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Burden of Musculoskeletal Disorders in the Eastern Mediterranean Region, 1990-2013: Findings From the Global Burden of Disease Study 2013 Publisher Pubmed



Moradilakeh M1, 2 ; Forouzanfar MH1 ; Vollset SE1, 3, 4 ; El Bcheraoui C1 ; Daoud F1 ; Afshin A1 ; Charara R1 ; Khalil I1 ; Higashi H5 ; Abd El Razek MM6 ; Kiadaliri AA7 ; Alam K8, 9, 10 ; Akseer N11, 12 ; Alhamad N13 Show All Authors
Authors
  1. Moradilakeh M1, 2
  2. Forouzanfar MH1
  3. Vollset SE1, 3, 4
  4. El Bcheraoui C1
  5. Daoud F1
  6. Afshin A1
  7. Charara R1
  8. Khalil I1
  9. Higashi H5
  10. Abd El Razek MM6
  11. Kiadaliri AA7
  12. Alam K8, 9, 10
  13. Akseer N11, 12
  14. Alhamad N13
  15. Ali R14
  16. Almazroa MA15
  17. Alomari MA16
  18. Alrabeeah AA15
  19. Alsharif U17
  20. Altirkawi KA18
  21. Atique S19
  22. Badawi A20
  23. Barrero LH21
  24. Basulaiman M15
  25. Bazarganhejazi S22, 23
  26. Bedi N24
  27. Bensenor IM25
  28. Buchbinder R26, 27
  29. Danawi H28
  30. Dharmaratne SD29
  31. Zannad F30
  32. Farvid MS31, 32
  33. Fereshtehnejad SM33
  34. Farzadfar F34
  35. Fischer F35
  36. Gupta R36
  37. Hamadeh RR37
  38. Hamidi S38
  39. Horino M39, 40
  40. Hoy DG41
  41. Hsairi M42
  42. Husseini A43
  43. Javanbakht M44
  44. Jonas JB45
  45. Kasaeian A46, 47
  46. Khan EA48
  47. Khubchandani J49
  48. Knudsen AK50
  49. Kopec JA51
  50. Lunevicius R52, 53
  51. Abd El Razek HM54
  52. Majeed A55
  53. Malekzadeh R56
  54. Mate K57
  55. Mehari A58
  56. Meltzer M59
  57. Memish ZA15, 60
  58. Mirarefin M61
  59. Mohammed S62, 63
  60. Naheed A64
  61. Obermeyer CM65
  62. Oh IH66
  63. Park EK67
  64. Peprah EK68
  65. Pourmalek F51
  66. Qorbani M69
  67. Rafay A70, 71
  68. Rahimimovaghar V72
  69. Shiri R73
  70. Rahman SU74
  71. Rai RK75
  72. Rana SM70, 71
  73. Sepanlou SG76
  74. Shaikh MA77
  75. Shiue I78, 79
  76. Sibai AM80
  77. Silva DAS81
  78. Singh JA82
  79. Skogen JC3, 83
  80. Terkawi AS84, 85, 86
  81. Ukwaja KN87
  82. Westerman R88, 89
  83. Yonemoto N90
  84. Yoon SJ91
  85. Younis MZ92
  86. Zaidi Z93
  87. Zaki MES54
  88. Lim SS1
  89. Wang H1
  90. Vos T1
  91. Naghavi M1
  92. Lopez AD1, 94
  93. Murray CJL1
  94. Mokdad AH1

Source: Annals of the Rheumatic Diseases Published:2017


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. © Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
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