Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990–2013: findings from the Global Burden of Disease Study 2013

Maziar Moradi-Lakeh; Mohammad H Forouzanfar; Stein Emil Vollset; Charbel El Bcheraoui; Farah Daoud; Ashkan Afshin; Raghid Charara; Ibrahim Khalil; Hideki Higashi; Mohamed Magdy Abd El Razek; Aliasghar Ahmad Kiadaliri; Khurshid Alam; Nadia Akseer; Nawal Al-Hamad; Raghib Ali; Mohammad AbdulAziz AlMazroa; Mahmoud A Alomari; Abdullah A Al-Rabeeah; Ubai Alsharif; Khalid A Altirkawi; Suleman Atique; Alaa Badawi; Lope H Barrero; Mohammed Basulaiman; Shahrzad Bazargan-Hejazi; Neeraj Bedi; Isabela M Bensenor; Rachelle Buchbinder; Hadi Danawi; Samath D Dharmaratne; Faiez Zannad; Maryam S Farvid; Seyed-Mohammad Fereshtehnejad; Farshad Farzadfar; Florian Fischer; Rahul Gupta; Randah Ribhi Hamadeh; Samer Hamidi; Masako Horino; Damian G Hoy; Mohamed Hsairi; Abdullatif Husseini; Mehdi Javanbakht; Jost B Jonas; Amir Kasaeian; Ejaz Ahmad Khan; Jagdish Khubchandani; Ann Kristin Knudsen; Jacek A Kopec; Raimundas Lunevicius; Hassan Magdy Abd El Razek; Azeem Majeed; Reza Malekzadeh; Kedar Mate; Alem Mehari; Michele Meltzer; Ziad A Memish; Mojde Mirarefin; Shafiu Mohammed; Aliya Naheed; Carla Makhlouf Obermeyer; In-Hwan Oh; Eun-Kee Park; Emmanuel Kwame Peprah; Farshad Pourmalek; Mostafa Qorbani; Anwar Rafay; Vafa Rahimi-Movaghar; Rahman Shiri; Sajjad Ur Rahman; Rajesh Kumar Rai; Saleem M Rana; Sadaf G Sepanlou; Masood Ali Shaikh; Ivy Shiue; Abla Mehio Sibai; Diego Augusto Santos Silva; Jasvinder A Singh; Jens Christoffer Skogen; Abdullah Sulieman Terkawi; Kingsley N Ukwaja; Ronny Westerman; Naohiro Yonemoto; Seok-Jun Yoon; Mustafa Z Younis; Zoubida Zaidi; Maysaa El Sayed Zaki; Stephen S Lim; Haidong Wang; Theo Vos; Mohsen Naghavi; Alan D Lopez; Christopher J L Murray; Ali H Mokdad

doi:10.1136/annrheumdis-2016-210146

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Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990–2013: findings from the Global Burden of Disease Study 2013

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Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990–2013: findings from the Global Burden of Disease Study 2013

Maziar Moradi-Lakeh, Mohammad H Forouzanfar, Stein Emil Vollset, Charbel El Bcheraoui, Farah Daoud, Ashkan Afshin, Raghid Charara, Ibrahim Khalil, Hideki Higashi, Mohamed Magdy Abd El Razek, …

Annals of the rheumatic diseases, Vol.76(8), pp.1365-1373

2017

DOI: https://doi.org/10.1136/annrheumdis-2016-210146

PMCID: PMC5738600

PMID: 28209629

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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.

Details

Title: Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990–2013: findings from the Global Burden of Disease Study 2013
Authors/Creators: Maziar Moradi-Lakeh - Institute for Health Metrics and Evaluation
Mohammad H Forouzanfar - University of Washington
Stein Emil Vollset - University of Washington
Charbel El Bcheraoui - University of Washington
Farah Daoud - University of Washington
Ashkan Afshin - University of Washington
Raghid Charara - Institute for Health Metrics and Evaluation
Ibrahim Khalil - University of Washington
Hideki Higashi - Japan International Cooperation Agency
Mohamed Magdy Abd El Razek - Aswan University
Aliasghar Ahmad Kiadaliri - Lund University
Khurshid Alam - The University of Melbourne
Nadia Akseer - University of Toronto
Nawal Al-Hamad - Ministry of Health
Raghib Ali - University of Oxford
Mohammad AbdulAziz AlMazroa - Ministry of Health
Mahmoud A Alomari - Jordan University of Science and Technology
Abdullah A Al-Rabeeah - Ministry of Health
Ubai Alsharif - Charité - Universitätsmedizin Berlin
Khalid A Altirkawi - King Saud University
Suleman Atique - Taipei Medical University
Alaa Badawi - Public Health Agency of Canada
Lope H Barrero - Pontificia Universidad Javeriana
Mohammed Basulaiman - Ministry of Health
Shahrzad Bazargan-Hejazi - Charles R. Drew University of Medicine and Science
Neeraj Bedi - Jazan University
Isabela M Bensenor - Universidade de São Paulo
Rachelle Buchbinder - Cabrini Hospital
Hadi Danawi - Walden University
Samath D Dharmaratne - University of Peradeniya
Faiez Zannad - Université de Lorraine
Maryam S Farvid - Harvard University
Seyed-Mohammad Fereshtehnejad - Karolinska Institutet
Farshad Farzadfar - Tehran University of Medical Sciences
Florian Fischer - Bielefeld University
Rahul Gupta - Virginia Department of Health
Randah Ribhi Hamadeh - Arabian Gulf University
Samer Hamidi - Hamdan Bin Mohammed Smart University
Masako Horino - Nevada Division of Public and Behavioral Health
Damian G Hoy - Pacific Community
Mohamed Hsairi - Institut Salah-Azaïz
Abdullatif Husseini - Birzeit University
Mehdi Javanbakht - University of Aberdeen
Jost B Jonas - Heidelberg (Poland)
Amir Kasaeian - Tehran University of Medical Sciences
Ejaz Ahmad Khan - Health Services Academy
Jagdish Khubchandani - Ball State University
Ann Kristin Knudsen - Norwegian Institute of Public Health
Jacek A Kopec - University of British Columbia
Raimundas Lunevicius - University of Liverpool
Hassan Magdy Abd El Razek - Faculty (United Kingdom)
Azeem Majeed - Imperial College London
Reza Malekzadeh - Digestive Disease Research Institute, Tehran Universities of Medical Sciences, Tehran, Iran
Kedar Mate - McGill University
Alem Mehari - Howard University
Michele Meltzer - Thomas Jefferson University
Ziad A Memish - Ministry of Health
Mojde Mirarefin - Hunger Action Los Angeles, Los Angeles, California, USA
Shafiu Mohammed - Heidelberg University
Aliya Naheed - International Centre for Diarrhoeal Disease Research
Carla Makhlouf Obermeyer - American University of Beirut
In-Hwan Oh - Kyung Hee University
Eun-Kee Park - Kosin University
Emmanuel Kwame Peprah - National Heart Lung and Blood Institute
Farshad Pourmalek - University of British Columbia
Mostafa Qorbani - Jahrom University of Medical Sciences
Anwar Rafay - Contech (Canada)
Vafa Rahimi-Movaghar - Tehran University of Medical Sciences
Rahman Shiri - Finnish Institute of Occupational Health
Sajjad Ur Rahman - Sweidi Hospital, Riyadh, Saudi Arabia
Rajesh Kumar Rai - Society for Health and Demographic Surveillance, Suri, India
Saleem M Rana - Contech (Canada)
Sadaf G Sepanlou - Tehran University of Medical Sciences
Masood Ali Shaikh - Independent Consultant, Karachi, Pakistan
Ivy Shiue - Alzheimer Scotland
Abla Mehio Sibai - American University of Beirut
Diego Augusto Santos Silva - Universidade Federal de Santa Catarina
Jasvinder A Singh - Birmingham VA Medical Center
Jens Christoffer Skogen - Stavanger University Hospital
Abdullah Sulieman Terkawi - University of Virginia
Kingsley N Ukwaja - Federal Teaching Hospital Abakaliki
Ronny Westerman - Cohort (United Kingdom)
Naohiro Yonemoto - Kyoto University
Seok-Jun Yoon - University of Seoul
Mustafa Z Younis - Jackson State University
Zoubida Zaidi - Centre Hospito Universitaire de Sétif
Maysaa El Sayed Zaki - Faculty (United Kingdom)
Stephen S Lim - University of Washington
Haidong Wang - University of Washington
Theo Vos - University of Washington
Mohsen Naghavi - University of Washington
Alan D Lopez - The University of Melbourne
Christopher J L Murray - University of Washington
Ali H Mokdad - University of Washington
Publication Details: Annals of the rheumatic diseases, Vol.76(8), pp.1365-1373
Identifiers: 991005591578807891
Murdoch Affiliation: Centre for Healthy Ageing
Language: English
Resource Type: Journal article

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Citation topics: 1 Clinical & Life Sciences; 1.129 Back pain; 1.129.98 Low Back Pain
Web Of Science research areas: Rheumatology
ESI research areas: Clinical Medicine