WHO Public Health Panorama paper on whole system approach in UK to MSK health
published in Euro Panorama Volume 4, Issue 3, September 2018
This paper has just been published in WHO Europe Public Health Panorama about the collaborative whole system approach taken in the UK to promote musculoskeletal health. ARMA (Arthritis and Musculoskeletal Alliance), the UK GMUSC network, and its member organisations have been working closely with Public Health England and this approach and its outcomes are reported. MSK is now a national priority for Public Health England and they are developing a full programme and series of national meetings to promote it. This is an excellent case study example of the effectiveness of collaborative working.
You can read and download the paper here.
Reducing the Global Burden of Musculoskeletal Conditions
published 1st May 2018 in the Bulletin of the World Health Organization (WHO)
International experts, working with the Global Alliance for Musculoskeletal Health, are calling for global action from health authorities to address the huge burden of musculoskeletal conditions, which affect about one in three people worldwide, including younger people.
Musculoskeletal conditions, such as arthritis and low back pain, are strongly associated with pain and functional disability, which reduces a person’s ability to participate in work and social roles.
The paper examined the global impact of more than 150 musculoskeletal conditions, including back and neck pain, osteoarthritis, rheumatoid arthritis and fractures, and set three priorities for global action.
Lead author Professor Andrew Briggs, from the School of Physiotherapy and Exercise Science at Curtin University, Australia, said musculoskeletal conditions shared similar risk factors to other chronic health conditions, such as obesity, poor nutrition and a sedentary lifestyle, but did not receive the same level of attention and health policy prioritisation.
“Musculoskeletal conditions, such as neck and back pain, account for the greatest proportion of persistent pain across age groups and geographies all over the world,” Professor Briggs said.
“While not as strongly associated with death as other non-communicable diseases such as heart disease, the disability-burden associated with musculoskeletal conditions is enormous and far greater than other health conditions.
“Despite these conditions often leading to significant mental health decline, an increased risk of developing other chronic health conditions and a higher probability of death, musculoskeletal health is not identified as a priority area for the global management of non-communicable diseases and has largely been neglected from a health resourcing point of view.”
While an estimated one in three people across the globe are affected by a chronic, painful musculoskeletal condition, recent data suggests as many as one in two adult Americans are living with a musculoskeletal condition. Research shows the burden of disease is also increasing more rapidly in low and middle-income countries.
Professor Briggs said the research called on WHO and its Member States to help reduce the global disability burden of musculoskeletal conditions by explicitly addressing it in health reforms and policy agendas, including setting global targets that align with people’s functional ability, rather than only mortality outcomes.
“There is a wealth of evidence documenting the huge toll that musculoskeletal conditions have on a person’s physical ability, mental health, as well as the significant burden in terms of healthcare costs. This highlights that policies, strategies and health programs for non-communicable diseases must include musculoskeletal health as an integral component, particularly within health programs targeted at lower socio-economic communities and older people.” Said Professor Dreinhoefer from Charité Universitätsmedizin, Berlin, Germany and Chair of the Global Alliance for Musculoskeletal Health. “We encourage people to support this call for action by visiting http://www.boneandjointdecade.org/call-for-action/ ”
The paper, ‘Reducing the global burden of musculoskeletal conditions’, also involved researchers from Curtin University, Australia; Royal Cornwall Hospital, UK; Charité Universitätsmedizin, Berlin, Germany, World Health Organisation in Geneva, Switzerland; University of Sydney, University of Toronto, Canada; Lund University, Malmö, Sweden, and the Royal North Shore Hospital, Sydney, Australia.
You can view the paper here :
Low Back Pain : a call for action
published 28th March 2018 in The Lancet
A collaboration of more than 30 leading experts in countries across the world, including Professor Nadine Foster, Keele University and Professor Martin Underwood, Warwick University, have reviewed the evidence for treatment of low back pain and have published their results in a series of three papers in the Lancet, the first of which was published Wednesday 21st March; you will be able to access country specific facts and statistics along with patient case studies.
Low back pain : a call for action. Buchbinder R et al; Lancet 2018; 391: 2384–88
This matters because lower back pain is the leading cause of disability worldwide and yet a high proportion of patients are mistreated. The Lancet Low Back Pain Series highlights that significant health resources are being wasted to fund tests and treatments known to be ineffective and even harmful. It also suggests many of the mistakes of high-income countries are already well established in low- and middle-income countries. The global burden of disability due to low back pain has increased by more than 50% since 1990, and is due to increase even further in coming decades as a result of population growth and ageing.