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Prevalence of musculoskeletal disorders and rheumatic diseases in an urban community in Monagas State, Venezuela: a COPCORD study

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Abstract

The aim of the study was to determine the prevalence of musculoskeletal disorders and rheumatic diseases in an urban community in Venezuela. We conducted a cross-sectional, community-based study using the COPCORD (Community Oriented Program for Control of Rheumatic Diseases) methodology in subjects older than 18 years. Positive cases were evaluated by rheumatologists. We surveyed 3,973 individuals (1,606 males and 2,367 females), with a mean age of 43.7 years (standard deviation (SD) 17.6). Mean duration of education was 8.9 years (SD 3.7), 79.2 % had a monthly income of < US$569, and 46.4 % were working. Excluding trauma, the prevalence of pain in the 7 days prior to interview was 19.9 % (95 % confidence interval (CI) 18.7–21.2 %). Mean pain intensity on a visual analog scale was 6.3 (SD 2.2), and 30.1 % (95 % CI 28.7–31.6 %) had a history of pain. Respondents reported pain in the knees, back, hands, shoulders, and ankles in the last 7 days; 4.7 % described current functional limitation, with 16.5 % reporting limitations in the past. Regarding treatment, 23.9 % received medication, 6.4 % received physical therapy, and 2.6 % received alternative treatment. The main diagnoses were osteoarthritis in 15.0 % (95 % CI 13.9–16.1 %), rheumatic regional pain syndromes in 6.3 % (95 % CI 5.5–7.1 %), back pain in 2.8 % (95 % CI 2.3–3.4 %), rheumatoid arthritis in 0.4 % (95 % CI 0.2–0.6 %), crystal arthropathy in 0.3 % (95 % CI 0.1–0.5 %), fibromyalgia in 0.2 % (95 % CI 0.1–0.4 %), and systemic lupus erythematosus in 0.07 % (95 % CI 0.01–0.2 %). The prevalence of musculoskeletal disorders was 22.4 %, and the most prevalent disease was osteoarthritis. Pain, in which a patient is receiving treatment for musculoskeletal disorders, and physical disability were associated with the presence of a rheumatic disease.

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Acknowledgments

We thank Dr. Yemina Figuera, Dr. Rosa González, and Dr. MariCruz Machado of the Internal Medicine Department, Hospital Dr. Manuel Núñez Tovar, Estado Monagas, Venezuela, for their help in this study. The authors wish to acknowledge GEEMA Group (Grupo de Estudio Epidemiológico de Enfermedades Músculo Articulares: Peláez-Ballestas I, Rodriguez-Amado J, Alvarez-Nemegyei J, Burgos-Vargas R, Garza M, Sanin LH, Goycochea MV, and Cardiel MH.) for methodological support. We are grateful to Abbott Laboratories of Venezuela for financial sponsorship of laboratory tests and to Bristol-Myers of Venezuela for unrestrictive financial support. These laboratories were not involved in the design, execution, analysis, or publication of the studies.

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Authors and Affiliations

  1. Rheumatology Unit, Hospital Dr. Manuel Núñez Tovar de Maturín, Maturín, Monagas, Venezuela

    Ysabel Granados, Sol Berbin & Miriam Azocar

  2. Barrio Adentro, Ministerio del Poder Popular para la Salud, Maturín, Monagas, Venezuela

    Ligia Cedeño, Celenia Rosillo, María Elena Molina & Onelia Lara

  3. IVSS “Dr. Cesar Rodríguez”, Puerto La Cruz, Venezuela

    Gloris Sanchez

  4. Rheumatology Unit, Hospital General de México, “Eduardo Liceaga”, México City, Mexico

    Ingris Peláez-Ballestas

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  1. Ysabel Granados
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  2. Ligia Cedeño
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  9. Ingris Peláez-Ballestas
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Correspondence to Ysabel Granados.

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Granados, Y., Cedeño, L., Rosillo, C. et al. Prevalence of musculoskeletal disorders and rheumatic diseases in an urban community in Monagas State, Venezuela: a COPCORD study. Clin Rheumatol 34, 871–877 (2015). https://doi.org/10.1007/s10067-014-2689-9

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  • DOI: https://doi.org/10.1007/s10067-014-2689-9

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