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

Autor:	Moradi-Lakeh M; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.; Department of Community Medicine, Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran., Forouzanfar MH; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Vollset SE; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.; Norwegian Institute of Public Health, Bergen, Norway.; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway., El Bcheraoui C; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Daoud F; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Afshin A; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Charara R; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Khalil I; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Higashi H; Japan International Cooperation Agency, Lusaka, Zambia., Abd El Razek MM; Ophthalmology resident in Aswan University Hospital, Aswan, Egypt., Kiadaliri AA; Clinical Epidemiology Unit, Department of Clinical Sciences Lund, Orthopedics, Lund University, Lund, Sweden., Alam K; Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.; The University of Melbourne, Melbourne, Victoria, Australia.; The University of Sydney, Sydney, New South Wales, Australia., Akseer N; Hospital for Sick Children, Toronto, Ontario, Canada.; University of Toronto, Toronto, Ontario, Canada., Al-Hamad N; Food and Nutrition Administration, Ministry of Health, Safat, Kuwait., Ali R; University of Oxford, Oxford, UK., AlMazroa MA; Saudi Ministry of Health, Riyadh, Saudi Arabia., Alomari MA; Division of Physical Therapy, Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan., Al-Rabeeah AA; Saudi Ministry of Health, Riyadh, Saudi Arabia., Alsharif U; Charité Universitätsmedizin, Berlin, Germany., Altirkawi KA; King Saud University, Riyadh, Saudi Arabia., Atique S; Graduate Institute of Biomedical Informatics, Taipei Medical University, Taipei, Taiwan., Badawi A; Public Health Agency of Canada, Toronto, Ontario, Canada., Barrero LH; Department of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogota, Colombia., Basulaiman M; Saudi Ministry of Health, Riyadh, Saudi Arabia., Bazargan-Hejazi S; Charles R. Drew University of Medicine and Science, Los Angeles, California, USA.; David Geffen School of Medicine, University of California at Los Angeles (UCLA), California, USA., Bedi N; College of Public Health and Tropical Medicine, Jazan, Saudi Arabia., Bensenor IM; University of São Paulo, São Paulo, Brazil., Buchbinder R; Monash Department of Clinical Epidemiology, Cabrini Institute, Melbourne, Victoria, Australia.; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Danawi H; Walden University, Minneapolis, Minnesota, USA., Dharmaratne SD; Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka., Zannad F; Clinical Investigation Centre INSERM (the National Institute for Health and Medical Research), Université de Lorraine, Vandoeuvre les Nancy, France., Farvid MS; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.; Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts, USA., Fereshtehnejad SM; Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institute, Stockholm, Sweden., Farzadfar F; Non-Communicable Diseases Research Center, Endocrine and Metabolic Research Institute, Tehran University of Medical Sciences, Tehran, Iran., Fischer F; Bielefeld University, Bielefeld, Germany., Gupta R; West Virginia Bureau for Public Health, Charleston, West Virginia, USA., Hamadeh RR; Arabian Gulf University, Manama, Bahrain., Hamidi S; Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates., Horino M; Nevada Division of Behavior and Public Health, Carson City, Nevada, USA.; Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, USA., Hoy DG; Public Health Division, Secretariat of the Pacific Community, Noumea, New Caledonia., Hsairi M; Salah Azaiz Institute, Tunis, Tunisia., Husseini A; Institute of Community and Public Health, Birzeit University, Birzeit, Palestine., Javanbakht M; Health Economics Research Unit, University of Aberdeen, Aberdeen, UK., Jonas JB; Department of Ophthalmology, Medical Faculty Mannheim, Ruprecht-Karls-University Heidelberg, Mannheim, Germany., Kasaeian A; Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran., Khan EA; Health Services Academy, Islamabad, Pakistan., Khubchandani J; Ball State University, Muncie, Indiana, USA., Knudsen AK; Department of Health Registries, Norwegian Institute of Public Health, Bergen, Norway., Kopec JA; University of British Columbia, Vancouver, British Columbia, Canada., Lunevicius R; Aintree University Hospital National Health Service Foundation Trust, Liverpool, UK.; School of Medicine, University of Liverpool, Liverpool, UK., Abd El Razek HM; Mansoura Faculty of Medicine, Mansoura, Egypt., Majeed A; Imperial College London, London, UK., Malekzadeh R; Digestive Disease Research Institute, Tehran Universities of Medical Sciences, Tehran, Iran., Mate K; McGill University, Montreal, Quebec, Canada., Mehari A; College of Medicine, Howard University, Washington DC, USA., Meltzer M; Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Memish ZA; Saudi Ministry of Health, Riyadh, Saudi Arabia.; College of Medicine, Alfaisal University, Riyadh, Saudi Arabia., Mirarefin M; Hunger Action Los Angeles, Los Angeles, California, USA., Mohammed S; Health Systems and Policy Research Unit, Ahmadu Bello University, Zaria, Nigeria.; Institute of Public Health, Heidelberg University, Heidelberg, Germany., Naheed A; International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh., Obermeyer CM; Faculty of Health Sciences, Center for Research on Population and Health, American University of Beirut, Beirut, Lebanon., Oh IH; Department of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, South Korea., Park EK; Department of Medical Humanities and Social Medicine, College of Medicine, Kosin University, Busan, South Korea., Peprah EK; National Heart, Lung, and Blood Institute, Bethesda, Maryland, USA., Pourmalek F; University of British Columbia, Vancouver, British Columbia, Canada., Qorbani M; Noncommunicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran., Rafay A; Contech International Health Consultants, Lahore, Pakistan.; Contech School of Public Health, Lahore, Pakistan., Rahimi-Movaghar V; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Shiri R; Finnish Institute of Occupational Health, Helsinki, Finland., Rahman SU; Sweidi Hospital, Riyadh, Saudi Arabia., Rai RK; Society for Health and Demographic Surveillance, Suri, India., Rana SM; Contech International Health Consultants, Lahore, Pakistan.; Contech School of Public Health, Lahore, Pakistan., Sepanlou SG; Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran., Shaikh MA; Independent Consultant, Karachi, Pakistan., Shiue I; Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.; Alzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, UK., Sibai AM; Department of Epidemiology & Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Silva DAS; Federal University of Santa Catarina, Florianópolis, Brazil., Singh JA; University of Alabama at Birmingham, and Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, USA., Skogen JC; Norwegian Institute of Public Health, Bergen, Norway.; Alcohol and Drug Research Western Norway, Stavanger University Hospital, Stavanger, Norway., Terkawi AS; Department of Anesthesiology, University of Virginia, Charlottesville, Virginia, USA.; Outcomes Research Consortium, Cleveland Clinic, Cleveland, Ohio, USA.; Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia., Ukwaja KN; Department of Internal Medicine, Federal Teaching Hospital, Abakaliki, Nigeria., Westerman R; Federal Institute for Population Research, Wiesbaden, Germany.; German National Cohort Consortium, Heidelberg, Germany., Yonemoto N; Department of Biostatistics, School of Public Health, Kyoto University, Kyoto, Japan., Yoon SJ; Department of Preventive Medicine, College of Medicine, Korea University, Seoul, South Korea., Younis MZ; Jackson State University, Jackson, Mississippi, USA., Zaidi Z; University Hospital, Setif, Algeria., Zaki MES; Mansoura Faculty of Medicine, Mansoura, Egypt., Lim SS; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Wang H; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Vos T; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Naghavi M; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Lopez AD; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia., Murray CJL; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Mokdad AH; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Jazyk:	angličtina
Zdroj:	Annals of the rheumatic diseases [Ann Rheum Dis] 2017 Aug; Vol. 76 (8), pp. 1365-1373. Date of Electronic Publication: 2017 Feb 16.
DOI:	10.1136/annrheumdis-2016-210146
Abstrakt:	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. Competing Interests: Competing interests: None declared. (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/.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu