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. 2016 Apr 14:17:163.
doi: 10.1186/s12891-016-1024-9.

Mortality with musculoskeletal disorders as underlying cause in Sweden 1997-2013: a time trend aggregate level study

Aliasghar A Kiadaliri  1   2   3 , Martin Englund  4   5
Affiliations

Mortality with musculoskeletal disorders as underlying cause in Sweden 1997-2013: a time trend aggregate level study

Aliasghar A Kiadaliri et al. BMC Musculoskelet Disord. .

Abstract

Background: The aim was to assess time trend of mortality with musculoskeletal disorders (MSD) as underlying cause of death in Sweden from 1997 to 2013.

Methods: We obtained data on MSD as underlying cause of death across age and sex groups from the National Board of Health and Welfare's Cause of Death Register. Age-standardized mortality rates per million population for all MSD, its six major subgroups, and all other ICD-10 (International Classification of Disease) chapters were calculated. We computed the average annual percent change (AAPC) in the mortality rates across age/sex groups using joinpoint regression analysis by fitting a regression line to the natural logarithm of the age-standardized mortality rates and calendar year as a predictor.

Results: There were a total of 7 976 deaths (0.5% of all causes deaths) with MSD as the underlying cause of death (32.5% of these deaths caused by rheumatoid arthritis [RA]). The overall age-standardized mortality rates (95% CI) were 16.0 (15.4 to 16.7) and 24.9 (24.1 to 25.7) per million among men and women, respectively (women/men rate ratio 1.55; 95%CI 1.47 to 1.63). On average, mortality rate declined by 2.3% per year and only circulatory system mortality had a more favourable decline than mortality with MSD as underlying cause. Among MSD the highest decline was observed in RA (3.7% per year) during study period. Across age groups, while there were generally stable or declining trends, spondylopathies and osteoporosis mortality among people ≥ 75 years increased by 2 and 1.5% per year, respectively.

Conclusion: In overall, mortality with MSD as underlying cause has declined in Sweden over last two decades, with the highest decline for RA. However, there are variations across MSD subgroups which warrants further investigations.

Keywords: Mortality; Musculoskeletal disorders; Sweden; Temporal trend.

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Figures

Fig. 1
Fig. 1
Percentage of death due to musculoskeletal disorders by sex, age and cause in Sweden, 1997–2013
Fig. 2
Fig. 2
Age-standardized mortality rate (95 % CI) of musculoskeletal disorders as underlying cause across sex and age groups in Sweden, 1997–2013
Fig. 3
Fig. 3
Average annual percent change of mortality with musculoskeletal disorders as underlying cause in Sweden obtained from joinpoint regression analysis 1997–2013
Fig. 4
Fig. 4
Average annual percent change of mortality with musculoskeletal disorders as underlying cause in Sweden obtained from joinpoint regression analysis, by age groups 1997–2013. Footnote: The mortality rates for subgroups of musculoskeletal disorders are four-year moving average rates
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References

    1. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ. 2003;81(9):646–56. - PMC - PubMed
    1. March L, Smith EU, Hoy DG, Cross MJ, Sanchez-Riera L, Blyth F, et al. Burden of disability due to musculoskeletal (MSK) disorders. Best Pract Res Clin Rheumatol. 2014;28(3):353–66. doi: 10.1016/j.berh.2014.08.002. - DOI - PubMed
    1. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2163–96. doi: 10.1016/S0140-6736(12)61729-2. - DOI - PMC - PubMed
    1. Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1323–30. doi: 10.1136/annrheumdis-2013-204763. - DOI - PubMed
    1. Woolf AD, Vos T, March L. How to measure the impact of musculoskeletal conditions. Best Pract Res Clin Rheumatol. 2010;24(6):723–32. doi: 10.1016/j.berh.2010.11.002. - DOI - PubMed

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