RT Journal Article SR Electronic T1 Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990–2013: findings from the Global Burden of Disease Study 2013 JF Annals of the Rheumatic Diseases JO Ann Rheum Dis FD BMJ Publishing Group Ltd and European League Against Rheumatism SP 1365 OP 1373 DO 10.1136/annrheumdis-2016-210146 VO 76 IS 8 A1 Moradi-Lakeh, Maziar A1 Forouzanfar, Mohammad H A1 Vollset, Stein Emil A1 El Bcheraoui, Charbel A1 Daoud, Farah A1 Afshin, Ashkan A1 Charara, Raghid A1 Khalil, Ibrahim A1 Higashi, Hideki A1 Abd El Razek, Mohamed Magdy A1 Kiadaliri, Aliasghar Ahmad A1 Alam, Khurshid A1 Akseer, Nadia A1 Al-Hamad, Nawal A1 Ali, Raghib A1 AlMazroa, Mohammad AbdulAziz A1 Alomari, Mahmoud A A1 Al-Rabeeah, Abdullah A A1 Alsharif, Ubai A1 Altirkawi, Khalid A A1 Atique, Suleman A1 Badawi, Alaa A1 Barrero, Lope H A1 Basulaiman, Mohammed A1 Bazargan-Hejazi, Shahrzad A1 Bedi, Neeraj A1 Bensenor, Isabela M A1 Buchbinder, Rachelle A1 Danawi, Hadi A1 Dharmaratne, Samath D A1 Zannad, Faiez A1 Farvid, Maryam S A1 Fereshtehnejad, Seyed-Mohammad A1 Farzadfar, Farshad A1 Fischer, Florian A1 Gupta, Rahul A1 Hamadeh, Randah Ribhi A1 Hamidi, Samer A1 Horino, Masako A1 Hoy, Damian G A1 Hsairi, Mohamed A1 Husseini, Abdullatif A1 Javanbakht, Mehdi A1 Jonas, Jost B A1 Kasaeian, Amir A1 Khan, Ejaz Ahmad A1 Khubchandani, Jagdish A1 Knudsen, Ann Kristin A1 Kopec, Jacek A A1 Lunevicius, Raimundas A1 Abd El Razek, Hassan Magdy A1 Majeed, Azeem A1 Malekzadeh, Reza A1 Mate, Kedar A1 Mehari, Alem A1 Meltzer, Michele A1 Memish, Ziad A A1 Mirarefin, Mojde A1 Mohammed, Shafiu A1 Naheed, Aliya A1 Obermeyer, Carla Makhlouf A1 Oh, In-Hwan A1 Park, Eun-Kee A1 Peprah, Emmanuel Kwame A1 Pourmalek, Farshad A1 Qorbani, Mostafa A1 Rafay, Anwar A1 Rahimi-Movaghar, Vafa A1 Shiri, Rahman A1 Rahman, Sajjad Ur A1 Rai, Rajesh Kumar A1 Rana, Saleem M A1 Sepanlou, Sadaf G A1 Shaikh, Masood Ali A1 Shiue, Ivy A1 Sibai, Abla Mehio A1 Silva, Diego Augusto Santos A1 Singh, Jasvinder A A1 Skogen, Jens Christoffer A1 Terkawi, Abdullah Sulieman A1 Ukwaja, Kingsley N A1 Westerman, Ronny A1 Yonemoto, Naohiro A1 Yoon, Seok-Jun A1 Younis, Mustafa Z A1 Zaidi, Zoubida A1 Zaki, Maysaa El Sayed A1 Lim, Stephen S A1 Wang, Haidong A1 Vos, Theo A1 Naghavi, Mohsen A1 Lopez, Alan D A1 Murray, Christopher J L A1 Mokdad, Ali H YR 2017 UL http://ard.bmj.com/content/76/8/1365.abstract 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.