Fourth Edition

Unmet Needs

Quality of life assessments in children and adolescents that allow better measure of the personal impact of pediatric musculoskeletal disease is lacking. In assessment of musculoskeletal disease for adults, lost wages and lost workdays are used to quantify burden. There is no corresponding way to measure burden in children. Currently, it is quantified indirectly by measuring lost wages and lost workdays for the child’s caregiver. Better methods for quantifying indirect burden of pediatric musculoskeletal disease is needed.

Neoplasms

Pediatric musculoskeletal neoplasms are relatively rare. They can be categorized as either benign or malignant, as has been done for this document. Musculoskeletal neoplasms are often also categorized by the type of tissue they produce or from which they are derived.

Deformity

Deformity in children and adolescents is subdivided into five sections: upper extremity, lower extremity, hip and pelvis, spine, and other/unspecified.

Musculoskeletal Conditions of Children and Adolescents

The 11 categories of musculoskeletal conditions that follow represent the most common healthcare reasons for which children and adolescents are seen in doctors' offices, emergency departments, and hospitals. Many of these conditions, such as the skeletal dysplasias, are relatively rare, diagnosed infrequently in the healthcare system, and have little data available on prevalence and burden. Though rare, they may result in significant morbidity and often require lifelong medical interventions and, therefore, warrant discussion.

Children and Adolescents

Previous sections in this text clearly demonstrate the large percentage of healthcare visits that are attributable to musculoskeletal conditions. Most of the data used to establish these estimates concern adult patients. Unfortunately, there is significantly less information regarding the burden of these conditions in young patients.

Unmet Needs

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.

Pages

Subscribe to Fourth Edition