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Prevalence of musculoskeletal diseases in a semi-urban Nigerian community: results of a cross-sectional survey using COPCORD methodology

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Abstract

The International League of Associations for Rheumatology (ILAR) in collaboration with the World Health Organization (WHO) initiated the Community Oriented Program for the Control of Rheumatic diseases (COPCORD) to promote the growth of rheumatology in developing countries. This is the first COPCORD-type survey carried out in a West African community. The objective of this study was to determine the prevalence of musculoskeletal diseases in a semi-urban Nigerian community, using the COPCORD methodology. This is a cross-sectional total population survey, carried out in Katon Rikkos, Jos, Nigeria, from June 2015 to November 2016. All inhabitants of the community who are 15 years and older were included in the study, except those who were not available or refused to participate. Trained health workers from the community carried out a house-to-house survey, to administer the COPCORD questionnaire. People reporting musculoskeletal symptoms were examined and investigated at the teaching hospital, to determine the specific type of musculoskeletal diseases. Data was analyzed using Epi-info version 7.1.5 and P values of <0.05 were considered statistically significant. The median age of the study population was 33 (IQR 24–46) years, with a male to female ratio of 1:1.1. The prevalence of musculoskeletal disease was 33%. Females (57.0%) were more affected than males (43.0%); the most common form of musculoskeletal diseases diagnosed was osteoarthritis (22.0%). Male sex and a family history of musculoskeletal diseases were independent predictors of musculoskeletal diseases. A Health Assessment Questionnaire Disability Index (HAQ-DI) ≥1 was recorded in 14% of subjects with musculoskeletal diseases. The prevalence of musculoskeletal diseases in this community is high with significant disability; therefore, there is urgent need for increased access to rheumatology care in the community.

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Acknowledgements

The International League of Associations for Rheumatology project 2015 funded this work.

We also received additional support from the Medical Education Partnership Initiative in Nigeria (MEPIN) project funded by Fogarty International Center, the Office of AIDS Research, and the National Human Genome Research Institute of the National Institute of Health, the Health Resources and Services Administration (HRSA), and the Office of the U.S. Global AIDS Coordinator under Award Number R24TW008878.

The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding organizations.

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Authors and Affiliations

  1. Rheumatology Unit, Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria

    Uhunmwangho U. Courage & Dungwom P. Stephen

  2. Department of Chemical Pathology, Jos University Teaching Hospital, Jos, Nigeria

    Imoh C. Lucius

  3. Department of Radiology, Jos University Teaching Hospital, Jos, Nigeria

    Charles Ani

  4. Nephrology Unit, Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria

    Agbaji O. Oche & Agaba I Emmanuel

  5. Rheumatology Unit, Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Nigeria

    Adelowo O. Olufemi

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  1. Uhunmwangho U. Courage
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  2. Dungwom P. Stephen
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  4. Charles Ani
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  7. Adelowo O. Olufemi
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Correspondence to Uhunmwangho U. Courage.

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Courage, U.U., Stephen, D.P., Lucius, I.C. et al. Prevalence of musculoskeletal diseases in a semi-urban Nigerian community: results of a cross-sectional survey using COPCORD methodology. Clin Rheumatol 36, 2509–2516 (2017). https://doi.org/10.1007/s10067-017-3648-z

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  • DOI: https://doi.org/10.1007/s10067-017-3648-z

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