Abstract
Objective
To determine how total physical rehabilitation needs have been distributed per relevant
condition groups (musculoskeletal and pain, neurologic cardiothoracic, neoplasms,
pediatric, human immunodeficiency virus [HIV] related), globally and across countries
of varying income level.
Design
Subgroup, secondary analyses of data from the Global Burden of Disease 2017. Data
for the year 2017 are used for determining current needs and data from every year
between 1990 and 2017 for determining changing trends.
Settings
Globally and high-, upper-middle-, lower-middle-, and low-income countries.
Participants
Not applicable.
Interventions
Not applicable.
Main Outcome Measure
Years lived with disability (YLD) rates per 100,000 people for the 6 condition groups.
Results
In 2017, musculoskeletal and pain conditions accounted for 52.6% of the total physical rehabilitation needs worldwide,
:HIV related for 5.7% of the physical rehabilitation needs in low-income nations, but about 1%
in all other locations. Worldwide, significant increases in YLD rates were observed
since 1990 for the 6 condition groups (P<.01). However, across country types, we observed significant decreases in YLD rates
for specific conditions: pediatric in high-income countries, and neurologic and neoplasm conditions in low-income countries (P<.01). In upper-middle-income countries, YLD rates from neurologic and neoplasm conditions
grew exponentially since 1990, with overall increases of 67% and 130%, respectively.
Conclusion
At a global scale, physical rehabilitation needs per capita are growing for all major
condition groups, with musculoskeletal and pain conditions currently accounting for
over half of those needs. Countries of varying income level have different typologies
and evolutionary trends in their rehabilitation needs.
Keywords
List of abbreviations:
99% CI (99% confidence interval), GBD (Global Burden of Disease), HIC (high-income country), HIV (human immunodeficiency virus), LIC (low-income country), LMIC (lower-middle-income country), UMIC (upper-middle-income country), YLD (years lived with disability)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 05, 2020
Footnotes
Disclosures: none
Identification
Copyright
© 2020 by the American Congress of Rehabilitation Medicine
