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To find the prevalence of musculoskeletal complaints and rheumatic disorders in Iran. Tehran, with one-ninth of the population of Iran and of mixed ethnic origins, was selected as the field. Subjects were randomly selected from the 22 districts. Interviews were conducted once a week, on the weekend. The 3 phases of stage 1 were done on the same day, in parallel, like the fast-track Community Oriented Program for Control of Rheumatic Diseases (COPCORD). Four thousand ninety-six houses were visited and 10,291 persons were interviewed. Musculoskeletal complaints during the past 7 days were detected in 41.9% of the interviewed subjects. The distribution was: shoulder 14.5%, wrist 10%, hands and fingers 9.4%, hip 7.1%, knee 25.5%, ankle 9.8%, toes 6.1%, cervical spine 13.4%, and dorsal and lumbar spine 21.7%. Degenerative joint diseases were detected in 16.6% of subjects: cervical spondylosis 1.8%, knee osteoarthritis (OA) 15.3%, hand OA 2.9%, and hip OA 0.32%. Low back pain was detected in 15.4% and soft tissue rheumatism in 4.6%. Inflammatory disorders were rheumatoid arthritis 0.33%, seronegative spondyloarthropathies 0.23%, ankylosing spondylitis 0.12%, systemic lupus erythematosus 0.04%, and Behçet's disease 0.08%. Fibromyalgia was detected in 0.69% and gout in 0.13% of the studied population. The large urban COPCORD study in Iran showed a high prevalence of rheumatic complaints in the population over the age of 15 years, 41.9%. Knee OA and low back pain were the most frequent complaints.

Citation

Fereydoun Davatchi, Ahmad-Reza Jamshidi, Arash Tehrani Banihashemi, Jaleh Gholami, Mohammad Hossein Forouzanfar, Massoomeh Akhlaghi, Mojgan Barghamdi, Elham Noorolahzadeh, Ali-Reza Khabazi, Mansoor Salesi, Amir-Hossein Salari, Mansoor Karimifar, Kamal Essalat-Manesh, Mehrzad Hajialiloo, Mohsen Soroosh, Farhad Farzad, Hamid-Reza Moussavi, Farideh Samadi, Koorosh Ghaznavi, Homa Asgharifard, Amir-Hossein Zangiabadi, Farhad Shahram, Abdolhadi Nadji, Mahmood Akbarian, Farhad Gharibdoost. WHO-ILAR COPCORD Study (Stage 1, Urban Study) in Iran. The Journal of rheumatology. 2008 Jul;35(7):1384

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PMID: 18464299

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