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Best practice & research. Clinical rheumatology v.31 no.2, 2017년, pp.129 - 144   SCI SCIE SCOPUS
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The contribution of musculoskeletal disorders in multimorbidity: Implications for practice and policy

Duffield, Stephen J. (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 ) ; Ellis, Benjamin M. (Imperial College Healthcare NHS Trust, Department of Rheumatology, Du Cane Rd, Shepherd's Bush, London W12 0HS, UK ) ; Goodson, Nicola (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 ) ; Walker-Bone, Karen (Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, MRC Lifecourse Epidemiology Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK ) ; Conaghan, Philip G. (Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, NIHR Leeds Biomedical Research Centre, Chapel Allerton Hospital, Leeds, LS7 4SA, UK ) ; Margham, Tom (Jubilee Street Practice, 368-374 Commercial Road, London, E1 0LS, UK ) ; Loftis, Tracey (Arthritis Research UK, Copeman House, St Mary's Court, St Mary's Gate, Chest ) ;
  • 초록  

    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.


  • 주제어

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

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