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01-09-2016 | Epidemiology of RMD

Prevalence of musculoskeletal disorders and rheumatic diseases in Cuenca, Ecuador: a WHO-ILAR COPCORD study

Authors: Sergio Guevara-Pacheco, Astrid Feicán-Alvarado, Luz Helena Sanín, Jaime Vintimilla-Ugalde, Fernando Vintimilla-Moscoso, Jorge Delgado-Pauta, Angelita Lliguisaca-Segarra, Holger Dután-Erráez, Daniel Guevara-Mosquera, Verónica Ochoa-Robles, Mario H. Cardiel, Ingris Peláez-Ballestas

Published in: Rheumatology International | Issue 9/2016

Abstract

The aim of this study was to determine the prevalence of musculoskeletal pain and rheumatic diseases in subjects over 18 years of age from the canton of Cuenca, Ecuador. Cross-sectional analytical community-based study was conducted in subjects over 18 years of age using the validated Community-Oriented Program for the Control of Rheumatic Diseases (COPCORD) questionnaire. Random sampling was used. The questionnaire was administered by standardized health workers. Subjects were visited house by house. Subjects positive for musculoskeletal (MSK) pain in the last 7 days and at some point in life were assessed by rheumatologists to confirm the diagnosis. A total of 4877 subjects participated, with an average age of 42.8 (SD 18.8) years of age; 59.7 % were women; 69.7 % lived in urban areas. 32.5 % reported MSK pain in the last 7 days and 45.7 % at some point in life. The prevalence of knee osteoarthritis was 7.4 %, hand osteoarthritis 5.3 %, low back pain 9.3 %, rheumatoid arthritis 0.8 %, fibromyalgia 2 %, gout 0.4 %, and lupus 0.06 %. Subjects from rural areas reported experiencing more MSK pain in the last 7 days and at some point in life, lower income, poorer health-care coverage, and increased physical activity involving repetitive tasks such as lifting weights or cooking with firewood. MSK pain prevalence was high. Osteoarthritis and low back pain were the most common diseases. Age, sex, physical activity, repetitive tasks, living in a rural area, and lack of health-care coverage were found to be associated with MSK pain.

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Title: Prevalence of musculoskeletal disorders and rheumatic diseases in Cuenca, Ecuador: a WHO-ILAR COPCORD study
Authors: Sergio Guevara-Pacheco
Astrid Feicán-Alvarado
Luz Helena Sanín
Jaime Vintimilla-Ugalde
Fernando Vintimilla-Moscoso
Jorge Delgado-Pauta
Angelita Lliguisaca-Segarra
Holger Dután-Erráez
Daniel Guevara-Mosquera
Verónica Ochoa-Robles
Mario H. Cardiel
Ingris Peláez-Ballestas
Publication date: 01-09-2016
Publisher: Springer Berlin Heidelberg
Published in: Rheumatology International / Issue 9/2016
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI: https://doi.org/10.1007/s00296-016-3446-y

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