Burden of Rheumatic Diseases in A Rural Community of Bangladesh

Authors

  • Moniruzzaman Ahmed MAG Osmani Medical College, Sylhet
  • Syed Atiqul Haq Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md. Nazrul Islam Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Sree Krisna Banik Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Mohammad Noor Alam Chittagong Medical College

DOI:

https://doi.org/10.3329/jom.v15i2.20685

Keywords:

Epidemiology study, Rheumatic diseases, rural community

Abstract

Objective: To estimate the magnitude, burden of illness and help-seeking behavior of patients with musculoskeletal complaints and to provide incidence of osteoarthritis, low back pain, fibromyalgia, rheumatoid arthritis, gout, and other inflammatory and non-inflammatory rheumatic diseases in a rural community of Bangladesh.

Methods: The study was conducted in a few villages near Dhaka city which were considered to be a fairly representative sample of Bangladeshi rural population. Data were collected with the help of modified Community Oriented Program for Control of Rheumatic Diseases (COPCORD) questionnaire and a diagnosis using American College of Rheumatology (ACR) criteria was established.

Results: During the 18 months study period, 2685 adults (15 years and above) were included. A total of 441 (M=163, F=278) developed new musculoskeletal (MSK) pain. The incidence rates were 10.9/100 person-years (PY) for the whole population, 8.2/100 PY for males and 13.6/100 PY for females. Nonspecific low back pain (NSLBP), fibromyalgia and osteoarthritis of knee were common MSK problems. A total of 302 patients had complaints of low back pain, of them 204 persons had noninflammatory low back pain; 262 respondents had complaints of knee pain, 38 had satisfied the criteria of knee OA; a total of 116 respondents suffered from fibromyalgia during the study period. Of the respondents (M=17, F=24) 41 had inflammatory arthropathy. Among the incidences of inflammatory arthritis, rheumatoid arthritis 120 (M=101, F=147), spondyloarthropathies 150 (M=252, F=49), ankylosing spondylitis 75 (M=151, F=0), reactive arthritis 50 (M=101, F=0), and psoriatic arthritis 256 (M=0, F=49) per 100,000 / PY respectively were observed,

Conclusions: Rheumatic diseases are common in the rural community of Bangladesh, affecting nearly a quarter of adult population. Non-specific low back pain (NSLBP), fibromyalgia and osteoarthritis of knee joints are common joint disorders; point prevalence estimates of most common diagnoses were similar to other community surveys using COPCORD methodology.

DOI: http://dx.doi.org/10.3329/jom.v15i2.20685

J MEDICINE 2014; 15 : 125-130

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Author Biographies

Moniruzzaman Ahmed, MAG Osmani Medical College, Sylhet

Associate Professor of Medicine,

Syed Atiqul Haq, Bangabandhu Sheikh Mujib Medical University, Dhaka

Professor & Head of the Dept. of Rheumatology

Md. Nazrul Islam, Bangabandhu Sheikh Mujib Medical University, Dhaka

Professor of Rheumatology

Sree Krisna Banik, Bangabandhu Sheikh Mujib Medical University, Dhaka

Professor & Head of the Dept. of Medicine (Retd.)

Mohammad Noor Alam, Chittagong Medical College

Associate Professor of Medicine

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Published

2014-10-19

How to Cite

Ahmed, M., Haq, S. A., Islam, M. N., Banik, S. K., & Alam, M. N. (2014). Burden of Rheumatic Diseases in A Rural Community of Bangladesh. Journal of Medicine, 15(2), 125–130. https://doi.org/10.3329/jom.v15i2.20685

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Section

Original Articles