Physical rehabilitation needs per condition type: Results from the Global Burden of Disease study 2017

Publication date: Available online 5 February 2020

Source: Archives of Physical Medicine and Rehabilitation

Author(s): Tiago S. Jesus, Michel D. Landry, Dina Brooks, Helen Hoenig

Abstract

Objective

To determine how total physical rehabilitation needs have been distributed per relevant condition groups (musculoskeletal & pain, neurological cardiothoracic, neoplasms, pediatric, and HIV-related), globally and across countries of varying income level.

Design

Sub-group, 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 per 100,000 people (YLD Rates) for the 6 condition groups.

Results

In 2017, musculoskeletal & 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<0.01). However, across country types, we observed significant decreases in YLD Rates for specific conditions: pediatric in high-income countries, and neurological and neoplasm conditions in low-income (p<0.01). In upper middle-income countries, YLD Rates from neurological 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 & 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.

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