidemiology, Public Health and Primary Care



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