Burden of Disease and Years Lived with Disability Associated with Musculoskeletal Pain

  • M. Suka
  • K. Yoshida
Reference work entry


 Musculoskeletal pain (MP) is recognized as a problem of global proportions. MP is rarely associated with fatal conditions, however, it causes deterioration in health-related quality of life (QOL). Estimation of the years lived with disabilities (YLDs) due to MP in a population will inform us how much MP deprives the population of health-related QOL. In this chapter, we conduct a review of the literature of population surveys of the prevalence of MP, estimate the YLDs due to MP in the Japanese adult population, and discuss the methodology for the estimation of the burden of MP in the general adult population. Our estimation method, based on the Global Burden of Disease protocol, may be applicable to other populations and may provide a feasible way to make relative comparisons of the burden of MP in different populations. Toward better estimation of the burden of MP in the general adult population, further studies may be required to develop a standard case-finding instrument for MP, to formulate discriminating definitions of acute and chronic MP, to determine the  disability weights for MP in the context of  clustering of MP and pain site, and to update the Global Burden of Disease protocol in an attempt to adequately deal with  comorbidity in the calculation of DALYs.


Musculoskeletal Pain Musculoskeletal Disorder Global Burden Health Examination Pain Site 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:


disability adjusted life year


musculoskeletal pain


quality of life


year lived with disability


year of life lost



A series of studies based on the questionnaire survey on MP were supported by the 2003–2004 Health and Labour Sciences Research Grant (Research on Prevention and Treatment for Immune Allergic Diseases) from the Japanese Ministry of Health, Labour, and Welfare. We would like to thank all the staff of Niigata Healthcare Association, Tsukuba Multiphasic Health Examination Center, and Seirei Health Examination Center for their help on the questionnaire survey.


  1. Allison TR, Symmons DP, Brammah T, Haynes P, Rogers A, Roxby M, Urwin M. (2002). Ann Rheum Dis. 61: 151–156.PubMedCrossRefGoogle Scholar
  2. Andersson HI, Ejlertsson G, Leden I, Rosenberg C. (1993). Clin J Pain. 9: 174–182.PubMedCrossRefGoogle Scholar
  3. Bergman S, Herrstrom P, Hogstrom K, Petersson IF, Svensson B, Jacobsson LT. (2001). J Rheumatol. 28: 1369–1377.PubMedGoogle Scholar
  4. Bingefors K, Isacson D. (2004). Eur J Pain. 8: 435–450.PubMedCrossRefGoogle Scholar
  5. Brage S, Bjerkedal T. (1996). J Epidemiol Commun Health. 50: 166–169.CrossRefGoogle Scholar
  6. Brooks P. (2005). Rheumatology. 44: 831–833.PubMedCrossRefGoogle Scholar
  7. Burstrom K, Johannesson M, Diderichsen F. (2001). Qual Life Res. 10: 621–635.PubMedCrossRefGoogle Scholar
  8. Chrubasik S, Junck H, Zappe HA, Stutzke O. (1998). Eur J Anaesthesiol. 15: 397–408.PubMedGoogle Scholar
  9. Lidgren L. (2003). Bull World Health Organ. 81: 629.PubMedGoogle Scholar
  10. Murray CJ, Lopez AD. (ed.) (1996). The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Harvard University Press, Harvard.Google Scholar
  11. Picavet HS, Schouten JS. (2003). Pain. 102: 167–178.PubMedCrossRefGoogle Scholar
  12. Saarni SI, Harkanen T, Sintonen H, Suvisaari J, Koskinen S, Aromaa A, Lonnqvist J. (2006). Qual Life Res. 15: 1403–1414.PubMedCrossRefGoogle Scholar
  13. Salaffi F, De Angelis R, Stancati A, Grassi W. (2005). Clin Exp Rheumatol. 23: 829–839.PubMedGoogle Scholar
  14. Suka M, Yoshida K. (2004). Mod Rheumatol. 14: 285–290.CrossRefGoogle Scholar
  15. Suka M, Yoshida K. (2005a). Mod Rheumatol. 15: 41–47.PubMedCrossRefGoogle Scholar
  16. Suka M, Yoshida K. (2005b). Mod Rheumatol. 15: 48–51.PubMedCrossRefGoogle Scholar
  17. Taylor W (2005). N Z Med J. 118: U1629.PubMedGoogle Scholar
  18. Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, Simmons A, Williams G. (1998). Ann Rheum Dis. 57: 649–655.PubMedCrossRefGoogle Scholar
  19. Woolf AD, Akesson K. (2001). Br Med J. 322: 1079–1080.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • M. Suka
  • K. Yoshida

There are no affiliations available

Personalised recommendations