Clinical Rheumatology

, Volume 25, Issue 6, pp 778–781

The burden of musculoskeletal disease—a global perspective

Review

Abstract

Musculoskeletal diseases are one of the major causes of disability around the world and have been a significant reason for the development of the Bone and Joint Decade. Rheumatoid arthritis, osteoarthritis and back pain are important causes of disability-adjusted-life years in both the developed and developing world. COPCORD studies in over 17 countries around the world have identified back and knee pain as common in the community and are likely to increase with the ageing population. Musculoskeletal conditions are an enormous cost to the community in economic terms, and these figures emphasise how governments need to invest in the future and look at ways of reducing the burden of musculoskeletal diseases by encouraging exercise and obesity prevention campaigns.

Keywords

Burden of disease DALYS Musculosketal Osteoarthritis 

References

  1. 1.
    Brooks PM (2004) Musculoskeletal medicine: the challenge of the Bone and Joint Decade. APLAR J Rheumatol 7:272–277CrossRefGoogle Scholar
  2. 2.
    World Health Organisation (2003) The burden of musculoskeletal conditions at the start of the new millennium. (WHO Technical Report Series 919). World Health Organisation, GenevaGoogle Scholar
  3. 3.
    Hazes JA, Woolf AD (2000) The Bone and Joint Decade 2000–2010. J Rheumatol 27:1–3PubMedGoogle Scholar
  4. 4.
    Mathers CD, Vos ET, Stevenson CE, Begg SJ (2000) The Australian burden of disease study: measuring the loss of health from diseases, injuries and risk factors. Med J Aust 172:592–596PubMedGoogle Scholar
  5. 5.
    Darmawan J, Valkenburg HA, Muirden KD, Wigley RD (1992) Epidemiology of the rheumatic diseases in rural and urban populations in Indonesia; a World Health organisation international league against rheumatism COPCORD study, stage 1, phase 2. Ann Rheum Dis 51:525–528PubMedCrossRefGoogle Scholar
  6. 6.
    Manahan L, Caragay R, Muirden K.D Allander E, Valkenberg HA Wigley RD (1985) Rheumatic pain in a Philippine village. A WHO/COPCORD study. Rheumatol Int 5:149–153CrossRefPubMedGoogle Scholar
  7. 7.
    Muirden KD (1997) The origins, evolution and future of COPCORD. APLAR J Rheumatol 1:44–48Google Scholar
  8. 8.
    Zeng QY, Chen R, Xiao ZY et al (2004) Low prevalence of knee and back pain in Southeast China; the Shantou COPCORD study. J Rheumatol 31:2439–2443PubMedGoogle Scholar
  9. 9.
    Chopra A, Saluja M, Patil J, Tandale H (2002) Pain and disability, perceptions and beliefs of a rural Indian population: A WHO-ILAR COPCORD study. J Rheumatol 29:614–621PubMedGoogle Scholar
  10. 10.
    Chopra A (2004) COPCORD—an unrecognised fountainhead of community rheumatology in developing countries. J Rheumatol 31:2320–2321PubMedGoogle Scholar
  11. 11.
    Fricker J (2003) Pain in Europe —a 2003’ report. http://www.paineurope.com
  12. 12.
    Blyth FM, March LM, Cousins MJ (2003) Chronic pain-related disability and use of analgesia and health services in a Sydney community. Med J Aust 179:84–87PubMedGoogle Scholar
  13. 13.
    Harkness EF, Macfarlane GJ, Silman AJ, McBeth J (2005) Is musculoskeletal pain more common now than forty years ago?: two population- based cross-sectional studies. Rheumatology 44:890–895CrossRefPubMedGoogle Scholar
  14. 14.
    Brooks PM (2005) Issues with chronic musculoskeletal pain. Rheumatology 44:831–833CrossRefPubMedGoogle Scholar
  15. 15.
    Deltonen M, Lindross AK, Torgerson JS (2003) Musculoskeletal pain in the obese: a comparison with a general population and long term changes after conventional and surgical obesity treatment. Pain 104:549–557CrossRefPubMedGoogle Scholar
  16. 16.
    O’Neil TW (2005) Looking back: developments in our understanding of the occurence, aetiology and prognosis of osteoporosis over the last 50 years. Rheumatology 44:(Supplement 4)33–35Google Scholar
  17. 17.
    Melton LJ (1995) Epidemiology of fractures: In Rigg BL and Melton LJ (Eds) Osteoporosis: Aetiology, diagnosis and management. Philadelphia, Lippincott Raven:225–247Google Scholar
  18. 18.
    Segal L, Day SE, Chapman AB, Osbourne RH (2003) Can we reduce disease burden from osteoarthritis—an evidence based priority setting model. Med J Aust 180:S11–S17Google Scholar
  19. 19.
    March LM, Lapsley HM, Cross MJ, Byrne E, Courtenay BG, Brooks PM (2005) Expenditure, outcomes and satisfaction 8 years after hip and knee replacement. Abstr. Australian Rheumatology Association annual scientific meeting, MelbourneGoogle Scholar
  20. 20.
    Muir-Gray JA (1999) Post modern medicine. Lancet 354:1550–1553CrossRefPubMedGoogle Scholar

Copyright information

© Clinical Rheumatology 2006

Authors and Affiliations

  1. 1.Executive Dean of Health SciencesUniversity of Queensland HerstonBrisbaneAustralia

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