Skip to main content

Advertisement

SpringerLink
Log in

Public awareness about arthritic diseases in Saudi Arabia: a systematic review and meta-analysis

  • Review
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Purpose

Raising public knowledge and perception would have a discernible impact on providing optimal care and reducing the burden of arthritis in the community. This systematic review aimed to identify the public knowledge about the common arthritic conditions in Saudi Arabia.

Methods

We searched MEDLINE, Embase, and CENTRAL for relevant literature. We included questionnaire-based cross-sectional studies performed in Saudi Arabia assessing the public perception of general knowledge, causes/risk factors, signs/symptoms, and relieving/management measures of the common arthritic conditions including osteoarthritis (OA), rheumatoid arthritis (RA), and gout. The meta-analysis was performed on outcomes reported in ≥ two studies utilizing a random-effects model

Results

Ten studies representing 6703 participants were deemed eligible for inclusion in this review. A total of 35 questions were feasible to be included in the meta-analysis. The meta-analysis estimated that 83.51%, 54.51%, and 80.42% have ever hearsd or read about OA, RA, and gout. Joint pain and swelling were perceived to be the main signs/symptoms of OA, RA, and gout. 7.5% think OA is predisposed by genetics while only 33.6% think the same of RA. RA knowledge in general is suboptimum. Only 27.04% think medications can help in the management of gout.

Conclusion

The Saudi public perception of the general knowledge and causes/risk factors of the most common arthritic conditions was acceptable. The level of knowledge about other aspects of the common arthritic conditions is still limited and needs to be addressed by future educational interventions.

Trial registration

PROSPERO registration number: CRD42022345274

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Data availability

Not applicable

References

  1. Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T (2020) Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet 396(10267):2006–2017

    Article  CAS  Google Scholar 

  2. Barbour KE, Helmick CG, Boring M, Brady TJ (2017) Vital signs: prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation—United States, 2013–2015. Morb Mortal Wkly Rep 66(9):246

    Article  Google Scholar 

  3. Watkins-Castillo SI. Musculoskeletal Diseases in the United States [Internet]. BMUS: the burden of musculoskeletal diseases in the United States. [cited 2022 Aug19]. Available from: https://www.boneandjointburden.org/fourth-edition/iii0/arthritis

  4. Musculoskeletal health. World Health Organization. World Health Organization; [cited 2022Aug19]. Available from: https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions

  5. Mukharrib MS, Al-Sharif MN, Alshehri TK, Shaker A (2018) Knowledge of knee osteoarthritis among general population in Aseer region. Fam Med Prim 7(6):1385

    Article  Google Scholar 

  6. Alyami AH, Alswat MM, Omer IA, Ahmed MEH, Alshammari SH, Alsaggaf KW, Amoudi JH, Aljafari DA (2020) General population knowledge about osteoarthritis and its related risk factors in Jeddah Saudi Arabia. Saudi Med J 41(5):516–523

    Article  PubMed  PubMed Central  Google Scholar 

  7. Hazzazi AA, Ageeli MH, Muyidi AA, Abulgasim AM, Yateemi AA, Alhakami N (2020) Population awareness about rheumatoid arthritis in Jazan region, Saudi Arabia. Int J Med Dev Countries 4(3):668–675

    Article  Google Scholar 

  8. Al Kaabba AF, Altamimi NO, Alqumayzi MM, Alshahrani K, Aldalbahi A, Al-Rajeh H, Alkanaan D (2021) Awareness of Gout disease among Saudi adult population in Riyadh City. Int Res J Med Bio Sci

  9. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 62(10):1–34

    Article  Google Scholar 

  10. Downes MJ, Brennan ML, Williams HC, Dean RS (2016) Development of a critical appraisal tool to assess the quality of cross-sectional studies (AXIS). BMJ open 6(12):e011458

    Article  PubMed  PubMed Central  Google Scholar 

  11. Almaawi A, Aloud W, Alshayhan F, Aljedia K, Alaskar F, Alsuleiman O (2022) Awareness about total knee replacement among Saudi population. Fam Med Prim Care 11(4):1308

    Article  Google Scholar 

  12. Alanazi F, Alhokel KH, Alsaadoon SA, Almutairi AJ, Alshammary FH, Alqabbani AA, Kutbi HA, Sami W (2021) Awareness of osteoarthritis among general population in Sudair, Saudi Arabia. Am J Hum Biol 11(3):245

    Article  Google Scholar 

  13. Alshammari M, Alshammari FA. The perception and awareness level about the risk factors of gout among the indigenous adult population of Northern Border Province, Saudi Arabia.

  14. Elhussein N, Ahmed RM, Elhussein N (2018) Awareness of rheumatoid arthritis among population in taif, Saudi Arabia awareness of rheumatoid arthritis among population in taif, Saudi Arabia. Indian J Appl Res 8(3):9–12

    Google Scholar 

  15. Atalla AA, Albuqami MG, Albogami MA, Alharthi AK, Altowairqi TD (2020) Awareness of gout disease among adult population in Taif city. IJMDC 4(2):365–369

    Article  Google Scholar 

  16. Al-Mohrej OA, Alshammari FO, Aljuraisi AM, Bin Amer LA, Masuadi EM, Al-Kenani NS (2018) Knowledge and attitude towards total knee arthroplasty among the public in Saudi Arabia: a nationwide population-based study. Int Orthop 42(4):819–827

    Article  PubMed  Google Scholar 

  17. Al-Arfaj AS, Alballa SR, Al-Saleh SS, Al-Dalaan AM, Bahabry SA, Mousa MA, Al-Sekeit MA (2003) Knee osteoarthritis in Al-Qaseem, Saudi Arabia. Saudi Med J 24(3):291–293

    PubMed  Google Scholar 

  18. Alenazi AM, Alhowimel AS, Alotaibi MA, Alqahtani BA, Alshehri MM, Alanazi AD, Alanazi AA, Alanazi SF, Bindawas SM (2021) Prevalence and incidence of osteoarthritis among people living in the Gulf Cooperation Council countries: a systematic review and meta-analysis. Clin Rheumatol 40(9):3523–3531. https://doi.org/10.1007/s10067-021-05662-2 Epub 2021 Mar 14

    Article  PubMed  Google Scholar 

  19. AlKuwaity KW, Mohammad TN, Hussain MA, Alkhanani AJ, Ali AM (2018) Prevalence and determinant factors of osteoarthritis of the knee joint among elderly in Arar, KSA. The Egyptian. J Hosp Med 72(9):5173–5177

    Google Scholar 

  20. Al-Dalaan A, Al Ballaa S, Bahabri S, Biyari T, Al Sukait M, Mousa M (1998) The prevalence of rheumatoid arthritis in the Qassim region of Saudi Arabia. Ann Saudi Med 18(5):396–397

    Article  CAS  PubMed  Google Scholar 

  21. Albishri J, Bukhari M, Alsabban A, Almalki FA, Altwairqi AS (2015) Prevalence of RA and SLE in Saudi Arabia. Sch J App Med Sci 3:2096–2099

    Google Scholar 

  22. Al-Arfaj AS (2001) Hyperuricemia in Saudi Arabia. Rheumatol Int 20(2):61–64

    Article  CAS  PubMed  Google Scholar 

  23. Ganasegeran K, Menke JM, Challakere Ramaswamy VM, Abdul Manaf R, Alabsi AM, Al-Dubai SA (2014) Level and determinants of knowledge of symptomatic knee osteoarthritis among railway workers in Malaysia. Biomed Res Int 19:2014

    Google Scholar 

  24. Malik HA, Saleem S, Khan H, Bakhtawar S, Hanif S (2022) Awareness of osteoarthritis among housewives of Pakistan. Pakistan Journal of Multidisciplinary. Innovation 29(1):58–69

    Google Scholar 

  25. Bozbaş GT, Gürer G (2018) The knowledge level of Turkish rheumatoid arthritis patients about their diseases. Anatolian Clinic the Journal of Medical Sciences 23(1):12–19

    Google Scholar 

  26. Kamruzzaman AK, Chowdhury MR, Islam MN, Sultan I, Ahmed S, Shahin A, Alam MM, Azad M, Hassan MM, Amin MZ, Sinha S (2020) The knowledge level of rheumatoid arthritis patients about their disease in a developing country. A study in 168 Bangladeshi RA patients. Clin Rheumatol 39(4):1315–1323

    Article  CAS  PubMed  Google Scholar 

  27. Nazme AM. A survey study on assessment of disease related knowledge and medication adherence of patients with rheumatoid Arthritis in a small city of Bangladesh (Doctoral dissertation, Brac University).

  28. Severo M, Gaio R, Lucas R, Barros H (2010) Assessment of the general public's knowledge about rheumatic diseases: evidence from a Portuguese population-based survey. BMC Musculoskelet Disord 11(1):1–7

    Article  Google Scholar 

  29. Osama D, Moshrif A, Khalifa H, Ali R (2021) Awareness and attitude of Egyptian population towards gout. Egyptian J Ortho Res 2(2):87–94

    Article  Google Scholar 

  30. Jubair SK, Shihab SS, Mousa NA (2022) Awareness of gout and hyperuricemia in a sample of the adult population in Iraq. Al-Anbar J Med 18(1):27–32

    Article  Google Scholar 

  31. Alshammari IM, Mujtaba MA (2017) Public knowledge and awareness about gout: a cross-sectional study in Qatar. J Pharm Res Int 17(4)

  32. Kim JS, Kim CJ, Schlenk EA (2022) Psychometric properties of the Korean version of the patient knowledge questionnaire-osteoarthritis. Clin Nurs Res 31(1):69–79

    Article  PubMed  Google Scholar 

  33. Zhang LY, Schumacher HR, Su HH, Lie D, Dinnella J, Baker JF, Von Feldt JM (2011) Development and evaluation of a survey of gout patients concerning their knowledge about gout. JCR. J Clin Rheumatol 17(5):242–248

    Article  CAS  PubMed  Google Scholar 

  34. Li QH, Dai L, Li ZX, Liu HJ, Zou CJ, Ou-Yang X, Lu M, Li T, Li YH, Mo YQ, Schumacher HR (2013) Questionnaire survey evaluating disease-related knowledge for 149 primary gout patients and 184 doctors in South China. Clin Rheumatol 32(11):1633–1640

    Article  PubMed  Google Scholar 

  35. Spaetgens B, Pustjens T, Scheepers LE, Janssens HJ, van der Linden S, Boonen A (2016) Knowledge, illness perceptions and stated clinical practice behaviour in management of gout: a mixed methods study in general practice. Clin Rheumatol 35(8):2053–2061

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

Not applicable

Funding

None

Author information

Authors and Affiliations

  1. College of Medicine, King Saud bin Abdulaziz University for health sciences, Jeddah, Saudi Arabia

    Abdullah A. Ghaddaf, Mohammed S. Alomari, Fahad A. AlHarbi, Mohammed S. Alquhaibi, Jawaher F. Alsharef, Noor K. Alsharef, Ahmed S. Abdulhamid & Mohammed S. Alshehri

  2. King Abdullah International Medical Research Center, Jeddah, Saudi Arabia

    Abdullah A. Ghaddaf, Mohammed S. Alomari, Fahad A. AlHarbi, Mohammed S. Alquhaibi, Jawaher F. Alsharef, Noor K. Alsharef, Ahmed S. Abdulhamid & Mohammed S. Alshehri

  3. Department of Orthopedic Surgery, King Fahad General Hospital, Jeddah, Saudi Arabia

    Dania Shaikh

  4. Department of Surgery/ Orthopedic section, King Abdulaziz Medical City, Jeddah, Saudi Arabia

    Mohammed S. Alshehri

Authors
  1. Abdullah A. Ghaddaf
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mohammed S. Alomari
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Fahad A. AlHarbi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mohammed S. Alquhaibi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jawaher F. Alsharef
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Noor K. Alsharef
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Ahmed S. Abdulhamid
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Dania Shaikh
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Mohammed S. Alshehri
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Abdullah A. Ghaddaf, Mohammed S. Alomari, Fahad A. AlHarbi, Mohammed S. Alquhaibi, Jawaher F. Alsharef, Noor K. Alsharef, Ahmed S. Abdulhamid, Dania Shaikh, and Mohammed S. Alshehri. The first draft of the manuscript was written by [Abdullah A. Ghaddaf] and all authors commented on previous versions of the manuscript. The authors read and approved the final manuscript.

Corresponding author

Correspondence to Fahad A. AlHarbi.

Ethics declarations

Ethical approval

Not required

Consent to participate

Not applicable

Consent to publish

Not applicable

Code availability

Not applicable

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

ESM 1

(DOCX 28 kb)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ghaddaf, A.A., Alomari, M.S., AlHarbi, F.A. et al. Public awareness about arthritic diseases in Saudi Arabia: a systematic review and meta-analysis. International Orthopaedics (SICOT) 47, 3013–3029 (2023). https://doi.org/10.1007/s00264-023-05725-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-023-05725-w

Keywords

Search

Navigation