Burden Of Musculoskeletal Conditions Research Articles

Study of utilisation pattern and adverse reaction monitoring of drugs used for relief of musculoskeletal pain in a tertiary care teaching hospital in Eastern Odisha

Musculoskeletal conditions are the most common cause of long-term pain and physical disability. The burden of musculoskeletal conditions is not only in terms of global numbers but also in terms of physical and psychosocial disability. Pain arising from musculoskeletal conditions of the major joints like back, neck, shoulder, knee or multi-site involvement results in diminished quality of life. Evidence for the effectiveness and safety of the various drugs used to alleviate MSP is uncertain.The present study was an observational, cross-sectional study which included patients with complaints of musculoskeletal pain attending Regional Spine Injury Centre, S.C.B Medical College and Hospital. A total of 100 patients were included in the study. Demographic data of all the patients was collected and their level of significance in the causation of musculoskeletal pain was assessed. The prescription pattern of the drugs for musculoskeletal pain was analysed. All the patients taking the drugs were monitored for any adverse drug reaction and the same was documented.Low back ache (28%) was the most common type of musculoskeletal pain observed. Aceclofenac was the most common analgesic prescribed, followed by paracetamol and etoricoxib. Aceclofenac and paracetamol was the most common combination used. Pain abdomen was the most common ADR encountered.

Prevalence of musculoskeletal conditions and related disabilities in Bangladeshi adults: a cross-sectional national survey

BackgroundNationally representative data on burden of musculoskeletal conditions (MSK) in Bangladesh are not available. The objective of this study was to determine the prevalence of MSK conditions and related disabilities in the adult population of Bangladesh.MethodsA total of 2000 individuals aged 18 years or older were targeted from 20 primary sampling units (urban and rural) of all former seven divisions of Bangladesh in 2015. Structured interviews were done using the modified Community Oriented Program for Control of Rheumatic Disorders questionnaire to detect positive respondents. Standard criteria were used for diagnosing MSK conditions by rheumatology residents. In case of uncertainty, opinion was taken from senior rheumatologists. A Bangla version of the Health Assessment Questionnaire was used to determine disability.ResultsA total of 1843 (92.1%) participated. Among them, 892 men and 951 women participated from rural (n = 716) and urban (n = 1127) areas. Their mean age was 40.5 (standard deviation 14.7) years. Almost a third did not have any formal schooling. Overall, 30.4% (95% confidence interval, 28.3–32.5) had MSK conditions. Low back pain (18.6%, 16.9–20.5), knee osteoarthritis (7.3%, 6.1–8.5) and soft tissue rheumatism 3.8% (2.9–4.7) were the three top-ranking MSK conditions. Rheumatoid arthritis (1.6%, 1.0–2.1), spondyloarthritis (1.2%, 7–1.8) and adhesive capsulitis (1.4%, 0.9–1.9) were relatively uncommon. Among those who had MSK conditions, 24.8% (21.3–28.6) had some degree of disability. Of them, 24.4% (21.0–28.1) had history of work loss during last 12 months.ConclusionsThe high burden of MSK conditions and related disabilities in Bangladesh warrants greater attention of the health system. Further studies are needed to estimate the impact of this group of conditions particularly addressing related disabilities and loss of work.

Musculoskeletal Related Disability in Veterans of Iraq and Afghanistan

Purpose: Over 60% of Iraq and Afghanistan veterans access Veterans Administration (VA) health care after military service. The purpose of this research is to describe the types of musculoskeletal service-connected disabilities distributed among these veterans. Methods: A retrospective cohort of 383,757 Iraq and Afghanistan veterans were searched for service-connected disability determinations using the Veterans Services Network Corporate Master File (VETSNET). Service-connected disabilities were grouped according to the types of diagnoses represented. Results: Of 383,757 included veterans, 347,643 (90.6%) had at least one musculoskeletal-related service-connected disability. The most common group of musculoskeletal disabilities was conditions of the spine, affecting 241, 636 (69.5%) veterans, limitations in the knee/leg motion (46.6%) and acute and chronic disorders (30.2%). The median number of musculoskeletal conditions contributing to the service connected disability per veteran was 2.8 ± 1.3 conditions. Post-Traumatic Stress Disorder was the most common primary service connected disability for both men and women. Discussion: Musculoskeletal conditions as a source of service connected disability affects 90% of veterans from Iraq and Afghanistan. While the primary source of service connected disability is most often not musculoskeletal related, the overall burden of musculoskeletal conditions is very high with an average of 2.8 musculoskeletal conditions per veteran contributing to their disability.

The Surgical Burden of Musculoskeletal Conditions and Injuries.

The Surgical Burden of Musculoskeletal Conditions and Injuries.

Addressing the Global Disparities in the Delivery of Pediatric Orthopaedic Services: Opportunities for COUR and POSNA.

The burden of musculoskeletal conditions, especially injuries, is increasing in low-income and middle-income countries. Road traffic injuries have become epidemic. There are multiple barriers to accessing surgical services at both the individual (utilization) and the health system (availability) levels, and deficiencies in education and training of health providers. Specialty societies such as the Pediatric Orthopaedic Society of North America (POSNA) have an opportunity to play an important role through teaching and training. The POSNA Children's Orthopedics in Underserved Regions (COUR) committee has supported the Visiting Scholars Program, which invites surgeons from the developing world to attend a scientific meeting and facilitates the scholar's visit to North American pediatric orthopaedic centers. POSNA members have held global educational courses that support an educational exchange between lecturers and attendees. The COUR web site allows for submission of trip reports that document successes and obstacles experienced by members performing overseas clinical care and teaching. The web site also provides educational resources relevant to providing care in these environments. POSNA collaborates with other societies, such as the American Academy of Orthopaedic Surgeons and the Society of Military Orthopaedic Surgeons, to provide education in disaster management. In addition to increasing member involvement, specialty societies have the opportunity for continued data collection from overseas care, application of US registry data to disease processes in the developing world, and further collaboration with one another.

An analysis of the burden of musculoskeletal conditions in France

An analysis of the burden of musculoskeletal conditions in France

The global burden of musculoskeletal conditions – Why is it important?

The global burden of musculoskeletal conditions – Why is it important?

Burden and control of musculoskeletal conditions in developing countries: a joint WHO/ILAR/BJD meeting report

The World Health Organization (WHO) has worked extensively with the International League of Associations for Rheumatology (ILAR) and the Bone and Joint Decade 2000–2010 (BJD) towards means for prevention, diagnosis and management of musculoskeletal or rheumatic conditions. ILAR represents an umbrella organisation for regional and national rheumatic societies and has embarked upon epidemiological assessment of the prevalence of rheumatic conditions primarily in developing countries through the Community Oriented Program for Control of Rheumatic Diseases (COPCORD). In addition to documenting the extent of rheumatic conditions, the WHOinitiated COPCORD programme has provided education to patients and health professionals and treatment to those afflicted. The BJD serves as an umbrella organisation to dozens of National Networks and hundreds of organisations worldwide with a stake in musculoskeletal conditions. The WHO has worked closely with the scientific group of the BJD, the Bone and Joint Monitor project, to help document the burden of musculoskeletal conditions. Objectives

Report on the Fifth African League Against Rheumatism Congress in Nairobi, Kenya

The Fifth Congress of the African League Against Rheumatism (AFLAR) was held in Nairobi, Kenya, from 18th to 22nd February 2007. Shortly after their arrival in Nairobi, delegates required little reminder of their presence in Africa. Many of the magnificent tall imposing giraffes from the Nairobi National Park were on hand to welcome delegates as they made their way from the airport to the city. The conference venue, the Hotel Intercontinental, is situated directly opposite the headquarters of the Kenyan government, the Parliament Buildings complex. The warmth and friendliness of the Kenyan people and the hospitality and efficiency of the organizing committee set the scene for a memorable congress. The organizing committee for the conference, led by Dr J. Amolo Alouch, provided a forum for scientific deliberations by delegates from all over the world and succeeded in placing the care of patients with musculoskeletal disorders on the agenda of the Health Ministry and the Government of Kenya. The distinguished local dignitaries who participated in the various congress events included the Vice President of Kenya, Honorable A. Moody Awori, and the Director of Medical Services of the Ministry of Health, Dr James W. Nyikal, and the Head of International Relations for Kenya, Dr Ahmed Ogwell. Their presence and contributions provided testimony to the gratitude and support from the Kenyan government for the staging of this event in Nairobi. They acknowledged the importance of addressing the needs of patients with rheumatic disorders while focusing on the life threatening challenges posed by communicable diseases such as HIV infection, tuberculosis and malaria. The Fifth AFLAR Congress was a historic event as there were participants from 15 countries in Africa, many of whom have only a few or no rheumatologists. The countries represented were Egypt, Ghana, Nigeria, Democratic Republic of Congo, Congo Brazzaville, Cameroon, Sudan, Uganda, Tanzania, Namibia, Botswana, Zimbabwe, South Africa, Zambia and Mauritius. The conference proceedings included presentations by delegates from all parts of Africa and nearly 20 international delegates from North America, South America, Europe and Asia. International dignitaries and contributors included Professor Abraham Kutzbach, President of International League of Associations for Rheumatology (ILAR), Professor Tore Kvien, President of the European League Against Rheumatism (EULAR) and Professor Ho-Youn Kim, President-Elect of Asia Pacific League of Associations for Rheumatology (APLAR). Professor Anthony Woolf delivered a keynote address on “The Global Burden of Musculoskeletal Conditions and the Need for Public Health Strategies” during the opening ceremony for the congress. He reported that the burden of musculoskeletal conditions has been recognized by the United Nations and World Bank by the endorsement of the Bone and Joint Decade 2000–2010. He provided statistics on the burden of the various forms of arthritis, low back pain, osteoporosis and musculoskeletal trauma. He noted that many of these conditions can be prevented or effectively treated and evidencebased strategies for their control have been developed. Clin Rheumatol (2007) 26:1033–1035 DOI 10.1007/s10067-007-0620-3

Physical disability due to musculoskeletal conditions

Musculoskeletal conditions (MSC) are common throughout the world and their impact on individuals is diverse and manifold. Knowledge of the determinants for disability and of strategies for prevention and rehabilitation management according to the scientific evidence is critical for reducing the burden of MSC. The first section of this chapter reviews the evidence for common determinants of functioning and disability in patients with MSC. We have focussed on environmental factors (EF) and personal factors (PF) and have structured them according to the International Classification of Functioning, Disability and Health (ICF) framework. The second section discusses prevention strategies. Generally, prevention needs to address those EF and PF that were presented in the first section. The final section describes modern principles of rehabilitation and reviews the evidence for specific rehabilitation interventions.

The Global Burden of Musculoskeletal Conditions and the Need for Public Health Strategies

The Global Burden of Musculoskeletal Conditions and the Need for Public Health Strategies

The Role of Ergonomics in Preventing and Reducing the Burden of Musculoskeletal Conditions

Five important developments this decade can clarify and promote the role of ergonomics in preventing and reducing the burden of musculoskeletal disorders: 1) worldwide acceptance of this decade as the bone and joint decade, 2) changing demographics and 3) change in worker-workplace relationships, 4) research advancements in the laboratory and in the workplace including prospective studies, 5) publication of revised ISO 6385 (2004) [1].

The burden of rheumatic disease

Abstract Musculoskeletal conditions are a major burden to the individual, society and the health service. Most new musculoskeletal GP consultations are for self-limiting conditions such as soft tissue rheumatism, chronic widespread pain and arthralgia. Incident cases of osteoarthritis are ten times more common compared to rheumatoid arthritis. The prevalence of musculoskeletal conditions is more common in women and tends to rise with age. Approximately one tenth of GP consultations are for diseases of the musculoskeletal system. It is likely that prevalence rates will continue to rise as life expectancy increases. This will in turn lead to an increase in health professional workloads and a further burden on healthcare services. Costs for musculoskeletal conditions include those to healthcare services, to society and indirect costs. A fifth of all incapacity claims in Great Britain are for diseases of the musculoskeletal system. Combined costs for rheumatoid arthritis patients amount to £7000 per person affected per year, while each hip and knee replacement costs on average £5000. Risk factors for musculoskeletal conditions include age and gender. The prevalence of certain musculoskeletal conditions can vary depending on ethnicity, lifestyle factors and genetic predisposition. The main consequences of having a musculoskeletal disease are chronic pain and disability. The burden of musculoskeletal conditions is high. The impact of these conditions on the health service and society will continue to rise alongside increasing life expectancy.

Introduction and WHO perspective on the global burden of musculoskeletal conditions

Introduction and WHO perspective on the global burden of musculoskeletal conditions

Epidemiology and community studies: Asia/Pacific region

It has been recognized that the remarkable decline in infant mortality and the extension in human lifespan involving both developing and developed countries alike, has been influenced by social and economic developments and public health orientated measures (such as clean water and sewerage) rather more than by developments in medical research. However, the identification of important disease risk factors for a number of common conditions such as smoking, solar exposure, dietary fat and alcohol has led to further reductions in disease prevalence and mortality, at least in some countries. The varied success of strategies to reduce the mortality from circulatory, nutritional and diseases due to infection has had the predictable result of leaving communities more exposed to the chronic non-communicable diseases, especially those affecting the elderly. The COPCORD community-based studies, carried out largely in tropical Asia/Pacific countries, have indicated that the burden of musculoskeletal conditions as far as pain and disability, as well as from an economic point of view, are substantial and WHO has called for increased research and educational activities into the causes and consequences of chronic disease and in particular rheumatic diseases. To the problems of an increasing ageing population can be added the rapid growth of urban populations, new occupational stresses, lifestyle changes and a number of other factors (WHO, 1984). The common community-based rheumatic diseases are not RA or SLE that dominate admissions to hospital arthritis clinics. Pain and disability are most often caused by osteoarthritis, especially knee OA, and various soft tissue rheumatic problems producing neck, back, shoulder and elbow pain. Viral and reactive arthritis cannot be ignored and the complications from osteoporosis (although not normally considered a rheumatic condition), are a significant threat to ageing populations worldwide. It is clear that for many of these conditions, certain risk factors have been identified and that preventative strategies are becoming available although far more detailed research is still required (Wigley, 1993). Community education is an essential part of prevention and treatment and the ILAR-sponsored publication Aches and Pains--Living with Arthritis and Rheumatism (Hampton, 1992) is available in at least 10 different languages and fills an important need. Education helps to influence not only knowledge but also skills and attitudes.(ABSTRACT TRUNCATED AT 400 WORDS)