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Abstract
Delineamento: transversal. Objetivos: (i) Identificar a ocorrência de desordens musculoesqueléticas, (ii) identificar seus determinantes e (iii) suas relações com gastos com saúde em adultos atendidos pelo Sistema Único de Saúde. Métodos: Estudo transversal com 963 adultos, com 50 anos e de ambos os sexos tratados em unidades básicas de saúde. Participantes responderam questionários sobre doenças, condição econômica, desordens musculoesqueléticas, atividade ocupacional, consultas de fisioterapia e compra de medicamentos; peso e estatura foram mensurados para calcular o índice de massa corporal. Custos com saúde foram computados retroagindo 12 meses. Resultados: A prevalência de desordens musculoesqueléticas foi 65%, sendo maior em pacientes com doenças do tecido conjuntivo (OR=4,11 [2,98-5,67]) e pessoas que levantam cargas no trabalho (OR=1,45 [1,27-1,66]). Além disso, a ocorrência de desordens musculoesqueléticas nos ombros, região lombar, joelhos e tornozelos/pés foram relacionados a maiores gastos com medicamentos e consultas médicas. Conclusão: A ocorrência de desordens musculoesqueléticas foi elevada entre estes pacientes, é afetada por sexo e atividade ocupacional e positivamente relacionada com gastos com saúde.
Highlights
MethodsMusculoskeletal disorders constitute a group of complications which affect health perception[1], mobility and quality of life
This cross-sectional study was developed with patients of the Brazilian public healthcare system and found elevated occurrences of musculoskeletal symptoms, which seems significant related to higher healthcare expenditures
There was a high occurrence of musculoskeletal symptoms among the analyzed patients (65%)
Summary
MethodsMusculoskeletal disorders constitute a group of complications which affect health perception[1], mobility and quality of life. The self-report of musculoskeletal symptoms was significantly associated with the female gender (p-value= 0.001), overweight/obesity (p-value= 0.031), lower economic condition (p-value= 0.013), physical therapy consultation (p-value= 0.004), prescription drugs used (p-value= 0.029) and diagnosis of some diseases of the musculoskeletal system and connective tissue (p-value= 0.001).
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