The contribution of musculoskeletal disorders in multimorbidity: Implications for practice and policy

doi:10.1016/j.berh.2017.09.004

Review

. 2017 Apr;31(2):129-144.

doi: 10.1016/j.berh.2017.09.004. Epub 2017 Nov 1.

The contribution of musculoskeletal disorders in multimorbidity: Implications for practice and policy

Stephen J Duffield¹, Benjamin M Ellis², Nicola Goodson³, Karen Walker-Bone⁴, Philip G Conaghan⁵, Tom Margham⁶, Tracey Loftis⁷

Affiliations

¹ Department of Musculoskeletal Biology 1, Institute of Ageing and Chronic Disease, University of Liverpool, Room 3.42, Clinical Sciences Centre, University Hospital Aintree, Liverpool, L9 7AL, UK. Electronic address: stephen.duffield@liverpool.ac.uk.
² Imperial College Healthcare NHS Trust, Department of Rheumatology, Du Cane Rd, Shepherd's Bush, London W12 0HS, UK; Arthritis Research UK, Copeman House, St Mary's Court, St Mary's Gate, Chesterfield S41 7TD, UK. Electronic address: b.ellis@arthritisresearchuk.org.
³ Department of Musculoskeletal Biology 1, Institute of Ageing and Chronic Disease, University of Liverpool, Room 3.36, Clinical Sciences Centre, University Hospital Aintree, Liverpool, L9 7AL, UK. Electronic address: ngoodson@liverpool.ac.uk.
⁴ Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, MRC Lifecourse Epidemiology Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK. Electronic address: kwb@mrc.soton.ac.uk.
⁵ Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, NIHR Leeds Biomedical Research Centre, Chapel Allerton Hospital, Leeds, LS7 4SA, UK. Electronic address: p.conaghan@leeds.ac.uk.
⁶ Jubilee Street Practice, 368-374 Commercial Road, London, E1 0LS, UK. Electronic address: tommargham@nhs.net.
⁷ Arthritis Research UK, Copeman House, St Mary's Court, St Mary's Gate, Chesterfield S41 7TD, UK. Electronic address: t.loftis@arthritisresearchuk.org.

PMID: 29224692
DOI: 10.1016/j.berh.2017.09.004

Free article

Review

The contribution of musculoskeletal disorders in multimorbidity: Implications for practice and policy

Stephen J Duffield et al. Best Pract Res Clin Rheumatol. 2017 Apr.

Free article

. 2017 Apr;31(2):129-144.

doi: 10.1016/j.berh.2017.09.004. Epub 2017 Nov 1.

Authors

Stephen J Duffield¹, Benjamin M Ellis², Nicola Goodson³, Karen Walker-Bone⁴, Philip G Conaghan⁵, Tom Margham⁶, Tracey Loftis⁷

Affiliations

¹ Department of Musculoskeletal Biology 1, Institute of Ageing and Chronic Disease, University of Liverpool, Room 3.42, Clinical Sciences Centre, University Hospital Aintree, Liverpool, L9 7AL, UK. Electronic address: stephen.duffield@liverpool.ac.uk.
² Imperial College Healthcare NHS Trust, Department of Rheumatology, Du Cane Rd, Shepherd's Bush, London W12 0HS, UK; Arthritis Research UK, Copeman House, St Mary's Court, St Mary's Gate, Chesterfield S41 7TD, UK. Electronic address: b.ellis@arthritisresearchuk.org.
³ Department of Musculoskeletal Biology 1, Institute of Ageing and Chronic Disease, University of Liverpool, Room 3.36, Clinical Sciences Centre, University Hospital Aintree, Liverpool, L9 7AL, UK. Electronic address: ngoodson@liverpool.ac.uk.
⁴ Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, MRC Lifecourse Epidemiology Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK. Electronic address: kwb@mrc.soton.ac.uk.
⁵ Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, NIHR Leeds Biomedical Research Centre, Chapel Allerton Hospital, Leeds, LS7 4SA, UK. Electronic address: p.conaghan@leeds.ac.uk.
⁶ Jubilee Street Practice, 368-374 Commercial Road, London, E1 0LS, UK. Electronic address: tommargham@nhs.net.
⁷ Arthritis Research UK, Copeman House, St Mary's Court, St Mary's Gate, Chesterfield S41 7TD, UK. Electronic address: t.loftis@arthritisresearchuk.org.

PMID: 29224692
DOI: 10.1016/j.berh.2017.09.004

Abstract

People frequently live for many years with multiple chronic conditions (multimorbidity) that impair health outcomes and are expensive to manage. Multimorbidity has been shown to reduce quality of life and increase mortality. People with multimorbidity also rely more heavily on health and care services and have poorer work outcomes. Musculoskeletal disorders (MSDs) are ubiquitous in multimorbidity because of their high prevalence, shared risk factors, and shared pathogenic processes amongst other long-term conditions. Additionally, these conditions significantly contribute to the total impact of multimorbidity, having been shown to reduce quality of life, increase work disability, and increase treatment burden and healthcare costs. For people living with multimorbidity, MSDs could impair the ability to cope and maintain health and independence, leading to precipitous physical and social decline. Recognition, by health professionals, policymakers, non-profit organisations, and research funders, of the impact of musculoskeletal health in multimorbidity is essential when planning support for people living with multimorbidity.

Keywords: Arthritis; Back pain; Co-morbidity; Management; Multimorbidity; Musculoskeletal; Osteoarthritis; Osteoporosis; Policy; Prevalence.

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The contribution of musculoskeletal disorders in multimorbidity: Implications for practice and policy

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The contribution of musculoskeletal disorders in multimorbidity: Implications for practice and policy

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