Медицинская библиотека · Annals of the rheumatic diseases · 2017

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

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

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Аннотация

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.

Для цитирования: Moradi-Lakeh Maziar, Forouzanfar Mohammad H, Vollset Stein Emil, El Bcheraoui Charbel, Daoud Farah, Afshin Ashkan, Charara Raghid, Khalil Ibrahim, Higashi Hideki, Abd El Razek Mohamed Magdy, Kiadaliri Aliasghar Ahmad, Alam Khurshid, Akseer Nadia, Al-Hamad Nawal, Ali Raghib, AlMazroa Mohammad AbdulAziz, Alomari Mahmoud A, Al-Rabeeah Abdullah A, Alsharif Ubai, Altirkawi Khalid A, Atique Suleman, Badawi Alaa, Barrero Lope H, Basulaiman Mohammed, Bazargan-Hejazi Shahrzad, Bedi Neeraj, Bensenor Isabela M, Buchbinder Rachelle, Danawi Hadi, Dharmaratne Samath D, Zannad Faiez, Farvid Maryam S, Fereshtehnejad Seyed-Mohammad, Farzadfar Farshad, Fischer Florian, Gupta Rahul, Hamadeh Randah Ribhi, Hamidi Samer, Horino Masako, Hoy Damian G, Hsairi Mohamed, Husseini Abdullatif, Javanbakht Mehdi, Jonas Jost B, Kasaeian Amir, Khan Ejaz Ahmad, Khubchandani Jagdish, Knudsen Ann Kristin, Kopec Jacek A, Lunevicius Raimundas, Abd El Razek Hassan Magdy, Majeed Azeem, Malekzadeh Reza, Mate Kedar, Mehari Alem, Meltzer Michele, Memish Ziad A, Mirarefin Mojde, Mohammed Shafiu, Naheed Aliya, Obermeyer Carla Makhlouf, Oh In-Hwan, Park Eun-Kee, Peprah Emmanuel Kwame, Pourmalek Farshad, Qorbani Mostafa, Rafay Anwar, Rahimi-Movaghar Vafa, Shiri Rahman, Rahman Sajjad Ur, Rai Rajesh Kumar, Rana Saleem M, Sepanlou Sadaf G, Shaikh Masood Ali, Shiue Ivy, Sibai Abla Mehio, Silva Diego Augusto Santos, Singh Jasvinder A, Skogen Jens Christoffer, Terkawi Abdullah Sulieman, Ukwaja Kingsley N, Westerman Ronny, Yonemoto Naohiro, Yoon Seok-Jun, Younis Mustafa Z, Zaidi Zoubida, Zaki Maysaa El Sayed, Lim Stephen S, Wang Haidong, Vos Theo, Naghavi Mohsen, Lopez Alan D, Murray Christopher J L, Mokdad Ali H. Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990-2013: findings from the Global Burden of Disease Study 2013.. Annals of the rheumatic diseases. 2017. DOI: 10.1136/annrheumdis-2016-210146.

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