Musculoskeletal pain prevalence according to COPCORD strategy in an urban population from the Azogues canton, Ecuador

Authors

  • Beatriz Patricia Quichimbo-Miguitama Universidad Católica de Cuenca, Ecuador
  • Ana Belén Cárdenas-Carangui Universidad Católica de Cuenca, Ecuador

DOI:

https://doi.org/10.26871/killcana_salud.v4i1.582

Abstract

Introduction: Rheumatic diseases constitute the main cause of musculoskeletal pain, and are responsible for physical limitation and disability. This study aims to estimate musculoskeletal pain prevalence in an urban population from the Azogues canton, through the implementation of stage I Community Oriented Program for Control of Rheumatic Diseases (COPCORD) strategy. Methodology: This is a descriptive, cross-sectional study based on the application of COPCORD core, Mexican questionnaire, version-2. The survey was applied to adults over 20 years, from the Zhirincay neighbourhood located in Azogues, to detect musculoskeletal pain secondary to rheumatic diseases. Results: The questionnaire was administered to 197 people; the prevalence of musculoskeletal pain was 61.93% (CI 95%: 57.03-66.); being more frequent in women (59%; P: 0.184); and in adults over 66 years (91%, P: 0.00567).  41.80% of the people experienced moderate-intensity pain while 39.34% experienced high-intensity pain; 40.98% (P:0.566) have presented functional limitation at some point of their lives and 3.28% present disability. Work absenteeism frequency due to pain was 59% (P: 0.06). Only 45.08% have had a previous rheumatic disease medical evaluation and diagnosis, 47.54% are under treatment. The most frequently painful areas are the dorsal-lumbar 36.7%, cervical 29%, and knees 16.39%. Conclusion: Through the use of the COPCORD questionnaire, a high musculoskeletal pain prevalence was detected in this population. It increases with age and constitutes an essential cause of functional limitation and disability that requires early detection and timely treatment.

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References

Villaseñor J, Escobar V, De Lanza P, Guizar I. Síndrome de dolor miofascial. Epidemiología, fisiopatología, diagnóstico y tratamiento. Rev Espec Médico-Quirúrgicas [Internet]. 2013;18(2):148–57. Available from: http://www.redalyc.org/articulo.oa?id=47327854012. 2013;18(2).

León González M, Fornés Vives J. Estrés psicológico y problemática musculoesquelética. Revisión sistemática. Enferm Glob. 2015;14(2):276–300.

Ingram M, Symmons DPM. The burden of musculoskeletal conditions. Med (United Kingdom) [Internet]. 2018;46(3):152–5. Available from: https://doi.org/10.1016/j.mpmed.2017.12.005

Vergara L. Síndrome de dolor miofascial. Rev Hosp Clínico Univ Chile. 2018;29(1):60–9.

Muñoz J, Alpizar D. Síndrome Miofascial. Med Leg Costa Rica. 2016;33(1).

Guevara S, Feicán A, Peláez-Ballestas I, Ochoa V, Vintimilla F, Vintimilla J. Validación del cuestionario COPCORD para detección de enfermedades reumáticas. Cuenca - Ecuador. Rev la Fac Ciencias Médicas Univ cuenca [Internet]. 2014;32(2):18–29. Available from: http://dspace.ucuenca.edu.ec/bitstream/123456789/19845/1/TESIS.pdf

Mathew A, Chopra A, Thekkemuriyil D, George E, Goyal V, Nair J. Impact of musculoskeletal pain on physical function and health-related quality of life in a rural community in south India: A WHO-ILAR-COPCORD-BJD India study. Clin Rheumatol. 2011;30(11):1491–7.

Branco JC, Rodrigues AM, Gouveia N, Eusébio M, Ramiro S, Machado PM, et al. Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal: Results from EpiReumaPt- a national health survey. RMD open. 2016;2(1).

Goycochea-Robles M, Sanin L, Moreno-Montoya J, Alvarez-Nemegyei J, Burgos-Vargas R. Validity of the COPCORD Core Questionnaire as a classification tool for rheumatic diseases. J Rheumatol [Internet]. 2011;86:31–5. Available from: http://jrheum.org/content/supplements/86/31.full.pdf+html%0Ahttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed12&NEWS=N&AN=361047383

Darmawan J. Recommendations from the Community Oriented Program for Control of Rheumatic Disease for data collection for the measurement and monitoring of health in developing countries. Clin Rheumatol. 2007;26(6):853–7.

Londoño J, Peláez Ballestas I, Cuervo F, Angarita I, Giraldo R. Prevalencia de la enfermedad reumática en Colombia, según estrategia COPCORD-Asociación Colombiana de Reumatología. Estudio de prevalencia de enfermedad reumática en población colombiana mayor de 18 años. Rev Colomb Reumatol. 2018;25(4):245–56.

Peláez-Ballestas I, Pons-Estel BA, Burgos-Vargas R. Epidemiology of rheumatic diseases in indigenous populations in Latin-Americans. Clin Rheumatol [Internet]. 2016;35:1–3. Available from: http://dx.doi.org/10.1007/s10067-016-3298-6

Blyth FM, Briggs AM, Schneider CH, Hoy DG, March LM. The global burden of musculoskeletal pain—where to from here? Am J Public Health. 2019;109(1):35–40.

Casal J, Vasquez M. Abordaje del dolor musculoesquelético en urgencias. Emergencias [Internet]. 2012;24:59–65. Available from: http://files.sld.cu/anestesiologia/files/2012/10/abordaje-dolor-musculo-esqueletico-urgencia1.pdf

Guevara-Pacheco SV, Feican-Alvarado A, Delgado-Pauta J, Lliguisaca-Segarra A, Pelaez-Ballestas I. Prevalence of disability in patients with musculoskeletal pain and rheumatic diseases in a population from Cuenca, Ecuador. J Clin Rheumatol. 2017;23(6):324–9.

Peláez Ballestas I, Santos A, Angarita I et al. Adecuación y validación transcultural del cuestionario COPCORD: Programa Orientado a la Comunidad para el Control de las Enfermedades Reumáticas en Colombia. Rev Colomb Reumatol. 2019;26(2):88–96.

Peláez-Ballestas I, Granados Y, Silvestre A, Alvarez-Nemegyei J, Valls E, Quintana R, et al. Culture-sensitive adaptation and validation of the Community-Oriented Program for the Control of Rheumatic Diseases methodology for rheumatic disease in Latin American indigenous populations. Rheumatol Int. 2014;34(9):1299–309.

Chopra A, Abdel-Nasser A. Epidemiology of rheumatic musculoskeletal disorders in the developing world. Best Pract Res Clin Rheumatol. 2008;22(4):583–604.

Granados Y, Cedeño L, Rosillo C, Berbin S, Azocar M, Molina ME, et al. Prevalence of musculoskeletal disorders and rheumatic diseases in an urban community in Monagas State, Venezuela: a COPCORD study. Clin Rheumatol. 2015;34(5):871–7.

dos Reis-Neto ET, Ferraz MB, Kowalski SC, Pinheiro G da RC, Sato EI. Prevalence of musculoskeletal symptoms in the five urban regions of Brazil—the Brazilian COPCORD study (BRAZCO). Clin Rheumatol. 2016;35(5):1217–23.

Alonso Monteiro Bezerra M, Hellwig N, Da Rocha Castelar Pinheiro G, Souza Lopes C. Prevalence of chronic musculoskeletal conditions and associated factors in Brazilian adults - National Health Survey. BMC Public Health. 2018;18(1):1–10.

Arteaga C, Santacruz J, Ramirez L. Evaluación del dolor musculoesquelético en el anciano. Acta Médica Colomb. 2011;36(1):30–5.

Haq SA, Davatchi F. Osteoarthritis of the knees in the COPCORD world. Int J Rheum Dis. 2011;14(2):122–9.

Published

2020-04-01
ESTADISTICAS
  • Abstract 248
  • pdf (Español (España)) 166
  • Audio en español (Español (España)) 27

How to Cite

Quichimbo-Miguitama, B. P., & Cárdenas-Carangui, A. B. (2020). Musculoskeletal pain prevalence according to COPCORD strategy in an urban population from the Azogues canton, Ecuador. Killkana Salud Y Bienestar, 4(1), 19–26. https://doi.org/10.26871/killcana_salud.v4i1.582

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Section

Artículos originales de investigación