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.