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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
Show Affiliations
Authors Affiliations
  1. 1. Institute for Health Metrics and Evaluation, University of Washington, 2301 5th Avenue, Seattle, 98121, WA, United States
  2. 2. Department of Community Medicine, Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Norwegian Institute of Public Health, Bergen, Norway
  4. 4. Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
  5. 5. Japan International Cooperation Agency, Lusaka, Zambia
  6. 6. Ophthalmology Resident in Aswan University Hospital, Aswan, Egypt
  7. 7. Clinical Epidemiology Unit, Department of Clinical Sciences Lund, Orthopedics, Lund University, Lund, Sweden
  8. 8. Murdoch Childrens Research Institute, Melbourne, VIC, Australia
  9. 9. University of Melbourne, Melbourne, VIC, Australia
  10. 10. University of Sydney, Sydney, NSW, Australia
  11. 11. Hospital for Sick Children, Toronto, ON, Canada
  12. 12. University of Toronto, Toronto, ON, Canada
  13. 13. Food and Nutrition Administration, Ministry of Health, Safat, Kuwait
  14. 14. University of Oxford, Oxford, United Kingdom
  15. 15. Saudi Ministry of Health, Riyadh, Saudi Arabia
  16. 16. Division of Physical Therapy, Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
  17. 17. Charite Universitatsmedizin, Berlin, Germany
  18. 18. King Saud University, Riyadh, Saudi Arabia
  19. 19. Graduate Institute of Biomedical Informatics, Taipei Medical University, Taipei, Taiwan
  20. 20. Public Health Agency of Canada, Toronto, ON, Canada
  21. 21. Department of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogota, Colombia
  22. 22. Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
  23. 23. David Geffen School of Medicine, University of California at Los Angeles (UCLA), CA, United States
  24. 24. College of Public Health and Tropical Medicine, Jazan, Saudi Arabia
  25. 25. University of Sao Paulo, Sao Paulo, Brazil
  26. 26. Monash Department of Clinical Epidemiology, Cabrini Institute, Melbourne, VIC, Australia
  27. 27. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
  28. 28. Walden University, Minneapolis, MN, United States
  29. 29. Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka
  30. 30. Clinical Investigation Centre INSERM (The National Institute for Health and Medical Research), Universite de Lorraine, Vandoeuvre les Nancy, France
  31. 31. Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States
  32. 32. Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, United States
  33. 33. Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institute, Stockholm, Sweden
  34. 34. Non-Communicable Diseases Research Center, Endocrine and Metabolic Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  35. 35. Bielefeld University, Bielefeld, Germany
  36. 36. West Virginia Bureau for Public Health, Charleston, WV, United States
  37. 37. Arabian Gulf University, Manama, Bahrain
  38. 38. Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates
  39. 39. Nevada Division of Behavior and Public Health, Carson City, NV, United States
  40. 40. Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United States
  41. 41. Public Health Division, Secretariat of the Pacific Community, Noumea, New Caledonia
  42. 42. Salah Azaiz Institute, Tunis, Tunisia
  43. 43. Institute of Community and Public Health, Birzeit University, Birzeit, Palestine
  44. 44. Health Economics Research Unit, University of Aberdeen, Aberdeen, United Kingdom
  45. 45. Department of Ophthalmology, Medical Faculty Mannheim, Ruprecht-Karls-University Heidelberg, Mannheim, Germany
  46. 46. Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran
  47. 47. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  48. 48. Health Services Academy, Islamabad, Pakistan
  49. 49. Ball State University, Muncie, IN, United States
  50. 50. Department of Health Registries, Norwegian Institute of Public Health, Bergen, Norway
  51. 51. University of British Columbia, Vancouver, BC, Canada
  52. 52. Aintree University Hospital, National Health Service Foundation Trust, Liverpool, United Kingdom
  53. 53. School of Medicine, University of Liverpool, Liverpool, United Kingdom
  54. 54. Mansoura Faculty of Medicine, Mansoura, Egypt
  55. 55. Imperial College London, London, United Kingdom
  56. 56. Digestive Disease Research Institute, Tehran Universities of Medical Sciences, Tehran, Iran
  57. 57. McGill University, Montreal, QC, Canada
  58. 58. College of Medicine, Howard University, Washington, DC, United States
  59. 59. Thomas Jefferson University, Philadelphia, PA, United States
  60. 60. College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
  61. 61. Hunger Action Los Angeles, Los Angeles, CA, United States
  62. 62. Health Systems and Policy Research Unit, Ahmadu Bello University, Zaria, Nigeria
  63. 63. Institute of Public Health, Heidelberg University, Heidelberg, Germany
  64. 64. International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
  65. 65. Faculty of Health Sciences, Center for Research on Population and Health, American University of Beirut, Beirut, Lebanon
  66. 66. Department of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, South Korea
  67. 67. Department of Medical Humanities and Social Medicine, College of Medicine, Kosin University, Busan, South Korea
  68. 68. National Heart, Lung, and Blood Institute, Bethesda, MD, United States
  69. 69. Noncommunicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  70. 70. Contech International Health Consultants, Lahore, Pakistan
  71. 71. Contech School of Public Health, Lahore, Pakistan
  72. 72. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  73. 73. Finnish Institute of Occupational Health, Helsinki, Finland
  74. 74. Sweidi Hospital, Riyadh, Saudi Arabia
  75. 75. Society for Health and Demographic Surveillance, Suri, India
  76. 76. Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  77. 77. Karachi, Pakistan
  78. 78. Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
  79. 79. Alzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, United Kingdom
  80. 80. Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
  81. 81. Federal University of Santa Catarina, Florianopolis, Brazil
  82. 82. University of Alabama at Birmingham, Birmingham Veterans Affairs Medical Center, Birmingham, AL, United States
  83. 83. Alcohol and Drug Research Western Norway, Stavanger University Hospital, Stavanger, Norway
  84. 84. Department of Anesthesiology, University of Virginia, Charlottesville, VA, United States
  85. 85. Outcomes Research Consortium, Cleveland Clinic, Cleveland, OH, United States
  86. 86. Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia
  87. 87. Department of Internal Medicine, Federal Teaching Hospital, Abakaliki, Nigeria
  88. 88. Federal Institute for Population Research, Wiesbaden, Germany
  89. 89. German National Cohort Consortium, Heidelberg, Germany
  90. 90. Department of Biostatistics, School of Public Health, Kyoto University, Kyoto, Japan
  91. 91. Department of Preventive Medicine, College of Medicine, Korea University, Seoul, South Korea
  92. 92. Jackson State University, Jackson, MS, United States
  93. 93. University Hospital, Setif, Algeria
  94. 94. Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia

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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