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.