Study of polymorbidity in patients with musculoskeletal diseases at the stage of medical and physical rehabilitation
- Authors: Rukodaynyy O.V1, Moroga D.F.2, Kicha D.I.1, Fomina A.V.1, Goloshchapov-Aksenov R.S.1
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Affiliations:
- Peoples' Friendship University of Russia named after Patris Lumumba
- Medical center for the treatment of the spine and joints “DEMA”
- Issue: Vol 104, No 6 (2023)
- Pages: 835-842
- Section: Theoretical and clinical medicine
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/397256
- DOI: https://doi.org/10.17816/KMJ397256
- ID: 397256
Cite item
Open Access
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Abstract
Background. The study of multimorbidity is an urgent task for assessing individual clinical risks and prognosis, developing a treatment and rehabilitation plan.
Aim. To study multimorbidity in patients with chronic musculoskeletal diseases.
Material and methods. The study was conducted in 2022–2023 on the basis of the medical center for the treatment of spine and joints “DEMA” and the Peoples' Friendship University of Russia named after Patrice Lumumba. Study subjects were patients with musculoskeletal diseases (n=212) who sought medical and physical rehabilitation. Men — n=75 (average age 40.2±6.65 years, proportion of patients ≥60 years — 20%), women — n=137 (average age 47.2±6.84 years, proportion of patients ≥60 years — 18%). The subject of the study was polymorbidity in patients with musculoskeletal diseases. The following methods were used: content analysis, analytical, statistical, mathematical, comparative analysis method.
Results. Spinal diseases were detected in 79.2% of patients, and various dysfunctions of the musculoskeletal system were detected in 19.36%. 43 (20.28%) patients were diagnosed with two diseases of the musculoskeletal system. Women were more likely than men to be diagnosed with spinal osteochondrosis (p=0.015), cervicalgia (p=0.015), degenerative diseases of the hip and knee joints (p=0.022) and consequences of skeletal injuries (p=0.015). Of the concomitant diseases in all patients, eye (23.1%) and cardiovascular diseases (25.5%) were common. Women were more often diagnosed with endocrine (p=0.025), ophthalmic (p=0.001), gynecological (p=0.001) diseases, urolithiasis (p=0.025) and cholelithiasis (p=0.025); men — with consequences of injuries/surgeries (p=0.025). Polymorbidity was established in 50.33% of patients — 42 men and 72 women. Two and three concomitant chronic diseases were predominantly diagnosed in women, and six or more were diagnosed in men. All patients ≥60 years of age (25%) had three or more chronic diseases.
Conclusion. Most patients with musculoskeletal pathology suffer from several chronic diseases.
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About the authors
Oleg V Rukodaynyy
Peoples' Friendship University of Russia named after Patris Lumumba
Email: orukodaynyy@gmail.com
ORCID iD: 0000-0001-9134-7189
M.D., Cand. Sci. (Med.), Assoc. Prof., Head of Depart., Depart. of Health Organization, Drug Supply, Medical Technologies and Hygiene, Medical Institute
Russian Federation, Moscow, RussiaDenuts F. Moroga
Medical center for the treatment of the spine and joints “DEMA”
Email: dmoroga@mail.ru
ORCID iD: 0000-0003-0076-2200
M.D., medical Director, Medical center for the treatment of spine and joints “DEMA”
Russian Federation, Zhukovsky, RussiaDmitry I. Kicha
Peoples' Friendship University of Russia named after Patris Lumumba
Email: d_kicha@mail.ru
ORCID iD: 0000-0001-6529-372X
SPIN-code: 5622-0128
Scopus Author ID: 343274
M.D., D. Sci. (Med.), Prof., Depart. of Health Organization, Drug Supply, Medical Technologies and Hygiene, Depart. of Public Health, Health Care and Hygiene, Medical Institute
Russian Federation, Moscow, RussiaAnna V. Fomina
Peoples' Friendship University of Russia named after Patris Lumumba
Email: fomina-av@rudn.ru
ORCID iD: 0000-0002-2366-311X
Scopus Author ID: 70063004378
ResearcherId: AAH-9116-2019
D. Sci. (Pharm.), Prof., Head of Depart., Depart. of Public Health, Health Care and Hygiene, Medical Institute
Russian Federation, Moscow, RussiaRoman S. Goloshchapov-Aksenov
Peoples' Friendship University of Russia named after Patris Lumumba
Author for correspondence.
Email: mzmo-endovascular@mail.ru
ORCID iD: 0000-0003-3085-7729
SPIN-code: 7768-7460
Scopus Author ID: 57222264504
M.D., D. Sci. (Med.), Assoc. Prof., Depart. of Cardiology, Endovascular and Hybrid Treatment, Medical Institute
Russian Federation, Moscow, RussiaReferences
- Razumov AN. The system of health protection of a healthy person in the Russian Federation. Kurortnoe delo. 2007;1(1):6–8. (In Russ.)
- Andreeva OS, Lavrova DI, Puzin SN. Pravovye, organizatsionnye i metodicheskie osnovy formirovaniya i realizatsii individual'noy programmy reabilitatsii invalida. Metodicheskie rekomendatsii. (Legal, organizational and methodological foundations for the formation and implementation of an individual rehabilitation program for a disabled person. Guidelines.) M.: TSIETIN; 2000. 59 p. (In Russ.)
- Popov SN. Fizicheskaya reabilitatsiya. Uchebnik. (Physical rehabilitation. Textbook.) M.: Academy; 2013. 304 p. (In Russ.)
- Mironov SP, Eskin NA, Andreeva TM. Musculoskeletal diseases as social and economic problem. NN Priorov journal of traumatology and orthopedics. 2012;(2):3–7. (In Russ.)
- Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, Bridgett L, Williams S, Guillemin F, Hill C, Laslett L, Jones G, Cicuttini F, Osborne R, Vos T, Buchbinder R, Woolf A, Msrch L. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1323–1330. doi: 10.1136/annrheumdis-2013-204763.
- Kabalyk MA. Prevalence of osteoarthritis in russia: regional aspects of trends in statistical parameters during 2011–2016. Rheumatology science and practice. 2018;56(4):416–422. (In Russ.) doi: 10.14412/1995-4484-2018-416-422.
- Nasonov EL, Lila AM, Galushko EA, Amirdzhanova VN. Strategy for development of rheumatology: from scientific achievements to practical healthcare. Rheumatology Science and Practice. 2017;55(4):339–343. (In Russ.) doi: 10.14412/1995-4484-2017-339-343.
- Rosstat. Morbidity of the population by major classes of diseases in 2000–2021. Rosstat.gov.ru (access date: 28.04.2023). (In Russ.)
- World Health Statistics 2016 Monitoring Health for the SDGs. Geneva: World Health Organization; 2016. https://www.who.int/publications-detail-redirect/9789241565264 (access date: 28.04.2023).
- GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388:1545–602. doi: 10.1016/S0140-6736(16)31678-6.
- Chatterji S, Byles J, Cutler D, Seeman T, Verdes E. Health, functioning, and disability in older adults–present status and future implications. Lancet. 2015;385:563–75. doi: 10.1016/S0140-6736(14)61462-8.
- Age UK. Later Life in the United Kingdom. 2018. http://www.ageuk.org.uk/Documents/EN-GB/Factsheets/Later_Life_K_ factsheet.pdf (access date: 28.04.2023).
- Policy paper. Long term conditions compendium of information. Third Edition. 2012. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/216528/dh_134486.pdf (access date: 28.04.2023).
- Kassirsky GI, Vorob’yov RN. Rehabilitation in medicine (definition, tasks, problems). Sovetskoe zdravookhranenie. 1988;(4):22–26. (In Russ.)
- Gutenbrunner C, Meyer T, Melvin J, Stucki G. Towards a conceptual description of physical and rehabilitation medicine. J Rehabil Med. 2011;43:760–7641. doi: 10.2340/16501977-0866.
- World Health Organization. Newsletter. July 16, 2021. https://www.who.int/ru/news-room/fact-sheets/detail/rehabilitation (access date: 28.04.2023). (In Russ.)
- Rehabilitation 2030: a call for action. Geneva: World Health Organization; 2017. https://www.who.int/disabilities/care/ Rehab2030MeetingReport2.pdf?ua= (access date: 28.04.2023).
- Kicha DI, Moroga DF, Rukodainy OV, Medvedeva MV. Algorithm for organizing the rehabilitation and health-improving process. Vestnik Meditsinskogo stomatologicheskogo instituta. 2022;(3):20–23. (In Russ.)
- Abra-mov AYu, Rukodaynyy OV, Kicha DI, Koledinsky AG, Goloshchapov-Aksenov RS, Zuenkova YuA, Moroga DF. Klinicheskoe upravlenie. Metodicheskie rekomendatsii. (Clinical management. Guidelines.) M.: RUDN University; 2022. 49 p. (In Russ.)
- Merkov AM, Polyakov LE. Sanitarnaya statistika. Posobie dlya vrachey. (Health statistic. Guide for physicians.) Leningrad, Meditsina; 1974. 384 p. (In Russ.)
- Taskina EA, Alekseeva LI, Kashevarova NG, Lila AM, Nasonov EL. Multimorbidity in osteoarthritis. Rheumatology Science and Practice. 2022;60(3):306–313. (In Russ.) doi: 10.47360/1995-4484-2022-306-313.
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