1887
Volume 2020, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Background: Musculoskeletal (MSK) conditions are considered a significant public health problem on account of their high prevalence in communities worldwide and their pervasive impact. Knowledge of the epidemiology of MSK symptoms and diseases is lacking in Qatar. Obtaining this information will guide local health policymakers in the future strategic planning of the health budget.

Objective: To estimate the prevalence rate of MSK disorders in the Qatari population above 15 years of age using the Community Oriented Program for the Control of Rheumatic Disease (COPCORD) survey.

Methods: This cross-sectional study targeted 1000 Qatari participants, including 500 males and 500 females. A door-to-door survey was conducted using the Arabic version of the COPCORD questionnaire with the help of research assistants. Participants with positive surveys were asked to visit Hamad General Hospital Rheumatology outpatient clinics for clinical evaluation by a rheumatologist. When necessary, laboratory testing and X-rays were conducted to confirm any MSK diagnosis.

Results: A total of 1239 (males, 50.8%) Qatari individuals randomly selected from the different municipalities of Qatar completed the COPCORD survey. Among the participants, 563 (45.4%) screened positive for MSK pain. Knee pain (24.5%) and back pain (23.3%) were the most common sites of pain, and both conditions showed no gender predominance ( = 0.073 and 0.108, respectively). Shoulder, wrist, hand, hip, and neck pain were significantly predominant in females ( < 0.001 for all). A total of 237 MSK disorders were diagnosed in 196 (15.8%) participants, including 181 degenerative joint diseases, 52 soft-tissue rheumatism conditions, and 4 autoimmune inflammatory disorders. Among degenerative joint diseases, knee osteoarthritis (6.4%) was the most common. Among soft-tissue rheumatic conditions, muscular lower back pain (1.9%), myofascial neck pain (0.64%), generalized body pain (0.32%), and shoulder tendinitis (0.7%) were the most common diseases. The autoimmune inflammatory disorders identified included rheumatoid arthritis (n = 2), connective tissue disease (n = 1), and inflammatory bowel disease-associated arthritis (n = 1).

Conclusion: The overall prevalence rate of MSK disorders in this small cross-sectional cohort of Qatari individuals was 15.8%. Knee pain (24.5%) and knee osteoarthritis (6.4%) were the most common MSK complaints and diagnosis in the studied Qatari population. This study guides future efforts directed toward the prevention and management of MSK diseases. Further studies with a larger sample size are needed to verify the findings.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2020.29
2020-11-11
2024-03-29
Loading full text...

Full text loading...

/deliver/fulltext/qmj/2020/2/qmj.2020.29.html?itemId=/content/journals/10.5339/qmj.2020.29&mimeType=html&fmt=ahah

References

  1. Woolf, A.D. and K. Akesson, Understanding the burden of musculoskeletal conditions. The burden is huge and not reflected in national health priorities. BMJ, 2001. 322(7294): pp. 1079–80.
  2. Badley, E.M., I. Rasooly, and G.K. Webster, Relative importance of musculoskeletal disorders as a cause of chronic health problems, disability, and health care utilization: Findings from the 1990 Ontario Health Survey. J Rheumatol, 1994. 21(3): pp. 505–14.
  3. Reynolds, D.L., L.W. Chambers, E.M. Badley, K.J. Bennett, C.H. Goldsmith, E. Jamieson, et al., Physical disability among Canadians reporting musculoskeletal diseases. J Rheumatol, 1992. 19(7): pp. 1020–30.
  4. Woolf, A.D., The bone and joint decade 2000-2010. Ann Rheum Dis, 2000. 59(2): pp. 81–2.
  5. Woolf, A.D. and B. Pfleger, Burden of major musculoskeletal conditions. Bull World Health Organ, 2003. 81(9): pp. 646–56.
  6. Minaur, N., S. Sawyers, J. Parker, and J. Darmawan, Rheumatic disease in an Australian Aboriginal community in North Queensland, Australia: A WHO-ILAR COPCORD survey. J Rheumatol, 2004. 31(5): pp. 965–72.
  7. Lau, C.S., H.Y. Kim, and K. Nishioka, Rheumatology in the Asia Pacific region–opportunities and challenges. Nat Clin Pract Rheumatol, 2007. 3(3): p. 119.
  8. Dai, S.M., X.-H. Han, D.-B. Zhao, Y.-Q. Shi, Y. Liu, and J.-M. Meng, Prevalence of rheumatic symptoms, rheumatoid arthritis, ankylosing spondylitis, and gout in Shanghai, China: A COPCORD study. J Rheumatol, 2003. 30(10): pp. 2245–51.
  9. Chopra, A. and A. Abdel-Nasser, Epidemiology of rheumatic musculoskeletal disorders in the developing world. Best Pract Res Clin Rheumatol, 2008. 22(4): pp. 583–604.
  10. Al-Awadhi, A.M., S.O. Olusi, K. Al-Saeid, M. Moussa, D. Shehab, N. Al-Zaid, et al., Incidence of musculoskeletal pain in adult Kuwaitis using the validated Arabic version of the WHO-ILAR COPCORD Core Questionnaire. Ann Saudi Med, 2005. 25(6): pp. 459–62.
  11. Chaaya, M., Z.N. Slim, R.R. Habib, T. Arayssi, R. Dana, O. Hamdan, et al., High burden of rheumatic diseases in Lebanon: A COPCORD study. Int J Rheum Dis, 2012. 15(2): pp. 136–43.
  12. Al-Awadhi, A., S. Olusi, M. Moussa, N. Al-Zaid, D. Shehab, A. Al-Herz, et al., Validation of the Arabic version of the WHO-ILAR COPCORD Core Questionnaire for community screening of rheumatic diseases in Kuwaitis. World Health Organization. International League Against Rheumatism. Community Oriented Program for the Control of Rheumatic Diseases. J Rheumatol, 2002. 29(8): pp. 1754–59.
  13. Veerapen, K., R.D. Wigley, and H. Valkenburg, Musculoskeletal pain in Malaysia: A COPCORD survey. J Rheumatol, 2007. 34(1): pp. 207–13.
  14. Senna, E.R., A.L.P. De Barros, E.O. Silva, I.F. Costa, L.V.B. Pereira, R.M. Ciconelli, et al., Prevalence of rheumatic diseases in Brazil: A study using the COPCORD approach. J Rheumatol, 2004. 31(3): pp. 594–97.
  15. Chakravarty, E.F., T.M. Bush, S. Manzi, A.E. Clarke, and M.M. Ward, Prevalence of adult systemic lupus erythematosus in California and Pennsylvania in 2000: Estimates obtained using hospitalization data. Arthritis Rheum, 2007. 56(6): pp. 2092–94.
  16. Minh Hoa, T.T., J. Darmawan, S.L. Chen, N.V. Hung, C.T. Nhi, T.N. An, et al., Prevalence of the rheumatic diseases in urban Vietnam: A WHO-ILAR COPCORD study. J Rheumatol, 2003. 30(10): pp. 2252–56.
  17. Davatchi, F., A.-R. Jamshidi, A.T. Banihashemi, J. Gholami, M.H. Forouzanfar, M. Akhlaghi, et al., WHO-ILAR COPCORD Study (Stage 1, Urban Study) in Iran. J Rheumatol, 2008. 35(7): pp. 1384–90.
  18. Ho, A.T.N., Y. Vanlandewijck, L. de Donder, R. Wittoek, B. Ting-A-Kee, R. Basantram, et al., Prevalence of musculoskeletal complaints in urban communities in multi-ethnic Suriname: A cross-sectional study with the COPCORD methodology (stage 1, phase 1 and 2). Clin Rheumatol, 2020. 39(4): pp. 1065–75.
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2020.29
Loading
/content/journals/10.5339/qmj.2020.29
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): COPCORD surveymusculoskeletal complaints and rheumatic diseases
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error