PT - JOURNAL ARTICLE AU - Moradi-Lakeh, Maziar AU - Forouzanfar, Mohammad H AU - Vollset, Stein Emil AU - El Bcheraoui, Charbel AU - Daoud, Farah AU - Afshin, Ashkan AU - Charara, Raghid AU - Khalil, Ibrahim AU - Higashi, Hideki AU - Abd El Razek, Mohamed Magdy AU - Kiadaliri, Aliasghar Ahmad AU - Alam, Khurshid AU - Akseer, Nadia AU - Al-Hamad, Nawal AU - Ali, Raghib AU - AlMazroa, Mohammad AbdulAziz AU - Alomari, Mahmoud A AU - Al-Rabeeah, Abdullah A AU - Alsharif, Ubai AU - Altirkawi, Khalid A AU - Atique, Suleman AU - Badawi, Alaa AU - Barrero, Lope H AU - Basulaiman, Mohammed AU - Bazargan-Hejazi, Shahrzad AU - Bedi, Neeraj AU - Bensenor, Isabela M AU - Buchbinder, Rachelle AU - Danawi, Hadi AU - Dharmaratne, Samath D AU - Zannad, Faiez AU - Farvid, Maryam S AU - Fereshtehnejad, Seyed-Mohammad AU - Farzadfar, Farshad AU - Fischer, Florian AU - Gupta, Rahul AU - Hamadeh, Randah Ribhi AU - Hamidi, Samer AU - Horino, Masako AU - Hoy, Damian G AU - Hsairi, Mohamed AU - Husseini, Abdullatif AU - Javanbakht, Mehdi AU - Jonas, Jost B AU - Kasaeian, Amir AU - Khan, Ejaz Ahmad AU - Khubchandani, Jagdish AU - Knudsen, Ann Kristin AU - Kopec, Jacek A AU - Lunevicius, Raimundas AU - Abd El Razek, Hassan Magdy AU - Majeed, Azeem AU - Malekzadeh, Reza AU - Mate, Kedar AU - Mehari, Alem AU - Meltzer, Michele AU - Memish, Ziad A AU - Mirarefin, Mojde AU - Mohammed, Shafiu AU - Naheed, Aliya AU - Obermeyer, Carla Makhlouf AU - Oh, In-Hwan AU - Park, Eun-Kee AU - Peprah, Emmanuel Kwame AU - Pourmalek, Farshad AU - Qorbani, Mostafa AU - Rafay, Anwar AU - Rahimi-Movaghar, Vafa AU - Shiri, Rahman AU - Rahman, Sajjad Ur AU - Rai, Rajesh Kumar AU - Rana, Saleem M AU - Sepanlou, Sadaf G AU - Shaikh, Masood Ali AU - Shiue, Ivy AU - Sibai, Abla Mehio AU - Silva, Diego Augusto Santos AU - Singh, Jasvinder A AU - Skogen, Jens Christoffer AU - Terkawi, Abdullah Sulieman AU - Ukwaja, Kingsley N AU - Westerman, Ronny AU - Yonemoto, Naohiro AU - Yoon, Seok-Jun AU - Younis, Mustafa Z AU - Zaidi, Zoubida AU - Zaki, Maysaa El Sayed AU - Lim, Stephen S AU - Wang, Haidong AU - Vos, Theo AU - Naghavi, Mohsen AU - Lopez, Alan D AU - Murray, Christopher J L AU - Mokdad, Ali H TI - Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990–2013: findings from the Global Burden of Disease Study 2013 AID - 10.1136/annrheumdis-2016-210146 DP - 2017 Aug 01 TA - Annals of the Rheumatic Diseases PG - 1365--1373 VI - 76 IP - 8 4099 - http://ard.bmj.com/content/76/8/1365.short 4100 - http://ard.bmj.com/content/76/8/1365.full SO - Ann Rheum Dis2017 Aug 01; 76 AB - 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.