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Unmet Needs

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I.I.0

Lead Author(s):

Stuart I. Weinstein, MD

Edward H. Yelin, PhD

Supporting Author(s):

Sylvia I. Watkins-Castillo, PhD

The increased prevalence of musculoskeletal conditions associated with the aging population will necessarily place increased demands on the healthcare system. However, the growth in the healthcare workforce is not keeping pace with the growing prevalence of musculoskeletal conditions. In fact, two medical specialties focused on the care of persons with these diseases, rheumatology and geriatrics, are having a difficult time recruiting new physicians.

It is also the case, as documented in The Big Picture: Funding that research funding for musculoskeletal conditions, relatively small to begin with, is not keeping up with the growing importance of this disease group. Prior research has led to dramatically improved treatments for inflammatory conditions, such as rheumatoid arthritis (principally because of the development of biological treatments) and to mechanical ones such as osteoarthritis (principally because of the improvement in total joint replacement rates). However, in order to deal with the increased numbers of patients associated with the aging population, research funding must be expanded in sheer dollars and in scope to encompass the cause, treatment, and organization of care.

The Burden of Musculoskeletal Diseases in the United States (BMUS) project was designed to provide primary data on musculoskeletal disorders related to prevalence and incidence, healthcare utilization, and burden, including economic costs, in the US as tools to support policy decision makers in the need for greater attention to be paid to musculoskeletal diseases. As BMUS moves forward, it is being asked to include a much broader picture of musculoskeletal disorders, including, but not limited to, a better description and understanding of disorders, comparison to global burden, treatment options/effectiveness/costs, quality of life, disparities in diagnosis and treatment, and the role of comorbidities. All these areas are critical to addressing the importance of recognizing and treating musculoskeletal diseases. Data to support addressing these issues must be addressed.

Edition:

Fourth Edition

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Table 1.1.1 Mean Share of National Institutes of Health (NIH) Funding by Institute, 1990 to 2016	Table 1.1.2: Funding Ranking and Dollars for NIH Research by Disease Areas, 2012-2016
Table 1.1.3: Top 25 and Musculoskeletal Related Conditions, Diseases and Research Areas Funded by NIH, 2012-2016	Table 1.1.4: NIAMS Share of National Institutes of Health Research and Development Funding, 1999-2016
Table 1.10.1: Musculoskeletal System Procedures Performed More than 12,000 Times, All Provider Settings, United States 2013	Table 1.10.2: Summary of Musculoskeletal System Procedures by Major Category by Service Provider, United States 2013
Table 1.2.1: Self-Reported Select Medical Conditions and Prevalence for Persons Age 18 and Over, by Sex, United States 2015	Table 1.2.2: Self-Reported Select Medical Conditions and Prevalence for Persons Age 18 and Over, by Age, United States 2015
Table 1.2.3: Self-Reported Select Medical Conditions and Prevalence for Persons Age 18 and Over, by Race/Ethnicity, United States 2015	Table 1.2.4: Self-Reported Select Medical Conditions and Prevalence for Persons Age 18 and Over, by Geographic Region, United States 2015
Table 1.2.5: Prevalence Trend in Select Medical Conditions for Persons Age 18 and Over, United States 2005-2015	Table 1.3.1: Most Frequently Reported Medical Conditions and Prevalence for Persons Age 18 and Over, with Subconditions, by Sex, United States 2015
Table 1.3.2: Most Frequently Reported Medical Conditions and Prevalence for Persons Age 18 and Over, with Subconditions, by Age, United States 2015	Table 1.3.3: Most Frequently Reported Medical Conditions and Prevalence for Persons Age 18 and Over, by Race/Ethnicity, United States 2015
Table 1.3.4: Most Frequently Reported Medical Conditions and Prevalence for Persons Age 18 and Over, with Subconditions, by Geographic Region, United States 2015	Table 1.3.5: Prevalence Trend in Most Frequently Reported Medical Conditions for Persons Age 18 and Over, United States 2005-2015
Table 1.4.1: Prevalence of Chronic Joint Pain for Persons Age 18 and Over, by Joint, by Sex, United States 2015	Table 1.4.2: Prevalence of Chronic Joint Pain for Persons Age 18 and Over, by Joint, by Age, United States 2015
Table 1.4.3: Prevalence of Chronic Joint Pain for Persons Age 18 and Over, by Joint, by Race/Ethnicity, United States 2015	Table 1.4.4: Prevalence of Chronic Joint Pain for Persons Age 18 and Over, by Joint, by Geographic Region, United States 2015
Table 1.5.1: Self-Reported Limitations in Activities of Daily Living for Persons Age 18 and Over Due to Select Medical Conditions, by Sex, United States 2015	Table 1.5.2: Self-Reported Limitations in Activities of Daily Living for Persons Age 18 and Older Due to Select Medical Conditions, by Age, United States 2015
Table 1.5.3: Self-Reported Limitations in Activities of Daily Living for Persons Age 18 and Over Due to Select Medical Conditions, by Race/Ethnicity, United States 2015	Table 1.5.4: Self-Reported Limitations in Activities of Daily Living for Persons Age 18 and Over Due to Select Medical Conditions, by Geographic Region, United States 2015
Table 1.6.1: Cause of Self-Reported Limitations in Activities of Daily Living for Persons Age 18 and Over Due to Musculoskeletal Condition, by Sex, United States 2015	Table 1.6.2: Cause of Self-Reported Limitations in Activities of Daily Living for Persons Age 18 and Over Due to Musculoskeletal Condition , by Age, United States 2015
Table 1.6.3: Cause of Self-Reported Limitations in Activities of Daily Living for Persons Age 18 and Over Due to Musculoskeletal Condition, by Race/Ethnicity, United States 2015	Table 1.6.4: Cause of Self-Reported Limitations in Activities of Daily Living for Persons Age 18 and Over Due to Musculoskeletal Condition by Geographic Region, United States 2015
Table 1.7.1: Self-Reported Need for Assistance1 in Performing Activities of Daily Living (ADL) for Persons Due to Select Medical Conditions, United States 2015	Table 1.7.2: Self-Reported Work Limitations for Persons Due to Select Medical Conditions, United States 2015
Table 1.8.1: Bed Days Due to Major Health Conditions by Gender and Age for Persons Aged 18 and Over, United States 2015	Table 1.8.2: Lost Work Days Due to Major Health Conditions by Gender and Age for Persons Aged 18 and Over, United States 2015
Table 1.9.1: Number of Musculoskeletal Diagnoses for Care Received, All Care Facilities, United States 2013	Table 1.9.2: Musculoskeletal Diagnoses as a Proportion of All Diagnoses for Care Received, All Care Facilities, United States 2013
Table 1.9.3: Musculoskeletal Diagnoses Prevalence for Care Received, All Care Facilities, United States 2013	Table 1.9.4: Number of Major Musculoskeletal Diagnostic Category Diagnoses for Care Received, All Care Facilities, United States 2013
Table 1.9.5: Major Musculoskeletal Diagnostic Category Diagnoses as a Proportion of All Diagnoses for Care Received, All Care Facilities, United States 2013	Table 1.9.6: Major Musculoskeletal Diagnostic Category Diagnoses Prevalence for Care Received, All Care Facilities, United States 2013

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